CAR T-cell and Bi-specific T-cell therapies

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Questions and Answers

Which of the following CAR T-cell therapies targets the BCMA antigen?

  • Brexucabtagene autoleucel
  • Idecabtagene vicleucel (correct)
  • Lisocabtagene maraleucel
  • Axicabtagene ciloleucel

A patient with relapsed/refractory follicular lymphoma after two or more lines of therapy might be considered for treatment with which of the following?

  • Ciltacabtagene autoleucel
  • Blinatumomab
  • Tisagenlecleucel
  • Axicabtagene ciloleucel (correct)

Which of the following bispecific T-cell engagers is approved for relapsed/refractory follicular lymphoma?

  • Mosunetuzumab (correct)
  • Elranatamab
  • Talquetamab
  • Teclistamab

A young adult (22 years old) is diagnosed with relapsed/refractory B-cell acute lymphoblastic leukemia (B-ALL). Which CAR T-cell therapy is most appropriate?

<p>Tisagenlecleucel (C)</p> Signup and view all the answers

Which of the following therapies is a bispecific T-cell engager targeting BCMA and CD3?

<p>Teclistamab (D)</p> Signup and view all the answers

Which therapy is indicated for relapsed/refractory B-cell precursor acute lymphoblastic leukemia with minimal residual disease?

<p>Blinatumomab (A)</p> Signup and view all the answers

A patient with relapsed/refractory multiple myeloma who has already undergone four or more lines of therapy, including an IMiD, PI, and anti-CD38 mAb, would be eligible for which of the following CAR T-cell therapies?

<p>Idecabtagene vicleucel (D)</p> Signup and view all the answers

A patient with relapsed/refractory diffuse large B-cell lymphoma (DLBCL) after two or more lines of therapy may be treated with:

<p>Glofitamab (C)</p> Signup and view all the answers

Which of the following CAR T-cell therapies is NOT indicated for relapsed/refractory large B-cell lymphoma (LBCL)?

<p>Idecabtagene vicleucel (B)</p> Signup and view all the answers

What is the target of Brexucabtagene autoleucel?

<p>CD19 (D)</p> Signup and view all the answers

Flashcards

Tisagenlecleucel (Kymriah)

Targets CD19 and uses CAR T-cell therapy. Used for relapsed/refractory B-cell acute lymphoblastic leukemia (B-ALL) in patients up to 25 years and relapsed/refractory large B-cell lymphoma (LBCL) after 2+ lines of therapy.

Axicabtagene ciloleucel (Yescarta)

Targets CD19 and uses CAR T-cell therapy. Used for relapsed/refractory large B-cell lymphoma (LBCL) after 2+ lines of therapy and relapsed/refractory follicular lymphoma (FL) after 2+ lines of therapy.

Brexucabtagene autoleucel (Tecartus)

Targets CD19 and uses CAR T-cell therapy. Used for relapsed/refractory mantle cell lymphoma (MCL) and relapsed/refractory B-cell acute lymphoblastic leukemia (B-ALL) in adults.

Lisocabtagene maraleucel (Breyanzi)

Targets CD19 and uses CAR T-cell therapy. Used for relapsed/refractory large B-cell lymphoma (LBCL) after 1+ lines of therapy, relapsed/refractory follicular lymphoma (FL), mantle cell lymphoma (MCL), or chronic lymphocytic leukemia/small lymphocytic lymphoma (CLL/SLL) after specific prior therapies.

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Idecabtagene vicleucel (Abecma)

Targets BCMA and uses CAR T-cell therapy. Indicated for relapsed/refractory multiple myeloma (MM) after 4+ lines of therapy including an IMiD, PI, and anti-CD38 mAb.

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Ciltacabtagene autoleucel (Carvykti)

Targets BCMA and uses CAR T-cell therapy. Indicated for relapsed/refractory multiple myeloma (MM) after 4+ lines of therapy including an IMiD, PI, and anti-CD38 mAb.

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Blinatumomab (Blincyto)

Targets CD19/CD3 and is a Bispecific T-cell engager. Used for relapsed/refractory B-cell precursor acute lymphoblastic leukemia (B-ALL); B-ALL with minimal residual disease (MRD).

