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New Strategy Shows Promise for CD7-Positive Leukemia/Lymphoma

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"/><meta property="og:url" content="https://www.ajmc.com/view/new-strategy-shows-promise-for-cd7-positive-leukemia-lymphoma "/><meta property="og:title" content="New Strategy Shows Promise for CD7-Positive Leukemia/Lymphoma"/><meta property="og:image" content="https://cdn.sanity.io/images/0vv8moc6/ajmc/04663c88d2d04992175ced53fda8bb885d2d2ee8-1200x724.jpg?fit=crop&amp;auto=format"/><meta property="og:site_name" content="AJMC"/><meta property="og:description" content="This study introduces a novel &quot;all-in-one&quot; strategy combining CD7 chimeric antigen receptor T-cell therapy with haploidentical hematopoietic stem-cell transplantation, showing significant potential to improve survival and reduce toxicities in patients with relapsed or refractory CD7-positive hematologic cancers. "/><meta name="twitter:card" content="summary"/><meta name="twitter:title" content="New Strategy Shows Promise for CD7-Positive Leukemia/Lymphoma"/><meta name="twitter:image" content="https://cdn.sanity.io/images/0vv8moc6/ajmc/04663c88d2d04992175ced53fda8bb885d2d2ee8-1200x724.jpg?fit=crop&amp;auto=format"/><meta name="twitter:site" content="@@AJMC_Journal"/><meta name="twitter:description" content="This study introduces a novel &quot;all-in-one&quot; strategy combining CD7 chimeric antigen receptor T-cell therapy with haploidentical hematopoietic stem-cell transplantation, showing significant potential to improve survival and reduce toxicities in patients with relapsed or refractory CD7-positive hematologic cancers. 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width="1.25rem" xmlns="http://www.w3.org/2000/svg"><polyline points="6 9 6 2 18 2 18 9"></polyline><path d="M6 18H4a2 2 0 0 1-2-2v-5a2 2 0 0 1 2-2h16a2 2 0 0 1 2 2v5a2 2 0 0 1-2 2h-2"></path><rect x="6" y="14" width="12" height="8"></rect></svg></a></button></div></div><div><div class="flex flex-wrap"><p class=" text-primary font-semibold">News</p><div class="h-[16px] border-l-2 border-gray-400 mt-1 mx-1"></div><p class=" text-primary font-semibold">Article</p><div class="h-[16px] border-l-2 border-gray-400 mt-1 mx-1 "></div><time class="text-gray-500 " dateTime="2024-05-09T14:16:29.396">May 9, 2024</time></div><h1 class="text-[26px] font-medium leading-8">New Strategy Shows Promise for CD7-Positive Leukemia/Lymphoma</h1><div class="py-3 text-gray-600 md:flex flex-col md:justify-between"><div class="flex flex-col xs:flex-row"><p class="mr-1 self-start">Author(s):</p><div class="flex flex-col xs:flex-row mb-3 md:mb-0"><div class="flex flex-wrap"><span class="text-md mr-2"><a class="text-author text-gray-500 hover:text-primary underline hover:no-underline decoration-gray-400" href="/authors/kimberly-rath-pharmd">Kimberly Rath, PharmD</a></span></div></div></div><div class="max-w-full"><div class="flex flex-wrap sm:flex-nowrap items-center w-fit my-2"></div><div class="w-full flex flex-col sm:flex-row justify-between mt-2"><div class="block md:hidden "><div class="mt-2 flex items-center max-w-fit"><button title="New Strategy Shows Promise for CD7-Positive Leukemia/Lymphoma" aria-label="facebook" class="react-share__ShareButton" style="background-color:transparent;border:none;padding:0;font:inherit;color:inherit;cursor:pointer"><svg viewBox="0 0 64 64" width="32" height="32"><circle cx="32" cy="32" r="31" fill="#3b5998"></circle><path d="M34.1,47V33.3h4.6l0.7-5.3h-5.3v-3.4c0-1.5,0.4-2.6,2.6-2.6l2.8,0v-4.8c-0.5-0.1-2.2-0.2-4.1-0.2 c-4.1,0-6.9,2.5-6.9,7V28H24v5.3h4.6V47H34.1z" fill="white"></path></svg></button><button aria-label="twitter" 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class=" lg:w-full flex flex-col lg:flex-row lg:items-center lg:justify-end"></div><p class="py-2 mb-2 text-sm italic text-gray-600">This study introduces a novel &quot;all-in-one&quot; strategy combining CD7 chimeric antigen receptor T-cell therapy with haploidentical hematopoietic stem-cell transplantation, showing significant potential to improve survival and reduce toxicities in patients with relapsed or refractory CD7-positive hematologic cancers. </p><div class="py-2"><div class="blockText_blockContent__TbCXh"><p class="pb-2">In a recent study published in <a rel="nofollow noreferrer noopener" target="_blank" href="https://www.nejm.org/doi/full/10.1056/NEJMoa2313812"><em>The New England Journal of Medicine</em></a>, researchers introduced a novel &quot;all-in-one&quot; strategy that combines CD7 <a target="_blank" href="https://www.ajmc.com/compendium/gene-therapy">chimeric antigen receptor (CAR) T-cell therapy</a> with haploidentical hematopoietic stem-cell transplantation (HSCT) to treat patients with relapsed or refractory CD7-positive leukemia and lymphoma.<sup class="text-inherit">1</sup></p><p class="pb-2"></p><p class="pb-2">Relapsed or refractory hematologic cancers typically have a dire prognosis, with traditional treatments often leading to a 5-year overall survival of less than 20%. Toxicities from pretransplant conditioning and graft-vs-host disease (GVHD) prophylaxis have limited the integration of CAR T-cell therapy as a bridge to allogeneic HSCT.<sup class="text-inherit">2</sup> This all-in-one strategy avoids traditional pharmacologic myeloablation and GVHD prophylaxis and has shown promising results for patients with limited therapeutic options.</p><p class="pb-2"></p><p class="pb-2">The researchers noted, &quot;Our findings suggest that sequential CD7 CAR T-cell therapy and haploidentical HSCT is safe and effective, with remission and serious but reversible adverse events. This strategy offers a feasible approach for patients with CD7-positive tumors who are ineligible for conventional allogeneic HSCT.