Description

CAR T-cell therapy involves T-cells modified to target tumor cells through expression of a chimeric antigen receptor. While effective in controlling some tumors, they may have a number of toxicities.


Acute toxicities that have been observed:

(1) cytokine release syndrome (CRS), which rarely may develop into a fulminant macrophage activation syndrome (MAS)

(2) anaphylaxis or other allergic reaction

(3) on target/off tumor recognition

(4) CART-related encephalopathy syndrome (CRES)

 

where:

CRES may involve confusion, delirium, aphasia, seizures, and/or raised intracranial pressure.

MAS is also referred to as hemophagocytic lymphohistiocytosis (HLH).


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