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Current research highlights significant advancements in CAR T-cell therapy, particularly focusing on the treatment of adult patients with relapsed refractory B-cell acute lymphoblastic leukemia (ALL). A pivotal multicenter trial tested the CAR T product VARCELL, increasing the dose to three million CAR T-cells per kilogram and observing a notable complete response rate, reaching 84% in patients who received at least one treatment. The trial met its primary endpoint, demonstrating efficacy with undetectable minimal residual disease and leading to possible marketing authorization in Europe. This represents a significant step for academic-led CAR T-cell products, as achieving such results may pave the way for widespread clinical application.