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CAR T cell
Haematology

CAR T cell therapy

Dr. Rahul Bhargava Mar 04, 2024

What is CAR T cell therapy?

CAR T cell therapy is a form of immunotherapy that involves reprogramming a patient's T cells (a type of immune cell) to better recognize and attack cancer cells. CAR stands for chimeric antigen receptor, which is a synthetic receptor that is added to the T cells to enhance their cancer-targeting abilities.

How does CAR T cell therapy work?

T cells are collected from a patient's blood and genetically modified in a laboratory to express CARs on their surface. These CAR-equipped T cells are then multiplied in number and infused back into the patient's bloodstream. Once inside the body, the modified T cells can recognize and bind to specific proteins on cancer cells, leading to their destruction.

What types of cancer can be treated with CAR T cell therapy?

CAR T cell therapy has shown promising results in the treatment of certain types of blood cancers, such as leukemia and lymphoma. Research is ongoing to explore its potential for treating solid tumors as well.

Who is eligible for CAR T cell therapy?

CAR T cell therapy is typically reserved for patients with certain types of blood cancers who have not responded to traditional treatments like chemotherapy or stem cell transplant. Eligibility criteria may vary depending on factors such as the specific type of cancer and the patient's overall health.

What are the potential side effects of CAR T cell therapy?

While CAR T cell therapy can be highly effective, it can also cause side effects, including cytokine release syndrome (CRS), which can lead to fever, low blood pressure, and other flu-like symptoms. Another potential side effect is neurologic toxicity, which can cause confusion, seizures, or other neurological symptoms. These side effects can range from mild to severe and require close monitoring and management.

What is the success rate of CAR T cell therapy?

The success rate of CAR T cell therapy can vary depending on factors such as the type and stage of cancer being treated. In some cases, CAR T cell therapy has led to long-term remission or even cure for patients with certain types of blood cancers. However, not all patients respond to treatment, and further research is needed to improve its effectiveness and identify predictors of response.

Is CAR T cell therapy covered by insurance?

CAR T cell therapy is a relatively new and expensive treatment, and coverage by insurance providers may vary. Some insurers may cover CAR T cell therapy for certain eligible patients, while others may require prior authorization or may not cover it at all. Patients should consult with their healthcare providers and insurance companies to understand their coverage options and potential out-of-pocket costs.

Are there any ongoing clinical trials for CAR T cell therapy?

Yes, there are ongoing clinical trials exploring the use of CAR T cell therapy for various types of cancer, including both blood cancers and solid tumors. These trials are aimed at evaluating the safety and effectiveness of CAR T cell therapy, as well as identifying ways to improve its outcomes and reduce side effects. Patients may be eligible to participate in clinical trials based on their specific diagnosis and medical history.

 

CAR T cell therapy

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Meet the doctor

Dr. Rahul Bhargava
Dr. Rahul Bhargava
PRINCIPAL DIRECTOR & CHIEF - HEMATOLOGY, HEMATO ONCOLOGY & BONE MARROW TRANSPLANT | Fortis Noida
  • Haematology | Haematology
  • Organ Transplant | Hemato-Oncology | Haematology and BMT
  • Oncology | Hemato-Oncology
  • Date 15 Years
  • INR 1000
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