The role of CAR-T cells in the immunotherapy of B-cell acute lymphoblastic leukemia: a systematic review
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Research, Society and Development |
Texto Completo: | https://rsdjournal.org/index.php/rsd/article/view/42035 |
Resumo: | Introduction: Therapy with CAR-T cells for hematological malignancies, especially B cells, has shown promising results and has become an alternative for the clinical practice of acute lymphoblastic leukemia. Objective: To evaluate the efficacy, safety and applicability of CAR-T cell therapy in the immunotherapy of B-cell acute lymphoblastic leukemia (B-ALL). Methodology: This is a systematic review study guided by the PRISMA method. PubMed and VHL databases were used to search for phase I and II clinical trials, published between 2013 and 2023, with the descriptors “CAR-T cells” or “chimeric antigen receptor” and “immunotherapy” or “treatment”. and “acute lymphoblastic leukemia” and “B cells”. Results: 2,204 reports were identified. Of these, 13 met the eligibility criteria and were included in the study. High response rates have been observed, with complete and morphological remissions ranging from 40-100%. Occurrence of cytokine release syndrome of any degree between 80-85%, severe syndrome of 16-26% and severe neurotoxic effects of 28-42% among patients, although immune-mediated and favorable to the safety of therapy. Conclusion: CAR-T cell immunotherapy demonstrated potent antileukemic activity, with a well-defined toxicity profile and favorable therapy safety, leading to the approval of a CAR-T cell product for the treatment of relapsed/refractory ALL-B. |
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The role of CAR-T cells in the immunotherapy of B-cell acute lymphoblastic leukemia: a systematic reviewEl papel de las células CAR-T en la inmunoterapia de la leucemia linfoblástica aguda de células B: una revisión sistemáticaO papel das células CAR-T na imunoterapia da leucemia linfoblástica aguda de células B: revisão sistemáticaLeucemia linfoblástica agudaCélulas CAR-TReceptor de antígeno quiméricoInmunoterapia.Leucemia linfoblástica agudaCélulas CAR-TReceptor quimérico de antígenoImunoterapia.Acute lymphoblastic leukemiaCAR-T cellsChimeric antigen receptorImmunotherapy.Introduction: Therapy with CAR-T cells for hematological malignancies, especially B cells, has shown promising results and has become an alternative for the clinical practice of acute lymphoblastic leukemia. Objective: To evaluate the efficacy, safety and applicability of CAR-T cell therapy in the immunotherapy of B-cell acute lymphoblastic leukemia (B-ALL). Methodology: This is a systematic review study guided by the PRISMA method. PubMed and VHL databases were used to search for phase I and II clinical trials, published between 2013 and 2023, with the descriptors “CAR-T cells” or “chimeric antigen receptor” and “immunotherapy” or “treatment”. and “acute lymphoblastic leukemia” and “B cells”. Results: 2,204 reports were identified. Of these, 13 met the eligibility criteria and were included in the study. High response rates have been observed, with complete and morphological remissions ranging from 40-100%. Occurrence of cytokine release syndrome of any degree between 80-85%, severe syndrome of 16-26% and severe neurotoxic effects of 28-42% among patients, although immune-mediated and favorable to the safety of therapy. Conclusion: CAR-T cell immunotherapy demonstrated potent antileukemic activity, with a well-defined toxicity profile and favorable therapy safety, leading to the approval of a CAR-T cell product for the treatment of relapsed/refractory ALL-B.Introducción: La terapia con células CAR-T para neoplasias hematológicas, especialmente células B, ha mostrado resultados prometedores y se ha convertido en una alternativa para la práctica clínica de la leucemia linfoblástica aguda. Objetivo: Evaluar la eficacia, seguridad y aplicabilidad de la terapia con células CAR-T en la inmunoterapia de la leucemia linfoblástica aguda de células B (LLA-B). Metodología: Se trata de un estudio de revisión sistemática guiado por el método PRISMA. Se utilizaron las bases de datos PubMed y VHL para buscar ensayos clínicos de fase I y II, publicados entre 2013 y 2023, con los descriptores “Células CAR-T” o “receptor de antígeno quimérico” e “inmunoterapia” o “tratamiento” y “linfocitos linfoblásticos agudos”. leucemia” y “células B”. Resultados: se identificaron 2.204 informes. De estos, 13 cumplieron con los criterios de elegibilidad y fueron incluidos en el estudio. Se han observado altas tasas de respuesta, con remisiones completas y morfológicas que oscilan entre el 40 y el 100%. Ocurrencia de síndrome de liberación de citoquinas de cualquier grado entre 80-85%, síndrome severo de 16-26% y efectos neurotóxicos severos de 28-42% entre los pacientes, aunque inmunomediados y favorables a la seguridad de la terapia. Conclusión: la inmunoterapia con células CAR-T demostró una potente actividad antileucémica, con un perfil de toxicidad bien definido y una seguridad terapéutica favorable, lo que llevó a la aprobación de un producto de células CAR-T para el tratamiento de la LLA-B recidivante/refractaria.Introdução: A terapia com células CAR-T para malignidades hematológicas, especialmente de células B, têm demonstrado resultados promissores e vem configurando-se como alternativa para a prática clínica da leucemia linfoblástica aguda. Objetivo: Avaliar a eficácia, segurança e aplicabilidade da terapia com células CAR-T na imunoterapia da leucemia linfoblástica aguda de células B (LLA-B). Metodologia: Trata-se de um estudo de revisão sistemática norteado pelo método PRISMA. Foram utilizadas as bases de dados PubMed e BVS para busca de ensaios clínicos de fase I e II, publicados entre 2013 e 2023, com os descritores “células CAR-T” ou “receptor quimérico de antígeno” e “imunoterapia” ou “tratamento” e “leucemia linfoblástica aguda” e “células B”. Resultados: Foram identificados 2.204 relatos. Destes, 13 preencheram os critérios de elegibilidade e foram incluídos no estudo. Taxas elevadas de resposta foram observadas, com remissão completa e morfológica entre 40-100%. Ocorrência da síndrome de liberação de citocinas de qualquer grau entre 80-85%, síndrome grave de 16-26% e efeitos neurotóxicos graves de 28-42% entre os pacientes, ainda que imunomediados e favoráveis à segurança da terapia. Conclusão: A imunoterapia com células CAR-T demonstrou potente atividade antileucêmica, com um perfil de toxicidade bem definido e favorável a segurança da terapia, levando à aprovação de um produto de células CAR-T para tratamento da LLA-B recidiva/refratária.Research, Society and Development2023-06-05info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/4203510.33448/rsd-v12i6.42035Research, Society and Development; Vol. 12 No. 6; e4412642035Research, Society and Development; Vol. 12 Núm. 6; e4412642035Research, Society and Development; v. 12 n. 6; e44126420352525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIporhttps://rsdjournal.org/index.php/rsd/article/view/42035/34007Copyright (c) 2023 Ágata Samy Ribeiro Carvalho; Andria Mendonça de Souza; Ilder Breno dos Santos Silva; Jessica Janaina Oliveira de Medeiros; Anne Cristine Gomes de Almeidahttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessCarvalho, Ágata Samy Ribeiro Souza, Andria Mendonça de Silva, Ilder Breno dos Santos Medeiros, Jessica Janaina Oliveira de Almeida, Anne Cristine Gomes de2023-07-06T11:16:27Zoai:ojs.pkp.sfu.ca:article/42035Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2023-07-06T11:16:27Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false |
dc.title.none.fl_str_mv |
The role of CAR-T cells in the immunotherapy of B-cell acute lymphoblastic leukemia: a systematic review El papel de las células CAR-T en la inmunoterapia de la leucemia linfoblástica aguda de células B: una revisión sistemática O papel das células CAR-T na imunoterapia da leucemia linfoblástica aguda de células B: revisão sistemática |
title |
The role of CAR-T cells in the immunotherapy of B-cell acute lymphoblastic leukemia: a systematic review |
spellingShingle |
The role of CAR-T cells in the immunotherapy of B-cell acute lymphoblastic leukemia: a systematic review Carvalho, Ágata Samy Ribeiro Leucemia linfoblástica aguda Células CAR-T Receptor de antígeno quimérico Inmunoterapia. Leucemia linfoblástica aguda Células CAR-T Receptor quimérico de antígeno Imunoterapia. Acute lymphoblastic leukemia CAR-T cells Chimeric antigen receptor Immunotherapy. |
title_short |
