PMID- 33130313 OWN - NLM STAT- MEDLINE DCOM- 20211018 LR - 20240330 IS - 1525-0024 (Electronic) IS - 1525-0016 (Print) IS - 1525-0016 (Linking) VI - 29 IP - 2 DP - 2021 Feb 3 TI - Clinical Perspective: Treatment of Aggressive B Cell Lymphomas with FDA-Approved CAR-T Cell Therapies. PG - 433-441 LID - S1525-0016(20)30593-1 [pii] LID - 10.1016/j.ymthe.2020.10.022 [doi] AB - Large B cell lymphoma (LBCL) is curable with standard chemo-immunotherapy in the majority of cases. However, patients with primary refractory or relapsed disease have historically had limited treatment options. Two gene-modified chimeric antigen receptor (CAR)-T cell therapies have now been approved for these indications. The clinical decisions and management surrounding these gene-modified "living drugs" are nuanced and complex. In this article, we discuss the evolving evidence supporting the use of these CAR-T cells, including patient selection, screening procedures, special populations, bridging therapy, lymphodepletion, clinical management, relapse, and follow up. CI - Copyright (c) 2020 The American Society of Gene and Cell Therapy. Published by Elsevier Inc. All rights reserved. FAU - Leick, Mark B AU - Leick MB AD - Cellular Immunotherapy Program, Cancer Center, Massachusetts General Hospital, Boston, MA, USA; Department of Medicine, Harvard Medical School, Boston, MA, USA; Blood and Marrow Transplant Program, Massachusetts General Hospital, Boston, MA, USA. FAU - Maus, Marcela V AU - Maus MV AD - Cellular Immunotherapy Program, Cancer Center, Massachusetts General Hospital, Boston, MA, USA; Department of Medicine, Harvard Medical School, Boston, MA, USA; Blood and Marrow Transplant Program, Massachusetts General Hospital, Boston, MA, USA. Electronic address: mvmaus@mgh.harvard.edu. FAU - Frigault, Matthew J AU - Frigault MJ AD - Cellular Immunotherapy Program, Cancer Center, Massachusetts General Hospital, Boston, MA, USA; Department of Medicine, Harvard Medical School, Boston, MA, USA; Blood and Marrow Transplant Program, Massachusetts General Hospital, Boston, MA, USA. LA - eng PT - Journal Article PT - Review DEP - 20201031 PL - United States TA - Mol Ther JT - Molecular therapy : the journal of the American Society of Gene Therapy JID - 100890581 RN - 0 (Receptors, Antigen, T-Cell) RN - 0 (Receptors, Chimeric Antigen) SB - IM MH - Disease Progression MH - Drug Approval MH - Humans MH - *Immunotherapy, Adoptive/methods MH - Lymphoma, B-Cell/immunology/*pathology/*therapy MH - Neoplasm Staging MH - Receptors, Antigen, T-Cell/immunology MH - Receptors, Chimeric Antigen/immunology MH - T-Lymphocytes/immunology/metabolism MH - United States MH - United States Food and Drug Administration PMC - PMC7854294 COIS- Declaration of Interest M.J.F. and M.V.M. have received sponsored research support from Kite Pharma and Novartis and are investigators and consultants on multiple industry-sponsored trials of CAR-T cells. M.V.M. holds equity in Century Therapeutics and TCR2. EDAT- 2020/11/02 06:00 MHDA- 2021/10/21 06:00 PMCR- 2022/02/03 CRDT- 2020/11/01 20:32 PHST- 2020/09/04 00:00 [received] PHST- 2020/10/10 00:00 [revised] PHST- 2020/10/24 00:00 [accepted] PHST- 2020/11/02 06:00 [pubmed] PHST- 2021/10/21 06:00 [medline] PHST- 2020/11/01 20:32 [entrez] PHST- 2022/02/03 00:00 [pmc-release] AID - S1525-0016(20)30593-1 [pii] AID - 10.1016/j.ymthe.2020.10.022 [doi] PST - ppublish SO - Mol Ther. 2021 Feb 3;29(2):433-441. doi: 10.1016/j.ymthe.2020.10.022. Epub 2020 Oct 31.