T-Cell Engaging Antibodies: Management of CytokineReleaseSyndrome (CRS) and Immune Effector-Associated Neurotoxicity Syndrome (ICANS) T-Cell Engaging Antibodies: Management of CytokineReleaseSyndrome (CRS) and Immune Effector-Associated Neurotoxicity Syndrome (ICANS) Clinical Practice Guideline Authors: Andrea Crespo, Tom Kouroukis, Leta Forbes, Lauren Chun, Daniela Gallo-Hershberg Introduction Objective Provincial guidance and standardization of the management of T-cell engaging antibody-associated cytokinereleasesyndrome (CRS) and immune effector-associated neurotoxicity syndrome (ICANS) has been identified as a quality and safety gap in Ontario. The objective of this guideline is to provide clinicians with consensus-based evidence informed recommendations for the optimal
Anticytokine Therapy and Corticosteroids for CytokineReleaseSyndrome and for Neurotoxicity Following T-Cell Engager or CAR T-Cell Therapy Anticytokine Therapy and Corticosteroids for CytokineReleaseSyndrome and for Neurotoxicity Following T-Cell Engager or CAR T-Cell Therapy | CDA-AMC Skip to main content * CoLab Network * Canadian Journal of Health Technologies FR * About * Collaboration * Submit a Request * Who and What is Eligible * News & Events * News * Events * Symposium * Email: [email protected] * About * Collaboration / Outreach * Patient / Community * Careers * Contact Anticytokine Therapy and Corticosteroids for CytokineReleaseSyndrome and for Neurotoxicity Following T-Cell Engager or CAR T-Cell Therapy 1. Home 2. Anticytokine Therapy and Corticosteroids for CytokineRelease
Anticytokine Therapy and Corticosteroids for CytokineReleaseSyndrome and for Neurotoxicity Following T-Cell Engager or CAR T-Cell Therapy View of Anticytokine Therapy and Corticosteroids for CytokineReleaseSyndrome and for Neurotoxicity Following T-Cell Engager or CAR T-Cell Therapy | Canadian Journal of Health TechnologiesReturn to Article DetailsAnticytokine Therapy and Corticosteroids for CytokineReleaseSyndrome and for Neurotoxicity Following T-Cell Engager or CAR T-Cell Therapy
Anticytokine Therapy and Corticosteroids for CytokineReleaseSyndrome and for Neurotoxicity Following T-Cell Engager or CAR T-Cell Therapy Anticytokine Therapy and Corticosteroids for CytokineReleaseSyndrome and for Neurotoxicity Following T-Cell Engager or CAR T-Cell Therapy | CDA-AMC Skip to main content * CoLab Network * Canadian Journal of Health Technologies * Login FR * About Site Registration * Submit a Request * Who and What is Eligible * News & Events * News * Events * Symposium * Email: [email protected] * About * Collaboration / Outreach * Patient / Community * Careers * Contact Anticytokine Therapy and Corticosteroids for CytokineReleaseSyndrome and for Neurotoxicity Following T-Cell Engager or CAR T-Cell Therapy 1. Home 2. Anticytokine Therapy and Corticosteroids
Identification of the feature genes involved in cytokinereleasesyndrome in COVID-19. Screening of feature genes involved in cytokinereleasesyndrome (CRS) from the coronavirus disease 19 (COVID-19). The data sets related to COVID-19 were retrieved using Gene Expression Omnibus (GEO) database, the differentially expressed genes (DEGs) related to CRS were analyzed with R software and Venn
Self-regulating CAR-T cells modulate cytokinereleasesyndrome in adoptive T-cell therapy. Cytokinereleasesyndrome (CRS) is a frequently observed side effect of chimeric antigen receptor (CAR)-T cell therapy. Here, we report self-regulating T cells that reduce CRS severity by secreting inhibitors of cytokines associated with CRS. With a humanized NSG-SGM3 mouse model, we show reduced CRS
Interleukin-1 Receptor Antagonist Gene (IL1RN) Variants Modulate the CytokineReleaseSyndrome and Mortality of COVID-19. We examined effects of single-nucleotide variants (SNVs) of IL1RN, the gene encoding the anti-inflammatory interleukin 1 receptor antagonist (IL-1Ra), on the cytokinereleasesyndrome (CRS) and mortality in patients with acute severe respiratory syndrome coronavirus 2 (SARS
Clinical Pharmacology of CytokineReleaseSyndrome with T-cell Engaging Bispecific Antibodies: Current Insights and Drug Development Strategies. Cytokinereleasesyndrome (CRS) is a common acute toxicity in T-cell therapies, including T-cell engaging bispecific antibodies (T-BiSp). Effective CRS management and prevention is crucial in T-BiSp development. Required hospitalization for 7 of the 9
Itacitinib for Prevention of Graft-Versus-Host Disease and CytokineReleaseSyndrome in Haploidentical Transplantation. Haploidentical hematopoietic cell transplantation (haplo-HCT) is an increasingly used treatment for hematologic malignancies. Although post-transplant cyclophosphamide (PtCy) has improved graft vs. host disease (GvHD) prophylaxis in haplo-HCT, patients continue to experience life-threatening complications. IFN-γ and IL-6 are central in the pathophysiology of GvHD and cytokinereleasesyndrome (CRS), and both cytokines signal through Janus kinase (JAK)-1. We tested the effect of adding the JAK-1 selective inhibitor, itacitinib, to PtCy-haplo-HCT to mitigate these complications and improve overall survival. This open-label, single-arm study evaluated the safety
Tocilizumab and immune signatures for targeted management of cytokinereleasesyndrome in immune checkpoint therapy. This study aimed to identify specific biomarkers in oncology patients experiencing immune-related cytokinereleasesyndrome (irCRS)-like symptoms during immune checkpoint inhibitor (ICI) therapy, including severe cases like hemophagocytic lymphohistiocytosis (irHLH