&quot;</p><p class="pb-2"></p><div class=""><div style="width:30%;float:left;max-width:525px;margin:0 1.5rem 1.5rem 0;clear:both;cursor:pointer" class=" figure"><div class="flex-none relative text-center"><span style="box-sizing:border-box;display:inline-block;overflow:hidden;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;position:relative;max-width:100%"><span style="box-sizing:border-box;display:block;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;max-width:100%"><img style="display:block;max-width:100%;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0" alt="" aria-hidden="true" src="data:image/svg+xml,%3csvg%20xmlns=%27http://www.w3.org/2000/svg%27%20version=%271.1%27%20width=%271200%27%20height=%27724%27/%3e"/></span><img alt="Blood analysis | Image Credit: Parilov - stock.adobe.com" title="Blood analysis | Image Credit: Parilov - stock.adobe.com" src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" decoding="async" data-nimg="intrinsic" style="position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%;object-fit:contain"/><noscript><img alt="Blood analysis | Image Credit: Parilov - stock.adobe.com" title="Blood analysis | Image Credit: Parilov - stock.adobe.com" srcSet="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fajmc%2Fbf0fd40c2eaca790ecb7789da62cf293a90a2b79-1200x724.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=1200&amp;q=75 1x, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fajmc%2Fbf0fd40c2eaca790ecb7789da62cf293a90a2b79-1200x724.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=3840&amp;q=75 2x" src="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fajmc%2Fbf0fd40c2eaca790ecb7789da62cf293a90a2b79-1200x724.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=3840&amp;q=75" decoding="async" data-nimg="intrinsic" style="position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%;object-fit:contain" loading="lazy"/></noscript></span></div><div id="image-caption" class="text-gray-500 italic"><div class="blockText_blockContent__TbCXh"><p class="pb-2">Investigators have introduced a treatment combination of combines CD7 T-cell therapy and haploidentical HSCT to treat patients with relapsed or refractory CD7-positive leukemia and lymphoma | Image Credit: Parilov - stock.adobe.com</p></div></div><div class="top-[-100%] block w-[1px] transition-opacity duration-500 ease-in-out opacity-0 overflow-hidden"><img class="m-auto absolute inset-0 max-w-[0%] max-h-[0%] border-[3px] border-solid border-white shadow-[0px_0px_8px_rgba(0,0,0,0.3)] box-border transition ease-in-out duration-500" src="https://cdn.sanity.io/images/0vv8moc6/ajmc/bf0fd40c2eaca790ecb7789da62cf293a90a2b79-1200x724.jpg?fit=crop&amp;auto=format"/></div></div><style> #image-caption p{ font-size: 12px; max-width: 525px; margin: 0 auto; text-align: center; } </style></div><p class="pb-2">The study, completed at the Bone Marrow Transplantation Center at Zhejiang University School of Medicine, involved 10 patients who underwent sequential therapy, including 7 with acute myeloid leukemia, 2 with T-cell acute lymphoblastic leukemia, and 1 with T-cell lymphoblastic lymphoma (grade IVa). These patients had previously shown poor responses to conventional treatments, completing a median of 9.5 (range, 4-15) therapy courses.</p><p class="pb-2"></p><p class="pb-2">Undergoing sequential therapy<strong>,</strong> starting with CD7 CAR T-cell therapy followed by haploidentical HSCT<strong>, </strong>all patients achieved complete remission, albeit with incomplete hematologic recovery. At 1 year post treatment, the overall survival rate was 68% (95% CI, 43%-100%), and the disease-free survival rate was 54% (95% CI, 29%-100%). The absence of pharmacologic myeloablation and GVHD prophylaxis drugs, relying instead on the immunosuppressive effects of the CAR T cells, presents a less toxic and potentially more effective treatment method.</p><p class="pb-2"></p><p class="pb-2">Serious but reversible adverse events were reported, including grade 4 pancytopenia observed in all patients following CAR T-cell therapy, which was expected due to the therapy&#x27;s mechanism. Following HSCT, 1 patient died from septic shock and another from encephalitis, highlighting the treatment&#x27;s significant risks. Additionally, 3 patients developed grade 2 HSCT-associated acute GVHD. The median follow-up was 15.1 (range, 3.1-24.0) months after CAR T-cell therapy. Six patients remained in minimal residual disease–negative complete remission during the follow-up period.</p><p class="pb-2"></p><p class="pb-2">The researchers acknowledged the limitations of their study, including its small sample size and the exploratory nature of the treatment.</p><p class="pb-2"></p><p class="pb-2">They noted that &quot;because we were evaluating a new therapeutic strategy, the findings of this study still need to be extended and confirmed in a larger and more homogeneous cohort of patients.&quot;</p><p class="pb-2"></p><p class="pb-2">Although the results of the study are promising, the authors acknowledge the need for larger, more definitive trials to confirm these results and potentially expand the therapy&#x27;s application.</p><p class="pb-2"></p><p class="pb-2"><strong>References</strong></p><p class="pb-2">1. Hu Y, Zhang M, Yang T, et al. Sequential CD7 CAR T-cell therapy and allogeneic HSCT without GVHD prophylaxis. <em>N Engl J Med</em>. 2024;390(16):1467-1480. doi:10.1056/NEJMoa2313812</p><p class="pb-2">2. Ellard R, Kenyon M, Hutt D, et al. The EBMT immune effector cell nursing guidelines on CAR-T therapy: a framework for patient care and managing common toxicities. <em>Clin Hematol Int</em>. 