Rakesh Popat, BSc, MBBS, MRCP, FRCPath, PhD, University College London Hospitals, London, UK, shares an insight into a clinical case session held at the CAR-T Meeting 2024. In this session, three clinical cases were presented. The first was a pediatric patient with B-cell acute lymphoblastic leukemia (B-ALL) presenting with hemophagocytic lymphohistiocytosis/macrophage activation syndrome (HLH/MAS) following CAR T-cell infusion. The second was a patient with mantle cell lymphoma (MCL) presenting with recurrent immune effector cell-associated neurotoxicity syndrome (ICANS) and aseptic meningitis following CD19 CAR-T therapy. Dr Popat highlights that this prompted a debate on the use of chemotherapy for the management of ICANS following CAR-T. Finally, the third case dealt with the use of cord-blood derived allogeneic natural killer (NK) cells in conjunction with CAR-NK cells for the treatment of a patient with multiple myeloma (MM). This interview took place at the EBMT-EHA 6th European CAR T-cell Meeting in Valencia, Spain.
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