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VJHemOnc Podcast

CAR T-cell therapy in ALL: trial updates, novel approaches, & real-world outcomes

Feb 27, 2025
Discover groundbreaking updates on CAR T-cell therapy for acute lymphoblastic leukemia. Experts discuss the pivotal CART19-BE-02 trial results and the FDA approval of obecabtagene autoleucel for relapsed B-ALL. Insights into the safety and efficacy of brexucabtagene autoleucel for older patients highlight promising outcomes. Innovative trials, including a phase two study of WU-CAR and tri-specific CAR T-cells, showcase strong safety profiles and exciting potential for future treatments in hematological malignancies.
18:39

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Quick takeaways

  • The pivotal CART19-BE-02 trial demonstrated an 84% complete response rate in adult patients with R/R B-ALL, establishing CAR T-cell efficacy.
  • Bridging therapy with inotuzumab improved CAR T-cell expansion and post-treatment survival, highlighting the importance of managing disease burden beforehand.

Deep dives

Advancements in CAR T-Cell Therapy for Acute Lymphoblastic Leukemia

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.

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