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Cancer immunotherapy with CAR-T cells – behold the future

Charlotte Graham, Rebecca Hewitson, Antonio Pagliuca and Reuben Benjamin
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DOI: https://doi.org/10.7861/clinmedicine.18-4-324
Clin Med August 2018
Charlotte Graham
AKing's College London, London, UK
Roles: clinical research fellow
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  • For correspondence: charlottegraham@nhs.net
Rebecca Hewitson
BNHS England, UK
Roles: national medical director's clinical fellow
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Antonio Pagliuca
Roles: consultant haematologist, professor of stem cell transplantation
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Reuben Benjamin
EKing's College Hospital NHS Foundation Trust, London, UK
Roles: consultant haematologist
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    Fig 1.

    Schematic diagram of CAR-T cells.

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    Fig 2.

    Organ dysfunction following CAR-T cell therapy.

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    Fig 3.

    Key teams involved in the delivery of CAR-T cell therapy.

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    Table 1.

    Summary data of key clinical trials of CAR-T cells

    Clinical trialPatient groupObjective response rateComplete remission rateOverall survivalReference
    ELIANA (Novartis)Children and young adults with relapsed and refractory B-ALL81%81%Median survival 19.1 months11
    MSKCCAdults with relapsed B-ALL-83%Median survival 12.9 months12
    ZUMA-1 (Kite Pharma)Adults with refractory large B-cell lymphoma82%54%52% at 18 months14
    JULIET (Novartis)Adults with relapsed DLBCL or follicular lymphoma64%43% DLBCL 71% follicular lymphomaDLBLC median survival 22.2 months, follicular lymphoma not reached15
    CRB-401 (Bluebird bio / Celgene)Relapsed and refractory multiple myeloma89%22%Not available16
    • B-ALL = B-acute lymphoblastic leukaemia; DLBCL = diffuse large B-cell lymphoma

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Cancer immunotherapy with CAR-T cells – behold the future
Charlotte Graham, Rebecca Hewitson, Antonio Pagliuca, Reuben Benjamin
Clinical Medicine Aug 2018, 18 (4) 324-328; DOI: 10.7861/clinmedicine.18-4-324

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Cancer immunotherapy with CAR-T cells – behold the future
Charlotte Graham, Rebecca Hewitson, Antonio Pagliuca, Reuben Benjamin
Clinical Medicine Aug 2018, 18 (4) 324-328; DOI: 10.7861/clinmedicine.18-4-324
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