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  • ||||||||||  Kymriah (tisagenlecleucel-T) / Novartis, Yescarta (axicabtagene ciloleucel) / Gilead
    REAL-WORLD EXPERIENCE OF CAR T-CELL THERAPY: A SINGLE CENTRE EXPERIENCE (ePoster area) -  Feb 14, 2024 - Abstract #EBMT2024EBMT_2394;    
    CAR-T therapy provides an answer for some, with acceptable toxicity. Our real-world data shows that over the years, with broader selection criteria, inclusion of older patients, and those with higher disease burden, worse outcomes are observed.
  • ||||||||||  Kymriah (tisagenlecleucel-T) / Novartis, Yescarta (axicabtagene ciloleucel) / Gilead
    PHYSICAL AND PSYCHOLOGICAL NEEDS AFTER CAR-T THERAPY: TWO NURSES (ePoster area) -  Feb 14, 2024 - Abstract #EBMT2024EBMT_2263;    
    In the care of patients who receive CAR-T cell therapies, nurses should ideally be competent in general nursing skills (patient-centered care, clinical assessment, tracheostomy care, etc.), but also be trained in CRS and ICANS monitoring as well as have clear guidance on how to advocate for their patients in the critical situations as described above. Additionally, nurses should be trained in intercultural competencies and recognize the added complexity of their patients
  • ||||||||||  Kymriah (tisagenlecleucel-T) / Novartis, Tecartus (brexucabtagene autoleucel) / Gilead, Yescarta (axicabtagene ciloleucel) / Gilead
    IMPACT OF EARLY CAR (CLYDE) -  Feb 14, 2024 - Abstract #EBMT2024EBMT_1766;    
    Among possible determinants of CD4+ T cell recovery, we recognized infusion of a 4-1BB product (tisagenlecleucel, TSA) in comparison with CD28-based ones (axicabtagene/brexucabtagene, AXI/BRX) (hazard ratio [95% CI]: 5.79 [1.16-24.12] p = 0.016). We conclude that a faster CAR
  • ||||||||||  Kymriah (tisagenlecleucel-T) / Novartis, Tecartus (brexucabtagene autoleucel) / Gilead, Yescarta (axicabtagene ciloleucel) / Gilead
    IMPACT OF EARLY CAR (ePoster area) -  Feb 14, 2024 - Abstract #EBMT2024EBMT_1765;    
    Among possible determinants of CD4+ T cell recovery, we recognized infusion of a 4-1BB product (tisagenlecleucel, TSA) in comparison with CD28-based ones (axicabtagene/brexucabtagene, AXI/BRX) (hazard ratio [95% CI]: 5.79 [1.16-24.12] p = 0.016). We conclude that a faster CAR
  • ||||||||||  Kymriah (tisagenlecleucel-T) / Novartis, Tecartus (brexucabtagene autoleucel) / Gilead, Yescarta (axicabtagene ciloleucel) / Gilead
    EVALUATING COGNITIVE IMPAIRMENT AND NEUROTOXICITY POST CAR T CELL THERAPY (CLYDE) -  Feb 14, 2024 - Abstract #EBMT2024EBMT_1468;    
    Our preliminary data suggest that cognitive assessment is feasible in CAR-T cell therapy recipients. The lowest score was found at time T1, suggesting that cognitive dysfunction might be linked to acute toxicities observed in these patients.
  • ||||||||||  Kymriah (tisagenlecleucel-T) / Novartis, Tecartus (brexucabtagene autoleucel) / Gilead, Yescarta (axicabtagene ciloleucel) / Gilead
    EVALUATING COGNITIVE IMPAIRMENT AND NEUROTOXICITY POST CAR T CELL THERAPY (CLYDE) -  Feb 14, 2024 - Abstract #EBMT2024EBMT_1467;    
    Our preliminary data suggest that cognitive assessment is feasible in CAR-T cell therapy recipients. The lowest score was found at time T1, suggesting that cognitive dysfunction might be linked to acute toxicities observed in these patients.
  • ||||||||||  Kymriah (tisagenlecleucel-T) / Novartis, Tecartus (brexucabtagene autoleucel) / Gilead, Yescarta (axicabtagene ciloleucel) / Gilead
    EVALUATING COGNITIVE IMPAIRMENT AND NEUROTOXICITY POST CAR T CELL THERAPY (ePoster area) -  Feb 14, 2024 - Abstract #EBMT2024EBMT_1466;    
    Our preliminary data suggest that cognitive assessment is feasible in CAR-T cell therapy recipients. The lowest score was found at time T1, suggesting that cognitive dysfunction might be linked to acute toxicities observed in these patients.
  • ||||||||||  Kymriah (tisagenlecleucel-T) / Novartis, Yescarta (axicabtagene ciloleucel) / Gilead
    ELEVATED MYELOID-DERIVED SUPPRESSOR CELL (MDSC) LEVELS RESULT IN REDUCED CAR-T CELL EXPANSION AND IMPAIRED EFFICACY (Hall 3 South) -  Feb 14, 2024 - Abstract #EBMT2024EBMT_1427;    
    A total of 45 patients diagnosed with DLBCL (30), MCL (9), PMBL (3), or B-ALL (3) and treated with tisa-cel, axi-cel, or brexu-cel were analyzed. The immunological environment at the infusion of CAR-T cells significantly influences their expansion and antineoplastic efficacy.The high circulating levels of G-MDSC may represent a promising predictive biomarker and possibly a hypothetical point of intervention for ameliorating CAR-T efficacy.
