Axicabtagene Ciloleucel: The First FDA-Approved CAR T-Cell Therapy for Relapsed/Refractory Large B-Cell Lymphoma
- PMID: 33425471
- PMCID: PMC7517758
- DOI: 10.6004/jadpro.2019.10.8.9
Axicabtagene Ciloleucel: The First FDA-Approved CAR T-Cell Therapy for Relapsed/Refractory Large B-Cell Lymphoma
Abstract
Axicabtagene ciloleucel (axi-cel) is an anti-CD19 CAR T-cell therapy that has demonstrated efficacy in relapsed and refractory diffuse large B-cell lymphoma (DLBCL) patients who have had suboptimal responses to conventional therapies. The immune activation that confers the efficacy of axi-cel comes at the price of potentially devastating adverse phenomena: cytokine release syndrome and neurotoxicity. This article serves as an overview of axi-cel, including a review of the available clinical evidence, mechanism of action, and management of some of the unique toxicities of axi-cel.
© 2019 Harborside™.
Conflict of interest statement
Dr. King has served on an advisory board for Genentech. Dr. Orozco has no potential conflicts of interest to disclose.
References
-
- Genentech, Inc (2018). Actemra (tocilizumab) package insert. Retrieved from https://www.gene.com/download/pdf/actemra_prescribing.pdf
-
- Kite Pharma, Inc (2018). Yescarta (axicabtagene ciloleucel) package insert. Retrieved from https://www.fda.gov/downloads/UCM581226.pdf
-
- Kochenderfer J. N., Dudley M. E., Kassim S. H., Somerville R. P. T., Carpenter R. O., Stetler-Stevenson M.,Rosenberg S. A. (2015). Chemotherapy-refractory diffuse large B-cell lymphoma and indolent B-cell malignancies can be effectively treated with autologous T cells expressing an anti-CD19 chimeric antigen receptor. Journal of Clinical Oncology, 33(6), 540–549. 10.1200/JCO.2014.56.2025 - DOI - PMC - PubMed
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