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作 者:戴海萍 DAI Haiping(1 st Affil Hosp,Soochow Univ,Natl Clin Hematol Dis Res Center,Jiangsu Instit Hematol,Collab Hematol Innov Center,Instit Blood&Marrow Transpl,Soochow Univ,Suzhou 215006)
出 处:《China Medical Abstracts(Internal Medicine)》2024年第2期120-120,共1页中国医学文摘(内科学分册(英文版)
摘 要:Objective To evaluate the efficacy and safety of chimeric antigen receptorT-cell(CAR-T)therapy followed byallogeneic hematopoietic stem cell transplantation(allo-HSCT)in patients with Ph-like acute lymphoblastic leukemia(Ph-ALL).Methods Patients with Ph-ALL who underwent CAR-T therapy followed by allo-HSCT from March 2018 to August 2023 at the First Affiliated Hospital of Soochow University were included,and their clinical data were retrospectively analyzed.Results Of the 21 patients,14 were male and 7 were female.The median age at the time of CAR-T therapy was 22(6-50)years.Seven patients had ABL1-like rearrangements,and14hadJAK-STAT rearrangements.Prior to CAR-T therapy,12 patients experienced hematologic relapse;7 were multiparameter flow cytometry minimal residual disease(MFC-MRD)-positive and 2 were MFC-MRD-negative.CAR-T cells were derived from patients'autologous lymphocytes.Nine patients were treated with CD19 CAR-T cells,and 12 were treated with CD19/CD22 CAR-T cells.After assessment on day 28 after CAR-T therapy,95.2%of the patients achieved complete remission,with an MRDnegative remission rate of 75%.
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