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ASH 2025 | The effect of pre-existing CHIP on toxicity, outcomes, and inflammatory profiles in CAR-T recipients

Giulia Rappa, PhD, LMU Munich, Munich, Germany, discusses the findings of a study investigating the impact of pre-existing clonal hematopoiesis of indeterminate potential (CHIP) on CAR T-cell therapy outcomes in patients with lymphoma and multiple myeloma (MM). The findings suggest that CHIP is not associated with increased immunotoxicity and inflammatory serum signatures. While no differences were observed between CHIP and non-CHIP groups in terms of CAR-T-mediated toxicities and survival, CHIP patients with TP53 mutations exhibited a distinct inflammatory profile and a trend towards lower progression-free survival (PFS) and overall survival (OS). This interview took place at the 67th ASH Annual Meeting and Exposition, held in Orlando, FL.

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