Low incidence of invasive fungal disease following CD19 chimeric antigen receptor T-cell therapy for non-Hodgkin lymphoma.

Author: AleissaMuneerah M, BeluchKatherine, Gonzalez-BoccoIsabel H, HammondSarah P, JacobsonCaron A, KooSophia, LittleJessica S, Manne-GoehlerJennifer, MartyFrancisco M

Paper Details 
Original Abstract of the Article :
CAR T-cell therapy has revolutionized the treatment of hematologic malignancies, although its use may be complicated by toxicities, including cytokine release syndrome (CRS), immune effector cell-associated neurotoxicity syndrome (ICANS), and infections. Invasive fungal disease (IFD) has been report...See full text at original site
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引用元:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9631654/

データ提供:米国国立医学図書館(NLM)

Investigating Invasive Fungal Disease After CAR T-Cell Therapy

In the rapidly evolving field of cancer treatment, CAR T-cell therapy has emerged as a groundbreaking approach, offering new hope for patients with hematologic malignancies. This research explores the incidence of invasive fungal disease (IFD) after CD19 chimeric antigen receptor T-cell (CAR T-cell) therapy for non-Hodgkin lymphoma (NHL). The researchers sought to determine the risk of IFD in the absence of routine antifungal prophylaxis, aiming to provide valuable insights for optimizing post-transplant care.

Low Incidence of IFD: A Surprising Oasis in the Desert

The study found that the incidence of IFD was surprisingly low, even in the absence of routine antifungal prophylaxis. This suggests that IFD may not be a major concern for all patients receiving CAR T-cell therapy for NHL, even though these patients often experience other common toxicities. However, the researchers emphasize that careful monitoring for IFD is still crucial, especially for patients with risk factors. This research provides valuable data for informing clinical practice, offering guidance on the use of antifungal prophylaxis for CAR T-cell therapy.

A Balanced Approach: Navigating the Desert of Post-Transplant Care

This research highlights the importance of balancing the benefits and risks of different treatment strategies. While antifungal prophylaxis may not be necessary for all patients, it is essential to carefully monitor for IFD and consider prophylaxis for patients with increased risk. This research provides valuable insights into the landscape of post-transplant care, guiding healthcare providers in their approach to managing potential complications.

Dr.Camel's Conclusion

This research offers a valuable perspective on the post-transplant care for patients receiving CAR T-cell therapy. While the incidence of IFD appears to be low, it’s essential to remain vigilant and monitor patients closely. This research underscores the importance of individualized care, taking into account each patient’s unique risk factors and needs. By carefully balancing the benefits and risks of antifungal prophylaxis, we can provide the best possible care for these patients.

Date :
  1. Date Completed 2022-08-22
  2. Date Revised 2022-11-05
Further Info :

Pubmed ID

35802461

DOI: Digital Object Identifier

PMC9631654

Related Literature

SNS
PICO Info
in preparation
Languages

English

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