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Suivi immunologique des patients traités par cellules CAR-T pour hémopathie maligne: recommandations du groupe CARTi et de la Société francophone de greffe de moelle et de thérapie cellulaire (SFGM-TC)

Autre titre[Immunomonitoring of patients treated with CAR-T cells for hematological malignancy: Guidelines from the CARTi group and the Francophone Society of Bone Marrow Transplantation and Cellular Therapy (SFGM-TC)]
Publié dansBulletin du cancer, vol. 108, no. 12S, p. S53-S64
Date de publication2021-12
Date de mise en ligne2021-07-09
Résumé

CAR-T cells represent a new anti-tumor immunotherapy which has shown its clinical efficacy in B-cell malignancies. The results of clinical trials carried out in this context have shown that certain immunological characteristics of patients before (at the time of apheresis) and after the administration of the treatment, or of the CAR-T cells themselves, are correlated with the response to the treatment or to its toxicity. However, to date, there are no recommendations on the immunological monitoring of patients treated in real life. The objectives of this workshop were to determine, based on data from the literature and the experience of the centers, the immunological analyses to be carried out in patients treated with CAR-T cells. The recommendations relate to the characterization of the patient's immune cells at the time of apheresis, the characterization of the injected CAR-T cells, as well as the monitoring of the CAR-T cells and other parameters of immune reconstitution in the patient after administration of the treatment. Harmonization of practices will allow clinical-biological correlation studies to be carried out in patients treated in real life with the aim of identifying factors predictive of response and toxicity. Such data could have a major medico-economic impact by making it possible to identify the patients who will optimally benefit from these expensive treatments.

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Mots-clés
  • Biomarker
  • Biomarqueurs
  • CAR-T cells
  • Cellules CAR-T
  • Immune monitoring
  • Prediction
  • Prédiction
  • Recommandations
  • Recommendations
  • Suivi immunologique
  • Bacterial Infections / etiology
  • Blood Component Removal
  • Cytokine Release Syndrome / immunology
  • Flow Cytometry
  • Hematologic Neoplasms / immunology
  • Hematologic Neoplasms / therapy
  • Humans
  • Immune Reconstitution
  • Immunity, Cellular
  • Immunotherapy, Adoptive / adverse effects
  • Leukemia, Lymphocytic, Chronic, B-Cell / immunology
  • Leukemia, Lymphocytic, Chronic, B-Cell / therapy
  • Lymphocyte Depletion
  • Lymphoma, Large B-Cell, Diffuse / immunology
  • Lymphoma, Large B-Cell, Diffuse / therapy
  • Monitoring, Immunologic / methods
  • Monitoring, Immunologic / standards
  • Multiple Myeloma / immunology
  • Multiple Myeloma / therapy
  • Mycoses / etiology
  • Neurotoxicity Syndromes / immunology
  • Polymerase Chain Reaction
  • Precursor Cell Lymphoblastic Leukemia-Lymphoma / immunology
  • Precursor Cell Lymphoblastic Leukemia-Lymphoma / therapy
  • Recurrence
  • Societies, Medical
  • T-Lymphocytes / drug effects
  • T-Lymphocytes / transplantation
  • Virus Diseases / etiology
Citation (format ISO)
RUBIO, Marie Thérèse et al. Suivi immunologique des patients traités par cellules CAR-T pour hémopathie maligne: recommandations du groupe CARTi et de la Société francophone de greffe de moelle et de thérapie cellulaire (SFGM-TC). In: Bulletin du cancer, 2021, vol. 108, n° 12S, p. S53–S64. doi: 10.1016/j.bulcan.2021.04.008
Fichiers principaux (1)
Article (Published version)
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Identifiants
ISSN du journal0007-4551
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Informations techniques

Création22/03/2022 12:45:00
Première validation22/03/2022 12:45:00
Heure de mise à jour16/03/2023 07:44:25
Changement de statut16/03/2023 07:44:23
Dernière indexation01/02/2024 08:53:21
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