  • ||||||||||  Breyanzi (lisocabtagene maraleucel) / BMS, Kymriah (tisagenlecleucel-T) / Novartis, Yescarta (axicabtagene ciloleucel) / Gilead
    DAY7-CART COUNT ENHANCES PREDICTIVE POWER OF PET30 AND POSSIBLY ANTICIPATES CD19 LOSS IN RELAPSE AFTER CART (CLYDE) -  Feb 14, 2024 - Abstract #EBMT2024EBMT_1276;    
    In this small, retrospective cohort, PET30 and Day7-CAR-T-count greatly support each other in predicting lasting remission vs. relapse. In addition, relapse after high-CAR peak was associated with CD19 loss in 4 of 7 cases, whereas relapse after low CAR-peak was not possibly suggesting distinct resistance mechanisms
  • ||||||||||  Breyanzi (lisocabtagene maraleucel) / BMS, Kymriah (tisagenlecleucel-T) / Novartis, Yescarta (axicabtagene ciloleucel) / Gilead
    DAY7-CART COUNT ENHANCES PREDICTIVE POWER OF PET30 AND POSSIBLY ANTICIPATES CD19 LOSS IN RELAPSE AFTER CART (ePoster area) -  Feb 14, 2024 - Abstract #EBMT2024EBMT_1275;    
    In this small, retrospective cohort, PET30 and Day7-CAR-T-count greatly support each other in predicting lasting remission vs. relapse. In addition, relapse after high-CAR peak was associated with CD19 loss in 4 of 7 cases, whereas relapse after low CAR-peak was not possibly suggesting distinct resistance mechanisms
  • ||||||||||  Kymriah (tisagenlecleucel-T) / Novartis, Actemra IV (tocilizumab) / Roche, JW Pharma, Yescarta (axicabtagene ciloleucel) / Gilead
    ACUTE INFECTION AND BASELINE C-REACTIVE PROTEIN  (CLYDE) -  Feb 14, 2024 - Abstract #EBMT2024EBMT_863;    
    This study provides evidence for an unexpected association between this ACPI28 and risk of early lymphoma progression. We speculate that this could be due to poor CAR-T expansion due to adverse cytokine profile precipitated by the immune response to severe infection.
  • ||||||||||  Kymriah (tisagenlecleucel-T) / Novartis, Actemra IV (tocilizumab) / Roche, JW Pharma, Yescarta (axicabtagene ciloleucel) / Gilead
    ACUTE INFECTION AND BASELINE C-REACTIVE PROTEIN  (ePoster area) -  Feb 14, 2024 - Abstract #EBMT2024EBMT_862;    
    This study provides evidence for an unexpected association between this ACPI28 and risk of early lymphoma progression. We speculate that this could be due to poor CAR-T expansion due to adverse cytokine profile precipitated by the immune response to severe infection.
  • ||||||||||  Kymriah (tisagenlecleucel-T) / Novartis
    Journal, CAR T-Cell Therapy:  Brief research report: in-depth immunophenotyping reveals stability of CD19 CAR T-cells over time. (Pubmed Central) -  Feb 10, 2024   
    We conducted a prospective observational study of 12 patients treated with Tisagenlecleucel for CD19+ B-cell malignancies...Unsupervised cluster analysis revealed an immune signature of CAR T-cell products associated with the development of immune cell-associated neurotoxicity syndrome. Warranting validation in an independent patient cohort, in-depth phenotyping of CAR T-cell products as well as longitudinal monitoring post cell transfer might become a valuable tool to increase efficacy and safety of CAR T-cell therapy.
  • ||||||||||  Breyanzi (lisocabtagene maraleucel) / BMS, Kymriah (tisagenlecleucel-T) / Novartis, Yescarta (axicabtagene ciloleucel) / Gilead
    Retrospective data, Review, Journal, CAR T-Cell Therapy, Real-world evidence, Real-world:  Real-world outcomes with CAR T-cell therapies in large B-cell lymphoma: a systematic review and meta-analysis. (Pubmed Central) -  Jan 9, 2024   
    Our meta-analysis indicates that CAR T-cell therapies have manageable safety profiles and are effective in a wide range of patients with r/r LBCL, and that axi-cel is associated with improved OS and PFS and increased risk of Grade ?3 ICANS compared with tisa-cel. Limitations of this study include nonrandomized treatments, potential unknown prognostic factors, and the lack of available real-world data for liso-cel.
  • ||||||||||  Kymriah (tisagenlecleucel-T) / Novartis
    Review, Journal, CAR T-Cell Therapy:  INSPIRED Symposium Part 4A: Access to CAR T cell Therapy in Unique Populations with B-cell Acute Lymphoblastic Leukemia. (Pubmed Central) -  Jan 9, 2024   
    The approval of tisagenlecleucel (tisa-cel) for use in children with B cell acute lymphoblastic leukemia (B-ALL) was based on the phase 2 ELIANA trial, a global registration study...It is important to prospectively study patient-reported outcomes given the differential toxicity expected between CD19 CAR T cell therapy and the historic standard of care, hematopoietic cell transplant. Now that CD19 CAR T cell therapy is commercially available, studies evaluating potential access disparities created by this very expensive novel therapy are increasingly pressing.
  • ||||||||||  Kymriah (tisagenlecleucel-T) / Novartis, Carvykti (ciltacabtagene autoleucel) / J&J
    Journal, Adverse events, CAR T-Cell Therapy:  Chimeric antigen receptor T-cell immunotherapies adverse events reported to FAERS database: focus on cytopenias. (Pubmed Central) -  Dec 25, 2023   
    Cytopenias represent one of the most frequently reported AEs in FAERS, a CAR T-cell therapy is indicated, with haematopoetic leukopenia being the most common. When comparing different CAR-T cell therapies, the cytopenias' reporting odds ratio was particularly high for tisagenlecleucel, especially in relation to hematopoietic erythropenia.