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Erschienen in: Journal of Gastrointestinal Cancer 1/2021

23.07.2020 | Review Article

CAR T Cell Therapy in Pancreaticobiliary Cancers: a Focused Review of Clinical Data

verfasst von: Muhammad Yasir Anwar, Grant R. Williams, Ravi K. Paluri

Erschienen in: Journal of Gastrointestinal Cancer | Ausgabe 1/2021

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Abstract

Objective

CAR T cell therapy is an innovative approach to treat cancers in the modern era. It utilizes the application of chimeric antigen receptors targeted against specific antigens expressed by the tumor cells. Although its efficacy is established in hematological malignancies, the safety and efficacy of this therapy in solid tumors, especially pancreaticobiliary cancers, is a highly investigated aspect. A focused review of clinical data was conducted to examine the outcomes of this therapy in pancreaticobiliary cancers.

Methods

A comprehensive literature search was done on Medline and Embase databases through April 24, 2020 for studies that evaluated the outcomes of CAR T cell therapy in pancreaticobiliary cancers.

Results

There were six phase 1 trials, while one was phase 1/2. Some of these trials were specifically done for pancreaticobiliary cancers, while others included patients of various solid organ cancers, including pancreatic and biliary tract cancers. The target antigens for therapy in these trials included mesothelin, CD133, prostate stem cell antigen, claudin 18.2, epidermal growth factor receptor, and human epidermal growth factor receptor 2. CAR T cell therapy has shown very few grade 3 and 4 side effects. Most of the adverse events are associated with cytokine release syndrome.

Conclusion

CAR T cell therapy has a manageable safety profile based on phase 1 studies, and efficacy assessments are currently ongoing in dose expansion and phase 2 studies.
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Metadaten
Titel
CAR T Cell Therapy in Pancreaticobiliary Cancers: a Focused Review of Clinical Data
verfasst von
Muhammad Yasir Anwar
Grant R. Williams
Ravi K. Paluri
Publikationsdatum
23.07.2020
Verlag
Springer US
Erschienen in
Journal of Gastrointestinal Cancer / Ausgabe 1/2021
Print ISSN: 1941-6628
Elektronische ISSN: 1941-6636
DOI
https://doi.org/10.1007/s12029-020-00457-1

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