2022;4(3):75-88. doi:10.1007/s44228-022-00004-8</p></div></div><div class="flex items-center lg:w-3/4 mb-4 pb-12"></div><div class="jsx-19ede9f0a5a45918 py-4 relative bg-primary md:px-8 -ml-6 xs:ml-0 w-screen xs:w-auto"><div class="jsx-19ede9f0a5a45918 px-4 sm:px-0"><div class="flex justify-between items-center py-1 space-x-4 border-0 select-none sm:border-b border-secondary"><div class="text-3xl text-white text-lg sm:text-3xl">Related Videos</div></div></div><div style="scroll-snap-type:none" class="jsx-19ede9f0a5a45918 flex items-start overflow-x-auto space-x-4 py-4 relative mx-auto w-full pl-4"><a id="" class="w-[200px] h-fit space-y-3 flex-none select-none no-underline" style="scroll-snap-align:center;text-decoration:none" href="/view/navigating-healthcare-access-and-decision-making"><div class="w-full shadow-md shadow-gray-800 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sm:hidden"><div class="mt-4 overflow-hidden"><div class="flex justify-between"><div class="flex items-center clear-both pt-4 pb-2 text-3xl lg:text-2xl xl:text-3xl min-w-fit ">Related Content </div><div class="hidden lg:flex w-full flex-col justify-end items-end"><div class="hidden w-full lg:flex flex-wrap pb-2 gap-x-2 gap-y-1 justify-end items-end"></div></div></div><div class="w-full mb-2 border border-secondary"></div><div class="lg:hidden flex flex-wrap items-center"></div><div class="flex flex-wrap w-full"><div class="jsx-ad50481d5ee26850 w-full h-full"><div><div><div class="text-[8px] text-center text-gray-500 hidden">Advertisement</div><div id="div-gpt-ad-infeed-1"></div></div></div><div class="jsx-ad50481d5ee26850 flex flex-col sm:flex-row justify-between my-4 "><a class="jsx-ad50481d5ee26850" href="/view/facility-type-influences-antifibrotic-treatment-rates-in-patients-with-ipf?utm_source=www.ajmc.com&amp;utm_medium=relatedContent"><img src="https://cdn.sanity.io/images/0vv8moc6/ajmc/f1dd6b59e85295091f77dfc0c25fdeb8a9856a93-4592x3448.jpg?fit=crop&amp;auto=format" alt="Exterior of a hospital | Image Credit: Spiroview Inc. - stock.adobe.com" width="288" class="jsx-ad50481d5ee26850 max-h-[200px] xs:w-[288px] "/></a><div class="jsx-ad50481d5ee26850 article-detail flex flex-col gap-[0.2rem] w-full sm:w-[46%] md:w-[65%]"><span class="jsx-ad50481d5ee26850 article-publish-date block italic text-sm text-gray-500 mt-[1rem] sm:mt-0">November 27th 2024</span><p class="jsx-ad50481d5ee26850 article-title font-bold text-[1rem]"><a class="jsx-ad50481d5ee26850" href="/view/facility-type-influences-antifibrotic-treatment-rates-in-patients-with-ipf?utm_source=www.ajmc.com&amp;utm_medium=relatedContent">Facility Type Influences Antifibrotic Treatment Rates in Patients With IPF</a></p><div class="jsx-ad50481d5ee26850 authors flex-row wrap gap-[0.2rem]"><a class="jsx-ad50481d5ee26850 text-[#00ADEF] underline text-sm italic" href="/authors/brooke-mccormick">Brooke McCormick</a></div><div class="jsx-ad50481d5ee26850 article-summary"><a class="jsx-ad50481d5ee26850" href="/view/facility-type-influences-antifibrotic-treatment-rates-in-patients-with-ipf?utm_source=www.ajmc.com&amp;utm_medium=relatedContent"><div class="jsx-ad50481d5ee26850 text-sm text-gray-500 py-1">A study in Japan found that antifibrotic treatment rates for patients with idiopathic pulmonary fibrosis (IPF) varied by medical facility, with higher treatment rates observed in referral hospitals than in general hospitals or clinics.</div></a></div></div></div><div style="border-bottom:1px solid #CCCCCC" class="jsx-ad50481d5ee26850"></div></div><div class="jsx-ad50481d5ee26850 w-full h-full"><div class="jsx-ad50481d5ee26850 flex flex-col sm:flex-row justify-between my-4 "><a class="jsx-ad50481d5ee26850" href="/view/breaking-the-cycle-the-importance-of-early-intervention-in-hidradenitis-suppurativa?utm_source=www.ajmc.com&amp;utm_medium=relatedContent"><img src="https://cdn.sanity.io/images/0vv8moc6/ajmc/4d74ae04b0508977864936ec08f2aaa199758e5c-1000x563.jpg?fit=crop&amp;auto=format" alt="Managed Care Cast" width="288" class="jsx-ad50481d5ee26850 max-h-[200px] xs:w-[288px] "/></a><div class="jsx-ad50481d5ee26850 article-detail flex flex-col gap-[0.2rem] w-full sm:w-[46%] md:w-[65%]"><span class="jsx-ad50481d5ee26850 article-publish-date block italic text-sm text-gray-500 mt-[1rem] sm:mt-0">October 29th 2024</span><p class="jsx-ad50481d5ee26850 article-title font-bold text-[1rem]"><a class="jsx-ad50481d5ee26850" href="/view/breaking-the-cycle-the-importance-of-early-intervention-in-hidradenitis-suppurativa?utm_source=www.ajmc.com&amp;utm_medium=relatedContent">Breaking the Cycle: The Importance of Early Intervention in Hidradenitis Suppurativa</a></p><div class="jsx-ad50481d5ee26850 authors flex-row wrap gap-[0.2rem]"><a class="jsx-ad50481d5ee26850 text-[#00ADEF] underline text-sm italic" href="/authors/giuliana-grossi">Giuliana Grossi</a></div><div class="jsx-ad50481d5ee26850 article-summary"><a class="jsx-ad50481d5ee26850" href="/view/breaking-the-cycle-the-importance-of-early-intervention-in-hidradenitis-suppurativa?utm_source=www.ajmc.com&amp;utm_medium=relatedContent"><div class="jsx-ad50481d5ee26850 text-sm text-gray-500 py-1">Prompt care supports mental well-being, as hidradenitis suppurativa is often associated with depression and anxiety due to its physical and social challenges.