Efficacy of emapalumab in the management of anti‑CD19 chimeric antigen receptor T‑cell therapy‑associated cytokine release syndrome: A report of two cases
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- Published online on: November 22, 2024 https://doi.org/10.3892/ol.2024.14817
- Article Number: 71
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Copyright: © Cai et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
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Abstract
Chimeric antigen receptor (CAR) T‑cell therapy is an effective treatment for diffuse large B‑cell lymphoma (DLBCL). However, it may activate the systemic immune system of the patient, resulting in cytokine release syndrome (CRS). Emapalumab is a human monoclonal antibody targeting interferon‑γ, inhibiting its interaction with cell surface receptors and the subsequent activation of inflammatory pathways. The present report describes the cases of 2 patients with relapsed DLBCL treated with CAR T‑cell therapy, in which the severe CRS associated with CAR T‑cell therapy was attenuated without compromising antitumor efficacy after receiving emapalumab. Further prospective clinical trials are warranted to determine the role of emapalumab in CAR T‑cell therapy.