Clinical development of CAR T cells-challenges and opportunities in translating innovative treatment concepts.

Abstract:

:Chimeric antigen receptor (CAR) T cell therapy, together with checkpoint inhibition, has been celebrated as a breakthrough technology due to the substantial benefit observed in clinical trials with patients suffering from relapsed or refractory B-cell malignancies. In this review, we provide a comprehensive overview of the clinical trials performed so far worldwide and analyze parameters such as targeted antigen and indication, CAR molecular design, CAR T cell manufacturing, anti-tumor activities, and related toxicities. More than 200 CAR T cell clinical trials have been initiated so far, most of which aim to treat lymphoma or leukemia patients using CD19-specific CARs. An increasing number of studies address solid tumors as well. Notably, not all clinical trials conducted so far have shown promising results. Indeed, in a few patients CAR T cell therapy resulted in severe adverse events with fatal outcome. Of note, less than 10% of the ongoing CAR T cell clinical trials are performed in Europe. Taking lead from our analysis, we discuss the problems and general hurdles preventing efficient clinical development of CAR T cells as well as opportunities, with a special focus on the European stage.

journal_name

EMBO Mol Med

journal_title

EMBO molecular medicine

authors

Hartmann J,Schüßler-Lenz M,Bondanza A,Buchholz CJ

doi

10.15252/emmm.201607485

subject

Has Abstract

pub_date

2017-09-01 00:00:00

pages

1183-1197

issue

9

eissn

1757-4676

issn

1757-4684

pii

emmm.201607485

journal_volume

9

pub_type

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