</div></a></div></div></div><div style="border-bottom:1px solid #CCCCCC" class="jsx-ad50481d5ee26850"></div></div><div class="jsx-ad50481d5ee26850 w-full h-full"><div class="jsx-ad50481d5ee26850 flex md:hidden justify-center items-center"></div><div class="jsx-ad50481d5ee26850 flex flex-col sm:flex-row justify-between my-4 "><a class="jsx-ad50481d5ee26850" href="/view/social-isolation-linked-to-increased-mortality-in-patients-with-copd?utm_source=www.ajmc.com&amp;utm_medium=relatedContent"><img src="https://cdn.sanity.io/images/0vv8moc6/ajmc/3e5c760c89948ea062bc8055186b9134ab330099-3498x2332.jpg?fit=crop&amp;auto=format" alt="Lonely patient | Image Credit: amazing studio - stock.adobe.com" width="288" class="jsx-ad50481d5ee26850 max-h-[200px] xs:w-[288px] "/></a><div class="jsx-ad50481d5ee26850 article-detail flex flex-col gap-[0.2rem] w-full sm:w-[46%] md:w-[65%]"><span class="jsx-ad50481d5ee26850 article-publish-date block italic text-sm text-gray-500 mt-[1rem] sm:mt-0">November 26th 2024</span><p class="jsx-ad50481d5ee26850 article-title font-bold text-[1rem]"><a class="jsx-ad50481d5ee26850" href="/view/social-isolation-linked-to-increased-mortality-in-patients-with-copd?utm_source=www.ajmc.com&amp;utm_medium=relatedContent">Social Isolation Linked to Increased Mortality in Patients With COPD</a></p><div class="jsx-ad50481d5ee26850 authors flex-row wrap gap-[0.2rem]"><a class="jsx-ad50481d5ee26850 text-[#00ADEF] underline text-sm italic" href="/authors/brooke-mccormick">Brooke McCormick</a></div><div class="jsx-ad50481d5ee26850 article-summary"><a class="jsx-ad50481d5ee26850" href="/view/social-isolation-linked-to-increased-mortality-in-patients-with-copd?utm_source=www.ajmc.com&amp;utm_medium=relatedContent"><div class="jsx-ad50481d5ee26850 text-sm text-gray-500 py-1">Social isolation significantly increases the risk of mortality in patients with chronic obstructive pulmonary disease (COPD), highlighting the need for targeted interventions to address this issue.</div></a></div></div></div><div style="border-bottom:1px solid #CCCCCC" class="jsx-ad50481d5ee26850"></div></div><div class="jsx-ad50481d5ee26850 w-full h-full"><div class="jsx-ad50481d5ee26850 flex flex-col sm:flex-row justify-between my-4 "><a class="jsx-ad50481d5ee26850" href="/view/insurance-insights-dr-jason-shafrin-estimates-dmd-insurance-value?utm_source=www.ajmc.com&amp;utm_medium=relatedContent"><img src="https://cdn.sanity.io/images/0vv8moc6/ajmc/453ff95d3edc29442e2af71658751e2f26adc78e-2500x2500.jpg?fit=crop&amp;auto=format" alt="Managed Care Cast logo" width="288" class="jsx-ad50481d5ee26850 max-h-[200px] xs:w-[288px] "/></a><div class="jsx-ad50481d5ee26850 article-detail flex flex-col gap-[0.2rem] w-full sm:w-[46%] md:w-[65%]"><span class="jsx-ad50481d5ee26850 article-publish-date block italic text-sm text-gray-500 mt-[1rem] sm:mt-0">July 18th 2024</span><p class="jsx-ad50481d5ee26850 article-title font-bold text-[1rem]"><a class="jsx-ad50481d5ee26850" href="/view/insurance-insights-dr-jason-shafrin-estimates-dmd-insurance-value?utm_source=www.ajmc.com&amp;utm_medium=relatedContent">Insurance Insights: Dr Jason Shafrin Estimates DMD Insurance Value</a></p><div class="jsx-ad50481d5ee26850 authors flex-row wrap gap-[0.2rem]"><a class="jsx-ad50481d5ee26850 text-[#00ADEF] underline text-sm italic" href="/authors/brooke-mccormick">Brooke McCormick</a></div><div class="jsx-ad50481d5ee26850 article-summary"><a class="jsx-ad50481d5ee26850" href="/view/insurance-insights-dr-jason-shafrin-estimates-dmd-insurance-value?utm_source=www.ajmc.com&amp;utm_medium=relatedContent"><div class="jsx-ad50481d5ee26850 text-sm text-gray-500 py-1">On this episode of Managed Care Cast, we&#x27;re talking with the author of a study published in the July 2024 issue of The American Journal of Managed Care® that estimates the insurance value of novel Duchenne muscular dystrophy (DMD) treatment.</div></a></div></div></div><div style="border-bottom:1px solid #CCCCCC" class="jsx-ad50481d5ee26850"></div></div><div class="jsx-ad50481d5ee26850 w-full h-full"><div class="jsx-ad50481d5ee26850 flex flex-col sm:flex-row justify-between my-4 "><a class="jsx-ad50481d5ee26850" href="/view/progression-free-survival-in-relapsed-multiple-myeloma-extended-with-consolidation-and-maintenance-therapy-with-ixazomib?utm_source=www.ajmc.com&amp;utm_medium=relatedContent"><img src="https://cdn.sanity.io/images/0vv8moc6/ajmc/e8b89f6523b42f0e4eac2c396f686ac915160fbf-1200x738.jpg?fit=crop&amp;auto=format" alt="Clinical trial results-Egor-stock.adobe.com.jpeg" width="288" class="jsx-ad50481d5ee26850 max-h-[200px] xs:w-[288px] "/></a><div class="jsx-ad50481d5ee26850 article-detail flex flex-col gap-[0.2rem] w-full sm:w-[46%] md:w-[65%]"><span class="jsx-ad50481d5ee26850 article-publish-date block italic text-sm text-gray-500 mt-[1rem] sm:mt-0">November 26th 2024</span><p class="jsx-ad50481d5ee26850 article-title font-bold text-[1rem]"><a class="jsx-ad50481d5ee26850" href="/view/progression-free-survival-in-relapsed-multiple-myeloma-extended-with-consolidation-and-maintenance-therapy-with-ixazomib?utm_source=www.ajmc.com&amp;utm_medium=relatedContent">Progression-Free Survival in Relapsed Multiple Myeloma Extended With Ixazomib, Data Show</a></p><div class="jsx-ad50481d5ee26850 authors flex-row wrap gap-[0.2rem]"><a class="jsx-ad50481d5ee26850 text-[#00ADEF] underline text-sm italic" href="/authors/giuliana-grossi">Giuliana Grossi</a></div><div class="jsx-ad50481d5ee26850 article-summary"><a class="jsx-ad50481d5ee26850" href="/view/progression-free-survival-in-relapsed-multiple-myeloma-extended-with-consolidation-and-maintenance-therapy-with-ixazomib?utm_source=www.ajmc.com&amp;utm_medium=relatedContent"><div class="jsx-ad50481d5ee26850 text-sm text-gray-500 py-1">Despite challenges such as high attrition rates and adverse events, the trial highlights the value of established therapies in improving outcomes, particularly in regions with limited access to chimeric antigen receptor T cells and bispecific antibodies.