
DOI . ORG {
}
Title[redir]:
Preliminary exploration of PSMA CAR-T combined with GD2 CAR-T for the treatment of refractory/relapsed gliomas | Journal of Translational Medicine | Full Text
Description:
Background This study aimed to investigate the safety and efficacy of fourth-generation combined PSMA and GD2-targeted chimeric antigen receptor (CAR)-T cells in the treatment of refractory/relapsed gliomas. Method This study employed a single-arm design, enrolling patients with confirmed refractory/relapsed gliomas at the Immuno-oncology Department of the Cancer Center at Clifford Hospital in Guangdong. Eligible patients received combined treatment with PSMA CAR-T and GD2 CAR-T cells via intravenous administration. The dose of reinfused CAR-T cells ranged from 1–5 × 10^6 cells/kg of body weight. Results Six patients were included in the study, all of whom responded to the treatment. The overall response rate (ORR) was 50%, with three patients achieving complete response (CR) (50%) and three demonstrating stable disease (SD) (50%). The median progression-free survival (PFS) was 9.0 months (range, 1–56 months), and the median overall survival (OS) was 24.5 months (range, 13–63 months). Three patients (50%) developed cytokine release syndrome (CRS), all of which were classified as grade I CRS, and no patients experienced immune effector cell-associated neurotoxicity Syndrome (ICANS). Conclusion Combined PSMA CAR-T and GD2 CAR-T cell therapy demonstrated significant efficacy and good tolerability in the treatment of refractory/relapsed gliomas, without severe adverse reactions.
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Keywords {🔍}
cart, patients, pubmed, article, cells, google, scholar, therapy, psma, tumor, months, patient, cell, treatment, gliomas, central, infusion, cas, study, fig, survival, clinical, car, glioblastoma, table, efficacy, median, cancer, refractory, pfs, relapsed, outcomes, blood, antigen, safety, trial, size, response, disease, tumors, lymphoma, glioma, med, oncol, grade, brain, diffuse, additional, data, adverse,
Topics {✒️}
chimeric antigen receptor-modified dual-targeted fourth-generation car gd2-car t-cells display fourth-generation safety-designed car population-based case-control study prostate-specific membrane antigen dual-target antigen cars b-cell lymphoblastic leukemia chimeric antigen receptor dual igf1r/ir inhibitors sun yat-sen university intrinsic interleukin-15rα signaling o6-methylguanine-dna methyltransferase central nervous system car t-cell therapy chronic/acute lymphocytic leukemia kaplan–meier survival analysis 68ga-psma-hbed-cc refractory mantle-cell lymphoma underwent tumor-treating fields potent anti-tumor activity immune-compromised leukemic patient targeting gd2-positive glioblastoma blood–brain barrier facilitates intraventricular b7–h3 car subsequent long-term follow il-13rα2-targeting car refractory high-risk neuroblastoma fourth-generation combined psma received tumor-treating fields single-arm trial design high-risk glioma treated recent meta-analysis reported dual-targeting strategy privacy choices/manage cookies autologous anti-gd2 car time points post-car recurrent high-grade glioma lung-ji chang van den bent multiple time points bmc median progression-free survival pfs progression-free survival authors scientific editing complete remission rates state privacy rights haijun wen schuster sj dual-target strategy
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description:This study aimed to investigate the safety and efficacy of fourth-generation combined PSMA and GD2-targeted chimeric antigen receptor (CAR)-T cells in the treatment of refractory/relapsed gliomas. This study employed a single-arm design, enrolling patients with confirmed refractory/relapsed gliomas at the Immuno-oncology Department of the Cancer Center at Clifford Hospital in Guangdong. Eligible patients received combined treatment with PSMA CAR-T and GD2 CAR-T cells via intravenous administration. The dose of reinfused CAR-T cells ranged from 1–5 × 10^6 cells/kg of body weight. Six patients were included in the study, all of whom responded to the treatment. The overall response rate (ORR) was 50%, with three patients achieving complete response (CR) (50%) and three demonstrating stable disease (SD) (50%). The median progression-free survival (PFS) was 9.0 months (range, 1–56 months), and the median overall survival (OS) was 24.5 months (range, 13–63 months). Three patients (50%) developed cytokine release syndrome (CRS), all of which were classified as grade I CRS, and no patients experienced immune effector cell-associated neurotoxicity Syndrome (ICANS). Combined PSMA CAR-T and GD2 CAR-T cell therapy demonstrated significant efficacy and good tolerability in the treatment of refractory/relapsed gliomas, without severe adverse reactions.
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Emails and Hosting {✉️}
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