Immune-related Adverse Events — CAR T-Cell Therapy

Publication Date: October 31, 2021

Key Points

Key Points

  • Immunotherapy has revolutionized the treatment of many different types of cancers.
  • Chimeric antigen receptor T-cell (CAR T) therapy, an expanding immunotherapeutic approach, modifies T cells to redirect them to eradicate malignant cells.
    • CAR T-cell therapy is regarded as a “living drug” since cells are expected to persist long term with efficacy that may last for decades.
  • CAR T-cell therapy is administered with a single infusion and close monitoring.
  • CAR T-cell therapy is associated with severe, even fatal, toxicities such as cytokine release syndrome (CRS) or immune effector cell-associated neurotoxicity syndrome (ICANS).
    • The incidence of CRS has been reported to range from 57%–93%, and ICANS from 20%–70%, based on the agent used.

Key Recommendations

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Management

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