</div></a></div></div></div><div style="border-bottom:1px solid #CCCCCC" class="jsx-ad50481d5ee26850"></div></div><div class="jsx-ad50481d5ee26850 w-full h-full"><div class="jsx-ad50481d5ee26850 flex flex-col sm:flex-row justify-between my-4 "><a class="jsx-ad50481d5ee26850" href="/view/avutometinib-with-defactinib-for-recurrent-kras-mutant-lgsoc-completes-rolling-new-drug-application?utm_source=www.ajmc.com&amp;utm_medium=relatedContent"><img src="https://cdn.sanity.io/images/0vv8moc6/ajmc/27d488950c5a56c184f46ca9ccce51baadec1a29-5607x3738.jpg?fit=crop&amp;auto=format" alt="FDA headquarters | Image Credit: Grandbrothers - stock.adobe.com" width="288" class="jsx-ad50481d5ee26850 max-h-[200px] xs:w-[288px] "/></a><div class="jsx-ad50481d5ee26850 article-detail flex flex-col gap-[0.2rem] w-full sm:w-[46%] md:w-[65%]"><span class="jsx-ad50481d5ee26850 article-publish-date block italic text-sm text-gray-500 mt-[1rem] sm:mt-0">November 26th 2024</span><p class="jsx-ad50481d5ee26850 article-title font-bold text-[1rem]"><a class="jsx-ad50481d5ee26850" href="/view/avutometinib-with-defactinib-for-recurrent-kras-mutant-lgsoc-completes-rolling-new-drug-application?utm_source=www.ajmc.com&amp;utm_medium=relatedContent">Avutometinib With Defactinib for Recurrent KRAS Mutant LGSOC Completes Rolling New Drug Application</a></p><div class="jsx-ad50481d5ee26850 authors flex-row wrap gap-[0.2rem]"><a class="jsx-ad50481d5ee26850 text-[#00ADEF] underline text-sm italic" href="/authors/gillian-mcgovern">Gillian McGovern</a></div><div class="jsx-ad50481d5ee26850 article-summary"><a class="jsx-ad50481d5ee26850" href="/view/avutometinib-with-defactinib-for-recurrent-kras-mutant-lgsoc-completes-rolling-new-drug-application?utm_source=www.ajmc.com&amp;utm_medium=relatedContent"><div class="jsx-ad50481d5ee26850 text-sm text-gray-500 py-1">If approved, the combination regimen would be the first FDA-approved treatment for adults with recurrent KRAS mutant low-grade serous ovarian cancer (LGSOC).</div></a></div></div></div><div style="border-bottom:1px solid #CCCCCC" class="jsx-ad50481d5ee26850"></div></div></div></div></div><div class="relative hidden sm:block"><div class="mt-4 overflow-hidden"><div class="flex justify-between"><div class="flex items-center clear-both pt-4 pb-2 text-3xl lg:text-2xl xl:text-3xl min-w-fit ">Related Content </div><div class="hidden lg:flex w-full flex-col justify-end items-end"><div class="hidden w-full lg:flex flex-wrap pb-2 gap-x-2 gap-y-1 justify-end items-end"></div></div></div><div class="w-full mb-2 border border-secondary"></div><div class="lg:hidden flex flex-wrap items-center"></div><div class="flex flex-wrap w-full"><div class="jsx-ad50481d5ee26850 w-full h-full"><div><div><div class="text-[8px] text-center text-gray-500 hidden">Advertisement</div><div id="div-gpt-ad-infeed-1"></div></div></div><div class="jsx-ad50481d5ee26850 flex flex-col sm:flex-row justify-between my-4 "><a class="jsx-ad50481d5ee26850" href="/view/facility-type-influences-antifibrotic-treatment-rates-in-patients-with-ipf?utm_source=www.ajmc.com&amp;utm_medium=relatedContent"><img src="https://cdn.sanity.io/images/0vv8moc6/ajmc/f1dd6b59e85295091f77dfc0c25fdeb8a9856a93-4592x3448.jpg?fit=crop&amp;auto=format" alt="Exterior of a hospital | Image Credit: Spiroview Inc. - stock.adobe.com" width="288" class="jsx-ad50481d5ee26850 max-h-[200px] xs:w-[288px] "/></a><div class="jsx-ad50481d5ee26850 article-detail flex flex-col gap-[0.2rem] w-full sm:w-[46%] md:w-[65%]"><span class="jsx-ad50481d5ee26850 article-publish-date block italic text-sm text-gray-500 mt-[1rem] sm:mt-0">November 27th 2024</span><p class="jsx-ad50481d5ee26850 article-title font-bold text-[1rem]"><a class="jsx-ad50481d5ee26850" href="/view/facility-type-influences-antifibrotic-treatment-rates-in-patients-with-ipf?utm_source=www.ajmc.com&amp;utm_medium=relatedContent">Facility Type Influences Antifibrotic Treatment Rates in Patients With IPF</a></p><div class="jsx-ad50481d5ee26850 authors flex-row wrap gap-[0.2rem]"><a class="jsx-ad50481d5ee26850 text-[#00ADEF] underline text-sm italic" href="/authors/brooke-mccormick">Brooke McCormick</a></div><div class="jsx-ad50481d5ee26850 article-summary"><a class="jsx-ad50481d5ee26850" href="/view/facility-type-influences-antifibrotic-treatment-rates-in-patients-with-ipf?utm_source=www.ajmc.com&amp;utm_medium=relatedContent"><div class="jsx-ad50481d5ee26850 text-sm text-gray-500 py-1">A study in Japan found that antifibrotic treatment rates for patients with idiopathic pulmonary fibrosis (IPF) varied by medical facility, with higher treatment rates observed in referral hospitals than in general hospitals or clinics.</div></a></div></div></div><div style="border-bottom:1px solid #CCCCCC" class="jsx-ad50481d5ee26850"></div></div><div class="jsx-ad50481d5ee26850 w-full h-full"><div class="jsx-ad50481d5ee26850 flex flex-col sm:flex-row justify-between my-4 "><a class="jsx-ad50481d5ee26850" href="/view/breaking-the-cycle-the-importance-of-early-intervention-in-hidradenitis-suppurativa?utm_source=www.ajmc.com&amp;utm_medium=relatedContent"><img src="https://cdn.sanity.io/images/0vv8moc6/ajmc/4d74ae04b0508977864936ec08f2aaa199758e5c-1000x563.jpg?fit=crop&amp;auto=format" alt="Managed Care Cast" width="288" class="jsx-ad50481d5ee26850 max-h-[200px] xs:w-[288px] "/></a><div class="jsx-ad50481d5ee26850 article-detail flex flex-col gap-[0.2rem] w-full sm:w-[46%] md:w-[65%]"><span class="jsx-ad50481d5ee26850 article-publish-date block italic text-sm text-gray-500 mt-[1rem] sm:mt-0">October 29th 2024</span><p class="jsx-ad50481d5ee26850 article-title font-bold text-[1rem]"><a class="jsx-ad50481d5ee26850" href="/view/breaking-the-cycle-the-importance-of-early-intervention-in-hidradenitis-suppurativa?utm_source=www.ajmc.com&amp;utm_medium=relatedContent">Breaking the Cycle: The Importance of Early Intervention in Hidradenitis Suppurativa</a></p><div class="jsx-ad50481d5ee26850 authors flex-row wrap gap-[0.2rem]"><a class="jsx-ad50481d5ee26850 text-[#00ADEF] underline text-sm italic" href="/authors/giuliana-grossi">Giuliana Grossi</a></div><div class="jsx-ad50481d5ee26850 article-summary"><a class="jsx-ad50481d5ee26850" href="/view/breaking-the-cycle-the-importance-of-early-intervention-in-hidradenitis-suppurativa?utm_source=www.ajmc.com&amp;utm_medium=relatedContent"><div class="jsx-ad50481d5ee26850 text-sm text-gray-500 py-1">Prompt care supports mental well-being, as hidradenitis suppurativa is often associated with depression and anxiety due to its physical and social challenges.