Febrile

73: Fast & Feverish: Intro to CAR-T & Early ID Complications

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May 8, 2023
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INSIGHT

CAR-T Are Living, Self‑Expanding Drugs

  • CAR-T are engineered T cells with chimeric antigen receptors that persist and expand in vivo.
  • Their antigen-driven expansion creates a living drug that amplifies anti-tumor immunity.
ADVICE

Plan For Manufacturing Delays

  • Remember CAR-T products are autologous and made from the patient's own apheresed cells.
  • Expect a 2–6 week manufacturing window during which patients may need bridging therapy.
INSIGHT

Viral Vectors Can Trigger False HIV Tests

  • Lentiviral/retroviral vectors used to transduce CAR constructs contain HIV-derived sequences.
  • Certain HIV NAT assays can detect vector sequences and produce false-positive results after CAR-T.
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