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Suivi au moyen-terme des patients faisant l’objet d’un traitement par CAR-T cells : recommandations de la Société francophone de greffe de moelle et de thérapie cellulaire (SFGM-TC)

Autre titre[Medium-term follow-up of patients treated with chimeric antigen receptor T cells (CAR T cells): Recommendations of the Francophone Society of Bone Marrow Transplantation and Cellular Therapy (SFGM-TC)]
Publié dansBulletin du cancer, vol. 108, no. 12S, p. S65-S71
Date de publication2021-12
Date de mise en ligne2021-03-04
Résumé

Chimeric antigen receptor (CAR) T cells are a new class of anti-cancer therapy that involves manipulating autologous or allogeneic T cells to express a CAR directed against a membrane antigen. In Europe, tisagenlecleucel (Kymriah™) has marketing authorization for the treatment of relapsed / refractory acute lymphoblastic leukemia (ALL) in children and young adults, in addition to the treatment of relapsed/refractory diffuse large B-cell lymphoma (DLBCL); the marketing authorization for axicabtagene ciloleucel (Yescarta™) is for the treatment of relapsed / refractory high-grade B-cell lymphoma and for the treatment of primary mediastinal B-cell lymphoma. Both cell products are genetically modified autologous T cells directed against CD19. These recommendations, drawn up by a working group of the Francophone Society of Bone Marrow transplantation and cellular Therapy (SFGM-TC) relate to the management of patients and the supply chain: medium-term complications, in particular cytopenias and B-cell aplasia, nursing and psychological supportive care. In another work, we will address long-term monitoring, post-marketing authorization pharmacovigilance and issues relating to JACIE and regulatory authorities. These recommendations are not prescriptive; their aim is to provide guidelines for the use of this new therapeutic approach. The purpose of this workshop is to outline the organizational aspects of this new therapeutic approach.

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Mots-clés
  • CAR-T
  • CRS
  • Cytopénies retardées
  • Delayed cytopenias
  • ICANS
  • Medium-term
  • Moyen-terme
  • SFGM-TC
  • Antibiotic Prophylaxis
  • Antigens, CD19 / immunology
  • Antineoplastic Agents, Immunological / adverse effects
  • Antineoplastic Agents, Immunological / therapeutic use
  • Biological Products / adverse effects
  • Biological Products / therapeutic use
  • Follow-Up Studies
  • Graft vs Host Disease / immunology
  • Humans
  • Immunotherapy, Adoptive / adverse effects
  • Immunotherapy, Adoptive / methods
  • Infections
  • Lymphoma, Large B-Cell, Diffuse / therapy
  • Lymphopenia / immunology
  • Neutropenia / immunology
  • Precursor Cell Lymphoblastic Leukemia-Lymphoma / therapy
  • Receptors, Antigen, T-Cell / therapeutic use
  • Receptors, Chimeric Antigen
  • Societies, Medical
  • T-Lymphocytes / transplantation
  • Time Factors
Citation (format ISO)
ALSULIMAN, Tamim et al. Suivi au moyen-terme des patients faisant l’objet d’un traitement par CAR-T cells : recommandations de la Société francophone de greffe de moelle et de thérapie cellulaire (SFGM-TC). In: Bulletin du cancer, 2021, vol. 108, n° 12S, p. S65–S71. doi: 10.1016/j.bulcan.2020.11.015
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Article (Published version)
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Identifiants
ISSN du journal0007-4551
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Création22/03/2022 16:58:00
Première validation22/03/2022 16:58:00
Heure de mise à jour16/03/2023 07:46:16
Changement de statut16/03/2023 07:46:15
Dernière indexation01/02/2024 08:54:34
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