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Targeted Therapy of CAR+ T-Cell Lymphoma after Anti-BCMA CAR T-Cell Therapy

Adolfo Aleman et al. N Engl J Med. .
No abstract available

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Figures

Figure 1.
Figure 1.. Clinical course and genomic characterization of chimeric antigen receptor (CAR)+ T-cell lymphoma.
Clinical timeline showing absolute lymphocyte count during relevant clinical events, including cytokine release syndrome (CRS), respiratory syncytial virus (RSV), COVID-19, and rhinovirus infection, development of peripheral T-cell lymphoma (PTCL) (Panel A, left) (ULN: upper limit of normal; LLN: lower limit of normal). Facial skin lesions on presentation (day 196 post-CAR-T infusion, Panel A, middle) and 18 F-FDG PET/CT demonstrating hypermetabolic cutaneous lesions in the nose and cheeks (day 190, Panel A, right). Line graph illustrating CD3+ T cell composition following CAR-T infusion (Panel B). The blue line indicates endogenous T cells, the red line indicates tumor CAR-T cells, and the green line denotes non-malignant CAR-T expansion. The x-axis represents days post-CAR-T infusion. Visual representation of CAR-T insertion site in TIA1 (T-cell intracellular antigen 1) gene on chromosome 2 (Panel C, top). Longitudinal variant allele frequency (VAF) by whole genome sequencing from stem cell product, peripheral blood mononuclear cells (PBMC) prior to CAR-T therapy, and isolated peripheral blood tumor cells (Panel C, bottom left). Summary of genomic alterations (Panel C, bottom right).

References

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