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    • Read this week's Cancer Discovery #ResearchWatch: Epitope Editing Prevents Off-Tumor Toxicity of #CARTcell Therapy in #AML, a summary of the paper by @CasiratiG, @Genovese_Lab et al. https://t.co/YJQqp6bdzn @DFBC_PedCare https://t.co/z0m5TJL3r0

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    Abstract. Chimeric antigen receptor (CAR) T cells have had dramatic success in B-cell malignancies, but this efficacy has not yet translated to more common solid tumors. In this issue of Cancer Research, Zhong and colleagues demonstrated that tumor-derived small extracellular vesicles (sEV) contain CAR target antigens like mesothelin, enabling them to preferentially interact with and suppress the activity of CAR T cells in vivo. PD-L1 in tumor-derived sEVs increased upon CAR T-cell infusion and induced PD-L1–dependent suppression of CAR T cells that could be completely reversed by PD-L1 blockade. Strategies to inhibit sEV secretion, via genetic manipulation of tumor cells or pharmacologic inhibition, significantly improved CAR T-cell accumulation, function, and antitumor activity in vivo, suggesting that therapeutic targeting of sEV secretion could be a promising new approach to improving the efficacy of CAR T-cell therapy.See related article by Zhong et al., p. 2790

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    • #ICYMI: Read the commentary— Bursting Tumor Bubbles to Improve #CARTcell Therapy, by Ortiz-Espinosa and @sriv4000. https://t.co/2e6URJLvFj @fredhutch https://t.co/tJNGFhXhCR https://t.co/GK6ahPQaTx

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    In the single-arm, open-label, multicenter, phase 2 PILOT study, second-line treatment with the chimeric antigen receptor (CAR) T-cell therapy lisocabtagene maraleucel (liso-cel) in patients with relapsed or refractory (R/R) large B-cell lymphoma (LBCL) for whom hematopoietic stem cell transplantation (HSCT) was not intended resulted in high response rates, durable responses, and a safety profile consistent with previous reports. Here, we analyzed changes in health-related quality of life (HRQOL) in patients who received liso-cel in PILOT. Patients received liso-cel, an autologous, CD19-directed, 4-1BB CAR T-cell product administered at equal target doses of CD8+ and CD4+ CAR+ T cells, for a total target dose of 100 × 10⁶ CAR+ T cells. HRQOL, a secondary endpoint of PILOT, was assessed as prespecified using 3 patient-reported outcome instruments (EORTC QLQ-C30; FACT-LymS; EQ-5D-5L). Evaluable datasets for the EORTC QLQ-C30, FACT-LymS, EQ-5D-5L health utility index, and EQ-5D visual ana

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    • #Hematology Lisocabtagene maraleucel for second-line relapsed or refractory large B-cell #DLBCL #lymphoma: patient-reported outcomes #PROM from the PILOT study #CARTcell #VBHC #HRQoL https://t.co/89zdMfhuJJ

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    multicenter retrospective observational study, we studied the patient-individual journey from CAR-T indication to infusion, baseline features, and survival outcomes in 374 patients treated with tisagenlecleucel (tisa-cel) or axicabtagene-ciloleucel (axi-cel) in EU and the United States (US). Compared with US patients, EU patients had prolonged indication-to-infusion intervals (66 versus 50 d; P < 0.001) and more commonly received intermediary therapies (holding and/or bridging therapy, 94% in EU versus 74% in US; P < 0.001). Baseline lactate dehydrogenase (LDH) (median 321 versus 271 U/L; P = 0.02) and ferritin levels (675 versus 425 ng/mL; P = 0.004) were significantly elevated in the EU cohort. Overall, we observed inferior survival in EU patients (median progression-free survival [PFS] 3.1 versus 9.2 months in US; P < 0.001) and with tisa-cel (3.2 versus 9.2 months with axi-cel; P < 0.001). On multivariate Lasso modeling, nonresponse to bridging, elevated ferritin, and increased C-r

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    • #Hematology Inferior Outcomes of EU 🇪🇺 vs US 🇺🇸Patients Treated With CD19 #CARTcell for Relapsed/Refractory Large B-cell #Lymphoma: Association With Differences in Tumor Burden, Systemic Inflammation, Bridging Therapy Utilization, and CART Product #lymsm https://t.co/g5OlXsdF2K

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    Yi Lin, MD, PhD, Mayo Clinic, Rochester, MN, discusses the prognostic value of early bone marrow measurable residual disease (MRD) assessment following CAR-T therapy in multiple myeloma. A recent study found that patients who achieve MRD negativity and free light chain clearance one month after CAR-T have better outcomes. Conversely, MRD positivity and residual free light chain levels after one month indicate a higher risk of relapse and a lower rate of durable response. A follow-up study demonstrated that negative results in both early bone marrow and PET MRD assessments serve as the strongest prognostic indicator for CAR-T therapy outcomes. This interview took place at the American Society of Clinical Oncology (ASCO) 2023 Annual Congress in Chicago, IL. These works are owned by Magdalen Medical Publishing (MMP) and are protected by copyright laws and treaties around the world. All rights are reserved.

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    • #ASCO23 | @YiLinMDPhD of @MayoClinic discusses a recent study exploring the prognostic value of early bone marrow MRD assessment following CAR-T therapy in patients with multiple myeloma. Watch here👇: https://t.co/UfhLNPeWbv #MMsm #ImmunoOnc #CARTcell

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    Kai Rejeski, MD, LMU Munich, Munich, Germany, provides insights into the management of toxicities associated with CAR-T therapy including hematological toxicities, cytokine release syndrome (CRS), and immune effector cell-associated neurotoxicity syndrome (ICANS). Dr Rejeski emphasizes the need to develop personalized approaches based on a patient’s risk to develop such toxicities, explaining the benefit of using escalated supportive measures and prophylaxis in patients with a high risk of developing CAR-T-associated toxicity. He also explains that patients who experience hematological toxicities should receive a hematopoietic stem cell boost as early as possible if available. This interview took place at the 28th Congress of the European Hematology Association (EHA) 2023 in Frankfurt, Germany. These works are owned by Magdalen Medical Publishing (MMP) and are protected by copyright laws and treaties around the world. All rights are reserved.

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    • Check out our recent interview with @KRejeski, who briefly discusses the importance of identifying & managing patients at high risk of developing toxicities following CAR-T therapy: 🎥 https://t.co/4LxFlNeX2s #EHA2023 #HemOnc #ImmunoOnc #CARTcell

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    This cohort study assesses neutralizing antibody concentrations following a third mRNA-1273 vaccination in immunocompromised patients with hematologic cancers to levels obtained in healthy individuals after the standard 2-dose vaccination schedule.

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    • Antibody Response in Immunocompromised Patients With Hematologic Cancers Who Received a 3-Dose mRNA-1273 Vaccination Schedule for #COVID19 [Aug 11, 2022] Haggenburg et al. @JAMAOnc https://t.co/YYUILPAip5 #COVID19Vaccine #IDonc #bmtsm #leusm #lymsm #mmsm #mpnsm #CARTcell https://t.co/poK42vd2Ls