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ASH 2025 | Evaluating the real-world safety and efficacy of BCMA-directed CAR-T in systemic AL amyloidosis

Matthew Rees, MD, St. Vincent’s Hospital, Melbourne, Australia, provides insight into a multicenter retrospective study that assessed the safety and efficacy of BCMA-directed CAR T-cell therapy in patients with systemic light chain (AL) amyloidosis and concurrent multiple myeloma (MM). Dr Rees confirms the feasibility of administering CAR-T in this patient population, as rates of cytokine release syndrome (CRS) were modest, and only isolated severe cases of CRS and immune cell-associated neurotoxicity syndrome (ICANS) were observed. He also notes that the majority of patients achieved a deep hematological response, which translated into organ improvement among evaluable patients. This interview took place at the 67th ASH Annual Meeting and Exposition, held in Orlando, FL.

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