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Clinical CAR-T Cell and Oncolytic Virotherapy for Cancer Treatment

期刊

MOLECULAR THERAPY
卷 29, 期 2, 页码 505-520

出版社

CELL PRESS
DOI: 10.1016/j.ymthe.2020.10.023

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  1. Tessa Therapeutics
  2. National Heart, Lung, and Blood Institute of the National Institutes of Health [5T32HL09233217]

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Immunotherapy using CAR-T cells and OVs has shown promise in cancer treatment, but the benefits as single-agent therapies are still limited to a subset of patients. Combinations of different targeted therapies may be needed to achieve efficient, durable responses against heterogeneous tumors and the microenvironment.
Immunotherapy has recently garnered success with the induction of clinical responses in tumors, which are traditionally associated with poor outcomes. Chimeric antigen receptor T (CAR-T) cells and oncolytic viruses (OVs) have emerged as promising cancer immunotherapy agents. Herein, we provide an overview of the current clinical status of CAR-T cell and OV therapies. While preclinical studies have demonstrated curative potential, the benefit of CAR-T cells and OVs as single-agent treatments remains limited to a subset of patients. Combinations of different targeted therapies may be required to achieve efficient, durable responses against heterogeneous tumors, as well as the microenvironment. Using a combinatorial approach to take advantage of the unique features of CAR-T cells and OVs with other treatments can produce additive therapeutic effects. This review also discusses ongoing clinical evaluations of these combination strategies for improved outcomes in treatment of resistant malignancies.

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