</div></a></div></div></div><div style="border-bottom:1px solid #CCCCCC" class="jsx-ad50481d5ee26850"></div></div><div class="jsx-ad50481d5ee26850 w-full h-full"><div class="jsx-ad50481d5ee26850 flex md:hidden justify-center items-center"></div><div class="jsx-ad50481d5ee26850 flex flex-col sm:flex-row justify-between my-4 "><a class="jsx-ad50481d5ee26850" href="/view/social-isolation-linked-to-increased-mortality-in-patients-with-copd?utm_source=www.ajmc.com&amp;utm_medium=relatedContent"><img src="https://cdn.sanity.io/images/0vv8moc6/ajmc/3e5c760c89948ea062bc8055186b9134ab330099-3498x2332.jpg?fit=crop&amp;auto=format" alt="Lonely patient | Image Credit: amazing studio - stock.adobe.com" width="288" class="jsx-ad50481d5ee26850 max-h-[200px] xs:w-[288px] "/></a><div class="jsx-ad50481d5ee26850 article-detail flex flex-col gap-[0.2rem] w-full sm:w-[46%] md:w-[65%]"><span class="jsx-ad50481d5ee26850 article-publish-date block italic text-sm text-gray-500 mt-[1rem] sm:mt-0">November 26th 2024</span><p class="jsx-ad50481d5ee26850 article-title font-bold text-[1rem]"><a class="jsx-ad50481d5ee26850" href="/view/social-isolation-linked-to-increased-mortality-in-patients-with-copd?utm_source=www.ajmc.com&amp;utm_medium=relatedContent">Social Isolation Linked to Increased Mortality in Patients With COPD</a></p><div class="jsx-ad50481d5ee26850 authors flex-row wrap gap-[0.2rem]"><a class="jsx-ad50481d5ee26850 text-[#00ADEF] underline text-sm italic" href="/authors/brooke-mccormick">Brooke McCormick</a></div><div class="jsx-ad50481d5ee26850 article-summary"><a class="jsx-ad50481d5ee26850" href="/view/social-isolation-linked-to-increased-mortality-in-patients-with-copd?utm_source=www.ajmc.com&amp;utm_medium=relatedContent"><div class="jsx-ad50481d5ee26850 text-sm text-gray-500 py-1">Social isolation significantly increases the risk of mortality in patients with chronic obstructive pulmonary disease (COPD), highlighting the need for targeted interventions to address this issue.</div></a></div></div></div><div style="border-bottom:1px solid #CCCCCC" class="jsx-ad50481d5ee26850"></div></div><div class="jsx-ad50481d5ee26850 w-full h-full"><div class="jsx-ad50481d5ee26850 flex flex-col sm:flex-row justify-between my-4 "><a class="jsx-ad50481d5ee26850" href="/view/insurance-insights-dr-jason-shafrin-estimates-dmd-insurance-value?utm_source=www.ajmc.com&amp;utm_medium=relatedContent"><img src="https://cdn.sanity.io/images/0vv8moc6/ajmc/453ff95d3edc29442e2af71658751e2f26adc78e-2500x2500.jpg?fit=crop&amp;auto=format" alt="Managed Care Cast logo" width="288" class="jsx-ad50481d5ee26850 max-h-[200px] xs:w-[288px] "/></a><div class="jsx-ad50481d5ee26850 article-detail flex flex-col gap-[0.2rem] w-full sm:w-[46%] md:w-[65%]"><span class="jsx-ad50481d5ee26850 article-publish-date block italic text-sm text-gray-500 mt-[1rem] sm:mt-0">July 18th 2024</span><p class="jsx-ad50481d5ee26850 article-title font-bold text-[1rem]"><a class="jsx-ad50481d5ee26850" href="/view/insurance-insights-dr-jason-shafrin-estimates-dmd-insurance-value?utm_source=www.ajmc.com&amp;utm_medium=relatedContent">Insurance Insights: Dr Jason Shafrin Estimates DMD Insurance Value</a></p><div class="jsx-ad50481d5ee26850 authors flex-row wrap gap-[0.2rem]"><a class="jsx-ad50481d5ee26850 text-[#00ADEF] underline text-sm italic" href="/authors/brooke-mccormick">Brooke McCormick</a></div><div class="jsx-ad50481d5ee26850 article-summary"><a class="jsx-ad50481d5ee26850" href="/view/insurance-insights-dr-jason-shafrin-estimates-dmd-insurance-value?utm_source=www.ajmc.com&amp;utm_medium=relatedContent"><div class="jsx-ad50481d5ee26850 text-sm text-gray-500 py-1">On this episode of Managed Care Cast, we&#x27;re talking with the author of a study published in the July 2024 issue of The American Journal of Managed Care® that estimates the insurance value of novel Duchenne muscular dystrophy (DMD) treatment.</div></a></div></div></div><div style="border-bottom:1px solid #CCCCCC" class="jsx-ad50481d5ee26850"></div></div><div class="jsx-ad50481d5ee26850 w-full h-full"><div class="jsx-ad50481d5ee26850 flex flex-col sm:flex-row justify-between my-4 "><a class="jsx-ad50481d5ee26850" href="/view/progression-free-survival-in-relapsed-multiple-myeloma-extended-with-consolidation-and-maintenance-therapy-with-ixazomib?utm_source=www.ajmc.com&amp;utm_medium=relatedContent"><img src="https://cdn.sanity.io/images/0vv8moc6/ajmc/e8b89f6523b42f0e4eac2c396f686ac915160fbf-1200x738.jpg?fit=crop&amp;auto=format" alt="Clinical trial results-Egor-stock.adobe.com.jpeg" width="288" class="jsx-ad50481d5ee26850 max-h-[200px] xs:w-[288px] "/></a><div class="jsx-ad50481d5ee26850 article-detail flex flex-col gap-[0.2rem] w-full sm:w-[46%] md:w-[65%]"><span class="jsx-ad50481d5ee26850 article-publish-date block italic text-sm text-gray-500 mt-[1rem] sm:mt-0">November 26th 2024</span><p class="jsx-ad50481d5ee26850 article-title font-bold text-[1rem]"><a class="jsx-ad50481d5ee26850" href="/view/progression-free-survival-in-relapsed-multiple-myeloma-extended-with-consolidation-and-maintenance-therapy-with-ixazomib?utm_source=www.ajmc.com&amp;utm_medium=relatedContent">Progression-Free