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[CAR-T: an effective option in primary refractory patients].

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Recenti progressi in medicina 2026 Vol.117(2) p. e47-e51 OA
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Tisi MC, Wieczorek M, Riva M

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Chimeric Antigen Receptor T-cell (CAR-T) therapy has significantly improved the prognosis of patients with diffuse large B-cell lymphoma (DLBCL), setting as the new standard of care.

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APA Tisi MC, Wieczorek M, Riva M (2026). [CAR-T: an effective option in primary refractory patients].. Recenti progressi in medicina, 117(2), e47-e51. https://doi.org/10.1701/4649.46637
MLA Tisi MC, et al.. "[CAR-T: an effective option in primary refractory patients].." Recenti progressi in medicina, vol. 117, no. 2, 2026, pp. e47-e51.
PMID 41716111 ↗
DOI 10.1701/4649.46637

Abstract

Chimeric Antigen Receptor T-cell (CAR-T) therapy has significantly improved the prognosis of patients with diffuse large B-cell lymphoma (DLBCL), setting as the new standard of care. Below, we describe the case history of a 69-year-old female patient diagnosed with DLBCL, treated in 2024 with axi-cel for refractory disease to first-line with R-CHOP, after bridging therapy with PolaBR and associated radiotherapy. 18F-FDG-PET scan performed one month after CAR-T therapy showed complete remission of the lymphoma, and the patient is still in remission, at more than one year after the infusion. Patient treatment after infusion required the management of a CRS and ICANS requiring tocilizumab for CRS and subsequently dexamethasone for the ICANS, with rapid resolution of symptoms. This experience confirms the potential efficacy of axi-cel in a very extensive, symptomatic, and chemorefractory disease, and is very informative due to the specific immuno-effector T cell toxicities that occurred, both for the importance of their recognition and for the importance of their early treatment. These factors now ensure that safety considerations are no longer a barrier to offering the most effective treatment to this group of patients.

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