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Opinion|Videos|August 15, 2024

Expert Perspectives in Monitoring and Management Strategies for CRS, ICANS, and Other Long-Term Toxicities Associated with CAR T-cell Therapy

Author(s)Elias Jabbour, MD, Evandro D. Bezerra, MD, Lori Muffly, MD

The panel explores laboratory parameters routinely monitored for CRS and ICANS, including monitoring frequency, and discusses prophylactic measures and safety management strategies employed to address these complications in CAR-T therapy.

Episodes in this series

5 KOLs are featured in this series.

EP. 1 Overview of CAR T-cell Therapies in R/R B-cell ALL

5 KOLs are featured in this series.

EP. 2 CAR T-cell Therapy: Mechanisms of Actions of Brexucabtagene Autoleucel and Obecabtagene Autoleucel

5 KOLs are featured in this series.

EP. 3 Considerations for Dosing and Lymphodepletion with CAR T-cell Therapy in R/R ALL

5 KOLs are featured in this series.

EP. 4 Expert Perspectives on CAR T-Cell Therapy Logistics: Collection to Treatment

5 KOLs are featured in this series.

EP. 5 Overview of Available Treatment Options in R/R B-cell ALL

5 KOLs are featured in this series.

EP. 6 Navigating CAR T-cell Therapy in R/R ALL: Expert Perspectives

5 KOLs are featured in this series.

EP. 7 Expert Insights on ZUMA-3 Data Updates: 4-Year Follow-up and Real World Data

5 KOLs are featured in this series.

EP. 8 Treatment Considerations and Patient Selection for CAR T-cell Therapy in R/R ALL

5 KOLs are featured in this series.

EP. 9 Expert Perspectives on Bridging Therapy Strategies Prior to CAR T-cell Therapy

5 KOLs are featured in this series.

EP. 10 Sequencing Strategies with CAR T-cell Therapy in Patients with or without Prior Blinatumomab Treatment

5 KOLs are featured in this series.

EP. 11 Translating Data Updates from FELIX and ZUMA-3 to the Clinical Practice Setting

5 KOLs are featured in this series.

EP. 12 Expert Perspectives on the Potential Impact of Obe-cel on the Treatment Landscape for R/R ALL

5 KOLs are featured in this series.

EP. 13 Treatment Approaches with Consolidation and Maintenance Post CAR T-cell Therapy

5 KOLs are featured in this series.

EP. 14 Future Perspectives on CAR T-cell Therapy in R/R B-cell ALL

5 KOLs are featured in this series.

EP. 15 Frequency, Correlation with Clinical Outcomes, and Risk Factors for Severe CRS and ICANS in CAR T-cell Therapy

5 KOLs are featured in this series.

EP. 16 Expert Perspectives in Monitoring and Management Strategies for CRS, ICANS, and Other Long-Term Toxicities Associated with CAR T-cell Therapy

5 KOLs are featured in this series.

EP. 17 Logistical and Access Challenges with CAR T-cell Therapy in R/R ALL

5 KOLs are featured in this series.

EP. 18 Strategies and Resources for Overcoming Barriers to CAR T-Cell Therapy

5 KOLs are featured in this series.

EP. 19 Role of Multidisciplinary Team & Logistics of CAR T-cell Therapy Administration in the Inpatient or Outpatient Setting

5 KOLs are featured in this series.

EP. 20 Key Takeaways and Clinical Pearls in the Treatment of R/R ALL

Video content above is prompted by the following:

What labs do you routinely monitor for CRS and ICANs – and how frequently?
What type of prophylaxis and/or safety management are you applying to address CRS and ICANs?
Does your institution have a standard operating procedure or guideline?
- What percentage of your patients have required either steroids, tocilizumab, and/or anakinra for CAR-related toxicities?
What are some other pertinent acute and long-term toxicities of CAR T-cell therapy to monitor for?
Do you utilize antimicrobial prophylaxis, growth factor agents and IV immunoglobulin in your practice?
When weighing treatment options, how heavily is CAR-T AE profile considered?
- Does the safety profile of obe-cel change your perspective of using CAR-T? If so, how may it potentially affect your decision making?

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