Survival in Relapsed Multiple Myeloma Extended With Ixazomib, Data Show</a></p><div class="jsx-ad50481d5ee26850 authors flex-row wrap gap-[0.2rem]"><a class="jsx-ad50481d5ee26850 text-[#00ADEF] underline text-sm italic" href="/authors/giuliana-grossi">Giuliana Grossi</a></div><div class="jsx-ad50481d5ee26850 article-summary"><a class="jsx-ad50481d5ee26850" href="/view/progression-free-survival-in-relapsed-multiple-myeloma-extended-with-consolidation-and-maintenance-therapy-with-ixazomib?utm_source=www.ajmc.com&amp;utm_medium=relatedContent"><div class="jsx-ad50481d5ee26850 text-sm text-gray-500 py-1">Despite challenges such as high attrition rates and adverse events, the trial highlights the value of established therapies in improving outcomes, particularly in regions with limited access to chimeric antigen receptor T cells and bispecific antibodies.</div></a></div></div></div><div style="border-bottom:1px solid #CCCCCC" class="jsx-ad50481d5ee26850"></div></div><div class="jsx-ad50481d5ee26850 w-full h-full"><div class="jsx-ad50481d5ee26850 flex flex-col sm:flex-row justify-between my-4 "><a class="jsx-ad50481d5ee26850" href="/view/avutometinib-with-defactinib-for-recurrent-kras-mutant-lgsoc-completes-rolling-new-drug-application?utm_source=www.ajmc.com&amp;utm_medium=relatedContent"><img src="https://cdn.sanity.io/images/0vv8moc6/ajmc/27d488950c5a56c184f46ca9ccce51baadec1a29-5607x3738.jpg?fit=crop&amp;auto=format" alt="FDA headquarters | Image Credit: Grandbrothers - stock.adobe.com" width="288" class="jsx-ad50481d5ee26850 max-h-[200px] xs:w-[288px] "/></a><div class="jsx-ad50481d5ee26850 article-detail flex flex-col gap-[0.2rem] w-full sm:w-[46%] md:w-[65%]"><span class="jsx-ad50481d5ee26850 article-publish-date block italic text-sm text-gray-500 mt-[1rem] sm:mt-0">November 26th 2024</span><p class="jsx-ad50481d5ee26850 article-title font-bold text-[1rem]"><a class="jsx-ad50481d5ee26850" href="/view/avutometinib-with-defactinib-for-recurrent-kras-mutant-lgsoc-completes-rolling-new-drug-application?utm_source=www.ajmc.com&amp;utm_medium=relatedContent">Avutometinib With Defactinib for Recurrent KRAS Mutant LGSOC Completes Rolling New Drug Application</a></p><div class="jsx-ad50481d5ee26850 authors flex-row wrap gap-[0.2rem]"><a class="jsx-ad50481d5ee26850 text-[#00ADEF] underline text-sm italic" href="/authors/gillian-mcgovern">Gillian McGovern</a></div><div class="jsx-ad50481d5ee26850 article-summary"><a class="jsx-ad50481d5ee26850" href="/view/avutometinib-with-defactinib-for-recurrent-kras-mutant-lgsoc-completes-rolling-new-drug-application?utm_source=www.ajmc.com&amp;utm_medium=relatedContent"><div class="jsx-ad50481d5ee26850 text-sm text-gray-500 py-1">If approved, the combination regimen would be the first FDA-approved treatment for adults with recurrent KRAS mutant low-grade serous ovarian cancer (LGSOC).</div></a></div></div></div><div style="border-bottom:1px solid #CCCCCC" class="jsx-ad50481d5ee26850"></div></div></div></div></div><div class="pb-24"></div></div><script type="application/ld+json">{"@context":"https://schema.org","@type":"NewsArticle","headline":"New Strategy Shows Promise for CD7-Positive Leukemia/Lymphoma","datePublished":"2024-05-09T14:16:29.396Z","dateModified":"2024-05-09T14:16:32Z","inLanguage":"en-US","image":"https://cdn.sanity.io/images/0vv8moc6/ajmc/04663c88d2d04992175ced53fda8bb885d2d2ee8-1200x724.jpg?fit=crop&auto=format","mainEntityOfPage":{"@type":"WebPage","@id":"https://www.ajmc.com/view/new-strategy-shows-promise-for-cd7-positive-leukemia-lymphoma"},"publisher":{"@type":"Organization","name":"AJMC","logo":{"@type":"ImageObject","url":"https://www.ajmc.com/ajmc_logo_inverted.png"}},"keywords":"haploidentical HSCT ,CAR T-cell therapy ,CD7-Positive Leukemia/Lymphoma","articleBody":"In a recent study published in The New England Journal of Medicine, researchers introduced a novel \"all-in-one\" strategy that combines CD7 chimeric antigen receptor (CAR) T-cell therapy with haploidentical hematopoietic stem-cell transplantation (HSCT) to treat patients with relapsed or refractory CD7-positive leukemia and lymphoma.1\n\n\n\nRelapsed or refractory hematologic cancers typically have a dire prognosis, with traditional treatments often leading to a 5-year overall survival of less than 20%. Toxicities from pretransplant conditioning and graft-vs-host disease (GVHD) prophylaxis have limited the integration of CAR T-cell therapy as a bridge to allogeneic HSCT.2 This all-in-one strategy avoids traditional pharmacologic myeloablation and GVHD prophylaxis and has shown promising results for patients with limited therapeutic options.\n\n\n\nThe researchers noted, \"Our findings suggest that sequential CD7 CAR T-cell therapy and haploidentical HSCT is safe and effective, with remission and serious but reversible adverse events. This strategy offers a feasible approach for patients with CD7-positive tumors who are ineligible for conventional allogeneic HSCT.\"\n\n\n\n\n\nThe study, completed at the Bone Marrow Transplantation Center at Zhejiang University School of Medicine, involved 10 patients who underwent sequential therapy, including 7 with acute myeloid leukemia, 2 with T-cell acute lymphoblastic leukemia, and 1 with T-cell lymphoblastic lymphoma (grade IVa). These patients had previously shown poor responses to conventional treatments, completing a median of 9.5 (range, 4-15) therapy courses.