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Teclistamab (Tecvayli)

Targets BCMA/CD3 and is a Bispecific T-cell engager. Used for relapsed/refractory multiple myeloma (MM) after 4+ lines of therapy including an IMiD, PI, and anti-CD38 mAb.

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Elranatamab (Elrexfio)

Targets BCMA/CD3 and is a Bispecific T-cell engager. Used for relapsed/refractory multiple myeloma (MM) after 4+ lines of therapy including an IMiD, PI, and anti-CD38 mAb.

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Talquetamab (Talvey)

Targets GPRC5D/CD3 and is a Bispecific T-cell engager. Used for relapsed/refractory multiple myeloma (MM) after 4+ lines of therapy including an IMiD, PI, and anti-CD38 mAb.

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Study Notes

  • Study notes on CART and Bi-specific T-cell Engager therapies.

Tisagenlecleucel (Kymriah)

  • Targets CD19 using CAR T-cell therapy.
  • Indicated for relapsed or refractory B-cell acute lymphoblastic leukemia (B-ALL) in patients up to 25 years.
  • Indicated for relapsed or refractory large B-cell lymphoma (LBCL) after 2+ lines of therapy.

Axicabtagene ciloleucel (Yescarta)

  • Targets CD19 using CAR T-cell therapy.
  • Indicated for relapsed/refractory large B-cell lymphoma (LBCL) after 2+ lines of therapy.
  • Indicated for relapsed/refractory follicular lymphoma (FL) after 2+ lines of therapy.

Brexucabtagene autoleucel (Tecartus)

  • Targets CD19 using CAR T-cell therapy.
  • Indicated for relapsed or refractory mantle cell lymphoma (MCL).
  • Indicated for relapsed or refractory B-cell acute lymphoblastic leukemia (B-ALL) in adults.

Lisocabtagene maraleucel (Breyanzi)

  • Targets CD19 using CAR T-cell therapy.
  • Indicated for relapsed or refractory large B-cell lymphoma (LBCL) after 1+ lines of therapy.
  • Indicated for relapsed or refractory follicular lymphoma (FL), mantle cell lymphoma (MCL), or chronic lymphocytic leukemia/small lymphocytic lymphoma (CLL/SLL) after specific prior therapies.

Idecabtagene vicleucel (Abecma)

  • Targets BCMA using CAR T-cell therapy.
  • Indicated for relapsed or refractory multiple myeloma (MM) after 4+ lines of therapy including an IMiD, PI, and anti-CD38 mAb.

Ciltacabtagene autoleucel (Carvykti)

  • Targets BCMA using CAR T-cell therapy.
  • Indicated for relapsed/refractory multiple myeloma (MM) after 4+ lines of therapy including an IMiD, PI, and anti-CD38 mAb.

Blinatumomab (Blincyto)

  • Targets CD19/CD3 using Bispecific T-cell engager.
  • Indicated for relapsed/refractory B-cell precursor acute lymphoblastic leukemia (B-ALL).
  • Also indicated for B-ALL with minimal residual disease (MRD).

Teclistamab (Tecvayli)

  • Targets BCMA/CD3 using Bispecific T-cell engager.
  • Indicated for relapsed or refractory multiple myeloma (MM) after 4+ lines of therapy including an IMiD, PI, and anti-CD38 mAb.

Elranatamab (Elrexfio)

  • Targets BCMA/CD3 using Bispecific T-cell engager.
  • Indicated for relapsed/refractory multiple myeloma (MM) after 4+ lines of therapy including an IMiD, PI, and anti-CD38 mAb.

Talquetamab (Talvey)

  • Targets GPRC5D/CD3 using Bispecific T-cell engager.
  • Indicated for relapsed or refractory multiple myeloma (MM) after 4+ lines of therapy including an IMiD, PI, and anti-CD38 mAb.

Mosunetuzumab (Lunsumio)

  • Targets CD20/CD3 using Bispecific T-cell engager.
  • Indicated for relapsed/refractory follicular lymphoma (FL) after 2+ lines of therapy.

Glofitamab (Columvi)

  • Targets CD20/CD3 using Bispecific T-cell engager.
  • Indicated for relapsed/refractory diffuse large B-cell lymphoma (DLBCL) after 2+ lines of therapy.

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