The role of CAR-T cells in the immunotherapy of B-cell acute lymphoblastic leukemia: a systematic review |
title_full |
The role of CAR-T cells in the immunotherapy of B-cell acute lymphoblastic leukemia: a systematic review |
title_fullStr |
The role of CAR-T cells in the immunotherapy of B-cell acute lymphoblastic leukemia: a systematic review |
title_full_unstemmed |
The role of CAR-T cells in the immunotherapy of B-cell acute lymphoblastic leukemia: a systematic review |
title_sort |
The role of CAR-T cells in the immunotherapy of B-cell acute lymphoblastic leukemia: a systematic review |
author |
Carvalho, Ágata Samy Ribeiro |
author_facet |
Carvalho, Ágata Samy Ribeiro Souza, Andria Mendonça de Silva, Ilder Breno dos Santos Medeiros, Jessica Janaina Oliveira de Almeida, Anne Cristine Gomes de |
author_role |
author |
author2 |
Souza, Andria Mendonça de Silva, Ilder Breno dos Santos Medeiros, Jessica Janaina Oliveira de Almeida, Anne Cristine Gomes de |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Carvalho, Ágata Samy Ribeiro Souza, Andria Mendonça de Silva, Ilder Breno dos Santos Medeiros, Jessica Janaina Oliveira de Almeida, Anne Cristine Gomes de |
dc.subject.por.fl_str_mv |
Leucemia linfoblástica aguda Células CAR-T Receptor de antígeno quimérico Inmunoterapia. Leucemia linfoblástica aguda Células CAR-T Receptor quimérico de antígeno Imunoterapia. Acute lymphoblastic leukemia CAR-T cells Chimeric antigen receptor Immunotherapy. |
topic |
Leucemia linfoblástica aguda Células CAR-T Receptor de antígeno quimérico Inmunoterapia. Leucemia linfoblástica aguda Células CAR-T Receptor quimérico de antígeno Imunoterapia. Acute lymphoblastic leukemia CAR-T cells Chimeric antigen receptor Immunotherapy. |
description |
Introduction: Therapy with CAR-T cells for hematological malignancies, especially B cells, has shown promising results and has become an alternative for the clinical practice of acute lymphoblastic leukemia. Objective: To evaluate the efficacy, safety and applicability of CAR-T cell therapy in the immunotherapy of B-cell acute lymphoblastic leukemia (B-ALL). Methodology: This is a systematic review study guided by the PRISMA method. PubMed and VHL databases were used to search for phase I and II clinical trials, published between 2013 and 2023, with the descriptors “CAR-T cells” or “chimeric antigen receptor” and “immunotherapy” or “treatment”. and “acute lymphoblastic leukemia” and “B cells”. Results: 2,204 reports were identified. Of these, 13 met the eligibility criteria and were included in the study. High response rates have been observed, with complete and morphological remissions ranging from 40-100%. Occurrence of cytokine release syndrome of any degree between 80-85%, severe syndrome of 16-26% and severe neurotoxic effects of 28-42% among patients, although immune-mediated and favorable to the safety of therapy. Conclusion: CAR-T cell immunotherapy demonstrated potent antileukemic activity, with a well-defined toxicity profile and favorable therapy safety, leading to the approval of a CAR-T cell product for the treatment of relapsed/refractory ALL-B. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-06-05 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/42035 10.33448/rsd-v12i6.42035 |
url |
https://rsdjournal.org/index.php/rsd/article/view/42035 |
identifier_str_mv |
10.33448/rsd-v12i6.42035 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/42035/34007 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Research, Society and Development |
publisher.none.fl_str_mv |
Research, Society and Development |
dc.source.none.fl_str_mv |
Research, Society and Development; Vol. 12 No. 6; e4412642035 Research, Society and Development; Vol. 12 Núm. 6; e4412642035 Research, Society and Development; v. 12 n. 6; e4412642035 2525-3409 reponame:Research, Society and Development instname:Universidade Federal de Itajubá (UNIFEI) instacron:UNIFEI |
instname_str |
Universidade Federal de Itajubá (UNIFEI) |
instacron_str |
UNIFEI |
institution |
UNIFEI |
reponame_str |
Research, Society and Development |
collection |
Research, Society and Development |
repository.name.fl_str_mv |
Research, Society and Development - Universidade Federal de Itajubá (UNIFEI) |
repository.mail.fl_str_mv |
rsd.articles@gmail.com |
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1797052625704714240 |