Restrictive versus permissive use of broad-spectrum antibiotics in patients receiving allogeneic SCT and early fever due to cytokinereleasesyndrome: Evidence for beneficial microbiota protection without increase of infectious complications. Intestinal microbiota contribute to the pathophysiology of acute gastrointestinal (GI) Graft-versus-Host Disease (aGvHD) and loss of microbiome diversity of the underlying cause and risk to a restrictive use in cases with high likelihood of cytokinereleasesyndrome e.g., after Antithymocyte globulin (ATG) therapy. We analyzed clinical data and microbiome parameters obtained 7 days after allogeneic SCT from 188 patients with ATG therapy transplanted in 2015/2016 (permissive cohort, n=101) and 2918/2019 (restrictive cohort, n=87). Restrictive antibiotic treatment
Detailed overview of incidence and management of cytokinereleasesyndrome observed with teclistamab in the MajesTEC-1 study of patients with relapsed/refractory multiple myeloma. Teclistamab, a B-cell maturation antigen × CD3 bispecific antibody, demonstrated an overall response rate of 63.0% in 165 heavily pretreated patients with relapsed or refractory multiple myeloma in the phase 1/2 MajesTEC-1 study. Cytokinereleasesyndrome (CRS), a known manifestation of T-cell redirection, was observed in 119 of 165 patients (72.1%). Patients received once-weekly teclistamab 1.5 mg/kg subcutaneously after two step-up doses (0.06 and 0.3 mg/kg). CRS was graded according to American Society for Transplantation and Cellular Therapy criteria and managed according to the study protocol, including use
IL-6 translation is a therapeutic target of human cytokinereleasesyndrome. Chimeric antigen receptor (CAR) T therapies have achieved remarkable success for treating hematologic malignancies, yet are often accompanied by severe cytokinereleasesyndrome (CRS). Here, an accidental clinical observation raised the possibility that metoprolol, an FDA-approved β1 adrenergic receptor blocker widely
Five Cases of CytokineReleaseSyndrome in Patients Receiving Cytotoxic Chemotherapy Together With Nivolumab Plus Ipilimumab: A Case Report. We conducted a phase 3 clinical trial to compare the efficacy of platinum-based combination chemotherapy together with nivolumab plus ipilimumab relative to that of platinum-based combination chemotherapy together with pembrolizumab in previously untreated patients with advanced NSCLC. The trial was terminated prematurely after treatment of 295 patients because of a high proportion of treatment-related deaths, three of which were due to cytokinereleasesyndrome (CRS), in the nivolumab plus ipilimumab treatment arm. In addition, we encountered two cases of CRS that were effectively managed, for a total of five cases (3.4%) among the 148 patients
Cytokinereleasesyndrome after bronchoalveolar lavage. Immunosuppressed bone marrow transplant patients with pulmonary infiltrates routinely undergo bronchoscopy with bronchoalveolar lavage (BAL) to investigate potential etiologies. Cytokinereleasesyndrome after BAL is unreported in the literature in general and in this patient population. We report on an allogeneic bone marrow transplant
Cytokinereleasesyndrome was an independent risk factor associated with hypoalbuminemia for patients with relapsed/refractory hematological malignancies after CAR-T cell therapy. This study aims to assess the nutritional status of patients during the different phases of the Chimeric Antigen Receptor (CAR)-T cell therapy and to identify prominent risk factors of hypoalbuminemia in patients after among patients undergoing CAR-T cell therapy at the Bone Marrow Transplantation Center in The First Affiliated Hospital of Zhejiang University School of Medicine. Logistic regression analysis was performed to investigate the risk factors associated with hypoalbuminemia. Participants were divided into the cytokinereleasesyndrome (CRS) group (n = 60) and the non-CRS group (n = 11) to further analyze
Suppression of cytokinereleasesyndrome during CAR-T-cell therapy via a subcutaneously injected interleukin-6-adsorbing hydrogel. The infusion of chimaeric antigen receptor (CAR) T cells can trigger the release of life-threatening supraphysiological levels of pro-inflammatory cytokines. However, uncertainty regarding the timing and severity of such cytokinereleasesyndrome (CRS) demands careful
Druggable targets in cytokinereleasesyndromes. Bispecific T-cell engagers and CAR T-cells share the problem of eliciting acute systemic inflammation episodes known as CytokineReleaseSyndrome (CRS). Knowledge on the sequential waves of cytokines that can be neutralized with clinically available agents is crucial to prevent or treat this condition without jeopardizing the antitumor therapeutic
[Effect of early tocilizumab intervention on patients with cytokinereleasesyndrome following chimeric antigen receptor T cell therapy]. This study aimed to evaluate the effect of early tocilizumab intervention to relieve cytokinereleasesyndrome (CRS) following chimeric antigen receptor T cell (CAR-T) therapy. Twenty-two patients with acute lymphoblastic leukemia who received tocilizumab
Dissecting the mechanisms underlying the CytokineReleaseSyndrome (CRS) mediated by T Cell Bispecific Antibodies. Target-dependent TCB activity can result in strong and systemic release of cytokines that may develop into CytokineReleaseSyndrome (CRS), highlighting the need to understand and prevent this complex clinical syndrome. We explored the cellular and molecular players involved in TCB