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CAR-T细胞免疫疗法(idecabtagene vicleucel)治疗多发性骨髓瘤

2020-04-01 Allan MedSci原创

百时美施贵宝(Bristol Myers Squibb)和蓝鸟生物本周二(2020年3月31日)报道,已向FDA提交了上市申请。

百时美施贵宝(Bristol Myers Squibb)和蓝鸟生物本周二(2020年3月31日)报道,已向FDA提交了idecabtagene vicleucel(ide-cel)治疗复发难治性多发性骨髓瘤的上市申请,这些患者至少接受过三种疗法,包括免疫调节剂、蛋白酶体抑制剂和抗CD38抗体。

idecabtagene vicleucel(ide-cel)是一款靶向BCMA的CAR-T细胞免疫疗法。TNFRSF17是TNF受体家族的一员,被称为肿瘤坏死因子受体超家族成员17,又名B细胞成熟抗原(BCMA)或CD269,它是由TNFRSF17基因编码的蛋白质。该受体表达于B淋巴细胞及浆细胞表面,是一种B淋巴细胞成熟的标志蛋白。

II期KarMMa试验招募了140例接受过至少三种先前治疗方案的成年患者,其中128名接受了ide-cel治疗。12个月报告的主要数据显示,该研究达到了总体缓解率(ORR)的主要终点,以及完全缓解率(CR)的次要终点。

 

原始出处:

https://www.firstwordpharma.com/node/1711850

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    2020-10-10 docwu2019
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  5. 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  6. 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content=<a href='/topic/show?id=e5d5e779600' target=_blank style='color:#2F92EE;'>#细胞免疫疗法#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=167, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=77796, encryptionId=e5d5e779600, topicName=细胞免疫疗法)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1b707274309, createdName=dzx0922891, createdTime=Fri Apr 03 12:54:48 CST 2020, time=2020-04-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1629096, encodeId=7adb162909688, content=<a href='/topic/show?id=c92340e325' target=_blank style='color:#2F92EE;'>#CAR-T细胞免疫疗法#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=106, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=4073, encryptionId=c92340e325, topicName=CAR-T细胞免疫疗法)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=bdd121300695, createdName=andy2094, createdTime=Fri Apr 03 12:54:48 CST 2020, time=2020-04-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=381238, encodeId=251f38123884, content=學習了很有用不錯, beContent=null, objectType=article, channel=null, level=null, likeNumber=196, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib3IzoRn621JdKCFUI4XvNELcibocrAVU6aUzEVDSaf3rYH08PUYUiagGqxAEhj8g9WqqNvD1CupIpCrmnR2OrqHZh/0, createdBy=7f181365728, createdName=飛歌, createdTime=Thu Apr 02 00:19:14 CST 2020, time=2020-04-02, status=1, ipAttribution=)]
    2021-01-12 cy0324
  7. 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    2020-04-02 飛歌

    學習了很有用不錯

    0

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14-3-3ε通过mTORC1途径调控多发性骨髓瘤细胞的蛋白负荷/容量平衡。14-3-3ε的表达水平可预测多发性骨髓瘤对蛋白酶体抑制剂的敏感性。

Blood:Daratumumab单药疗法用于淀粉样变患者的疗效和安全性

中心点:Daratumumab单药治疗在以前治疗的AL患者中引起了深刻和快速的血液反应,具有良好的安全性。非常好的部分缓解或更好的患者采用Daratumumab单药治疗6个月可获得持久的缓解。摘要:Daratumumab(达雷木单抗)是一种靶向CD38的单克隆抗体,CD38是一种在多发性骨髓瘤和轻链淀粉样变患者的浆细胞中普遍表达的抗原。Roussel等研究人员开展了一个前瞻性的多中心的2期试验,研

Blood Cancer Journal:一种检测多发性骨髓瘤多种耐药性的新技术

多发性骨髓瘤(MM)是一种无法治愈的终末分化的骨髓浆细胞瘤,作为全球第二大血液系统恶性肿瘤,其5年生存率仅为43%。自1990年以来,它的发病率增加了126%,仅在2018年里就报道了159 985例

FDA批准赛诺菲靶向CD38的单抗Sarclisa,用于治疗复发或难治的多发性骨髓瘤

美国食品和药物管理局已批准赛诺菲的Sarclisa(isatuximab-irfc)用于治疗多发性骨髓瘤。该药物靶向骨髓瘤细胞表面的CD38蛋白发挥作用,这是继强生公司的Darzalex(daratumumab)获批之后第二个靶向CD38蛋白的药物。

拓展阅读

JCI:彭宏凌/傅征/单强/黄伟姗团队揭示如何在CAR-T细胞治疗中延长CAR-T细胞的体内存活时间,并降低肿瘤复发率

该研究发现,IL-2诱导T细胞激酶(ITK)可以作为基因敲除或抑制的靶点,通过敲除或抑制ITK,促进CAR-T细胞的体内存活,从而更有效地控制肿瘤复发。

【柳叶刀血液学】综述:加速和优化CAR-T细胞制备,为患者提供更好的产品

本文重点关注加速CAR-T细胞制备所需的进展(包括床旁手段),重点是提高治疗效果和快速周转时间及简化质控程序,以充分发挥CAR-T细胞治疗的临床潜力。

【Leukemia】综述:利用CRISPR基因编辑技术优化CAR-T细胞治疗的有效性、安全性和可及性

本文综述 CRISPR 系统在 CAR-T 疗法中的应用,包括优化疗效、规避不良事件、用于通用型 CAR-T 等,讨论挑战及解决方案,为 CAR-T 免疫疗法提供有力基础。

细胞因子在CAR-T细胞治疗中的应用

介绍通过转基因表达细胞因子或工程化细胞因子受体增强 CAR-T 细胞抗肿瘤活性的方法,包括常见细胞因子作用及研究进展,强调其对克服实体瘤的潜力。

【Hemasphere】brexu‐cel治疗R/R MCL的真实世界意向治疗分析

《Hemasphere》报告一项brexu‐cel意向治疗(ITT)的英国真实世界研究,重点关注其可行性、有效性和耐受性。

【BCJ】循环CD19 CAR-T细胞及其亚群的动力学及对DLBCL结局的影响

西班牙学者使用二代流式细胞术评估了血液中循环抗CD19 CAR-T细胞及其亚群的动力学,并确定它们在预测治疗反应方面的潜在效用。

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