학술논문

Real-World Use of Tisagenlecleucel in Infant Acute Lymphoblastic Leukemia
Document Type
article
Source
Blood Advances. 6(14)
Subject
Pediatric Research Initiative
Cancer
Pediatric Cancer
Biotechnology
Stem Cell Research
Immunization
Vaccine Related
Childhood Leukemia
Orphan Drug
Rare Diseases
Clinical Research
Hematology
Pediatric
Evaluation of treatments and therapeutic interventions
6.1 Pharmaceuticals
5.2 Cellular and gene therapies
Development of treatments and therapeutic interventions
5.1 Pharmaceuticals
Antigens
CD19
Child
Humans
Precursor Cell Lymphoblastic Leukemia-Lymphoma
Receptors
Antigen
T-Cell
Receptors
Chimeric Antigen
Retrospective Studies
United States
Language
Abstract
Infants with B-cell acute lymphoblastic leukemia (B-ALL) have poor outcomes because of chemotherapy resistance leading to high relapse rates. Tisagenlecleucel, a CD19-directed chimeric antigen receptor T-cell (CART) therapy, is US Food and Drug Administration approved for relapsed or refractory B-ALL in patients ≤25 years; however, the safety and efficacy of this therapy in young patients is largely unknown because children M1 marrow) were refractory to this therapy (n = 5). Overall, tisagenlecleucel was tolerable in this population, with only 3 patients experiencing ≥grade 3 cytokine release syndrome. No neurotoxicity was reported. This is the largest report of tisagenlecleucel use in infant B-ALL and shows that this therapy is safe and can be effective in this population. Incorporating this novel immunotherapy into the treatment of infant B-ALL offers a promising therapy for a highly aggressive leukemia.