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ASH 2022 | Prophylactic dexamethasone use with CAR-T therapy: real-world practice and outcomes

Radhika Bansal, MBBS, Mayo Clinic, Rochester, MN, discusses real-world practice patterns and outcomes with the use of prophylactic dexamethasone to minimize toxicities associated with CAR-T therapy. In cohort 6 of the ZUMA-1 trial (NCT02348216), it was found that prophylactic dexamethasone decreased the occurrence of severe cytokine release syndrome (CRS) and immune effector cell-associated neurotoxicity syndrome (ICANS), without negatively impacting CAR-T efficacy. Dr Bansal highlights real-world patterns observed in various centers across the US, and explains that more research is needed before this is universally implemented in clinical practice. This interview took place at the 64th ASH Annual Meeting and Exposition congress in New Orleans, LA.

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