학술논문

Recommendations on prevention of infections during chimeric antigen receptor T‐cell and bispecific antibody therapy in multiple myeloma.
Document Type
Article
Source
British Journal of Haematology. Dec2023, Vol. 203 Issue 5, p736-746. 11p.
Subject
*BISPECIFIC antibodies
*CHIMERIC antigen receptors
*MULTIPLE myeloma
*LYMPHOPENIA
*INFECTION prevention
*T cells
Language
ISSN
0007-1048
Abstract
Summary: Chimeric antigen receptor T (CAR T) cell and bispecific antibody therapies have shown unprecedented efficacy in heavily pretreated patients with multiple myeloma (MM). However, their use is associated with a significant risk of severe infections, which can be attributed to various factors such as hypogammaglobulinemia, neutropenia, lymphopenia, T‐cell exhaustion, cytokine‐release syndrome and immune‐effector cell‐associated neurotoxicity syndrome. As these therapies have been recently approved by regulatory agencies, it is crucial to establish practical guidelines for infection monitoring and prevention until robust data from prospective clinical trials become available. To address this issue, a panel of experienced investigators from the Academic Consortium to Overcome Multiple Myeloma through Innovative Trials (COMMIT) developed consensus recommendations for mitigating infections associated with CAR T‐cell and bispecific antibody therapies in MM patients. [ABSTRACT FROM AUTHOR]