eJHaem (Jan 2022)

Role of bridging therapy during chimeric antigen receptor T cell therapy

  • Shakthi T. Bhaskar,
  • Bhagirathbhai R. Dholaria,
  • Salyka M. Sengsayadeth,
  • Bipin N. Savani,
  • Olalekan O. Oluwole

DOI
https://doi.org/10.1002/jha2.335
Journal volume & issue
Vol. 3, no. S1
pp. 39 – 45

Abstract

Read online

Abstract Chimeric antigen receptor (CAR) T‐cell therapy has been approved for use in several relapsed/refractory hematologic malignancies and has significantly improved outcomes for these diseases. A number of different CAR T products are now being used in clinical practice and have demonstrated excellent outcomes to those in clinical trials. However, increased real‐world use of CAR T therapy has uncovered a number of barriers that can lead to significant delays in treatment. As a result, bridging therapy has become a widely used tool to stabilize or debulk disease between leukapheresis and CAR T cell administration. Here we review the available data regarding bridging therapy, with a focus on patient selection, choice of therapy, timing of therapy, and potential pitfalls.

Keywords