eJHaem (Feb 2021)

BPDCN: When polychemotherapy does not compromise allogeneic CD123 CAR‐T cell cytotoxicity

  • Margaux Poussard,
  • Laure Philippe,
  • Maxime Fredon,
  • Elodie Bôle‐Richard,
  • Sabeha Biichle,
  • Florian Renosi,
  • Sophie Perrin,
  • Marie Kroemer,
  • Samuel Limat,
  • Francis Bonnefoy,
  • Etienne Daguindau,
  • Eric Deconinck,
  • Bérengère Gruson,
  • Philippe Saas,
  • Olivier Adotévi,
  • Francine Garnache‐Ottou,
  • Fanny Angelot‐Delettre

DOI
https://doi.org/10.1002/jha2.149
Journal volume & issue
Vol. 2, no. 1
pp. 125 – 130

Abstract

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Abstract Blastic plasmacytoid dendritic cell neoplasm (BPDCN) is a rare hematological malignancy with poor prognosis and no treatment consensus. Combining chemotherapy and immunotherapy is a promising strategy to enhance therapeutic effect. Before combining these therapies, the influence of one on the other has to be explored. We set up a model to test the combination of polychemotherapy ‐ named methotrexate, idarubicine, dexamethasone, and L‐asparaginase (MIDA) ‐ and CD123 CAR‐T cell therapy. We showed that CD123 CAR‐T cells exert the same effect on BPDCN models alone, or after MIDA regimen. These data support a preclinical rationale to use immunotherapy after a treatment with polychemotherapy for BPDCN patients.

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