\n\n\n\nUndergoing sequential therapy, starting with CD7 CAR T-cell therapy followed by haploidentical HSCT, all patients achieved complete remission, albeit with incomplete hematologic recovery. At 1 year post treatment, the overall survival rate was 68% (95% CI, 43%-100%), and the disease-free survival rate was 54% (95% CI, 29%-100%). The absence of pharmacologic myeloablation and GVHD prophylaxis drugs, relying instead on the immunosuppressive effects of the CAR T cells, presents a less toxic and potentially more effective treatment method.\n\n\n\nSerious but reversible adverse events were reported, including grade 4 pancytopenia observed in all patients following CAR T-cell therapy, which was expected due to the therapy's mechanism. Following HSCT, 1 patient died from septic shock and another from encephalitis, highlighting the treatment's significant risks. Additionally, 3 patients developed grade 2 HSCT-associated acute GVHD. The median follow-up was 15.1 (range, 3.1-24.0) months after CAR T-cell therapy. Six patients remained in minimal residual disease–negative complete remission during the follow-up period.\n\n\n\nThe researchers acknowledged the limitations of their study, including its small sample size and the exploratory nature of the treatment.\n\n\n\nThey noted that \"because we were evaluating a new therapeutic strategy, the findings of this study still need to be extended and confirmed in a larger and more homogeneous cohort of patients.\"\n\n\n\nAlthough the results of the study are promising, the authors acknowledge the need for larger, more definitive trials to confirm these results and potentially expand the therapy's application.\n\n\n\nReferences\n\n1. Hu Y, Zhang M, Yang T, et al. Sequential CD7 CAR T-cell therapy and allogeneic HSCT without GVHD prophylaxis. N Engl J Med. 2024;390(16):1467-1480. doi:10.1056/NEJMoa2313812\n\n2. Ellard R, Kenyon M, Hutt D, et al. The EBMT immune effector cell nursing guidelines on CAR-T therapy: a framework for patient care and managing common toxicities. Clin Hematol Int. 2022;4(3):75-88. doi:10.1007/s44228-022-00004-8","description":"This study introduces a novel \"all-in-one\" strategy combining CD7 chimeric antigen receptor T-cell therapy with haploidentical hematopoietic stem-cell transplantation, showing significant potential to improve survival and reduce toxicities in patients with relapsed or refractory CD7-positive hematologic cancers.\n","author":[{"@type":"Person","name":"Kimberly Rath, PharmD"}]}</script></div></div><div class="flex-none w-[300px] z-[9999] relative hidden md:block"><div style="top:5rem" class="sticky custom-spacing"><div class="collapse-container " style="overflow:hidden;max-height:900px;transition:max-height .4s ease-in-out"></div></div></div></div><div id="div-gpt-ad-pixel" style="width:1px;height:1px" class=""></div><noscript><iframe src="https://www.googletagmanager.com/ns.html?id=GTM-NK5KQXS" height="0" width="0" style="display:none;visibility:hidden"></iframe></noscript><div id="footerOuterWrap" 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These patients had previously shown poor responses to conventional treatments, completing a median of 9.5 (range, 4-15) therapy courses.","_key":"313f503f05a40","_type":"span"}],"_type":"block"},{"medias":null,"_key":"dcaa0161448a","markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"c55bf9185b070"}],"_type":"block","style":"normal","upload_doc":null,"uploadAudio":null},{"medias":null,"style":"normal","_key":"e91aeeddfe4a","markDefs":[],"children":[{"_type":"span","marks":[],"text":"Undergoing sequential therapy","_key":"21766ca24bab0"},{"_type":"span","marks":["strong"],"text":",","_key":"21766ca24bab2"},{"_type":"span","marks":[],"text":" starting with CD7 CAR T-cell therapy followed by haploidentical HSCT","_key":"21766ca24bab3"},{"text":", ","_key":"21766ca24bab4","_type":"span","marks":["strong"]},{"text":"all patients achieved complete remission, albeit with incomplete hematologic recovery. 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The researchers noted that many untreated patients had mild IPF, indicating a lack of proactive treatment.","_key":"1786ff5389d00"}],"_type":"block","style":"normal","_key":"185ec7c45c7d","markDefs":[]},{"_key":"bd544b033879","markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"ba73852589c10"}],"_type":"block","style":"normal"},{"markDefs":[],"children":[{"marks":[],"text":"Conversely, some cases present challenges for initiating antifibrotic therapy, and poor PS can hinder treatment continuation; starting therapy in patients with preserved PS is preferable. Building on past research, the researchers surveyed general practitioners and respiratory physicians in Japan to determine the proportion of untreated patients with IPF and factors associated with nonintervention.","_key":"5579653999780","_type":"span"}],"_type":"block","style":"normal","_key":"66c63c57ca1a"},{"widthP":40,"imgcaption":[{"_key":"308532b7e3b2","markDefs":[],"children":[{"_type":"span","marks":[],"text":"Antifibrotic treatment rates for patients with idiopathic pulmonary fibrosis (IPF) varied by medical facility, with higher treatment rates observed in referral hospitals than in general hospitals or clinics. | Image Credit: Spiroview Inc. - stock.adobe.com","_key":"2b83b0b08ece"}],"_type":"block","style":"normal"}],"asset":{"_ref":"image-f1dd6b59e85295091f77dfc0c25fdeb8a9856a93-4592x3448-jpg","_type":"reference"},"alignment":"right","_type":"figure","alt":"Exterior of a hospital | Image Credit: Spiroview Inc. - stock.adobe.com","disableTextWrap":false,"disableLightBox":true,"_key":"2939b480fd65"},{"_type":"block","style":"normal","_key":"218de00e81b4","markDefs":[],"children":[{"_type":"span","marks":[],"text":"The study was conducted at 23 medical facilities (9 clinics, 12 general hospitals, 1 university hospital, and 1 specialized respiratory hospital) in Yamaguchi, Japan, from December 2019 to October 2020. The researchers included patients diagnosed with IPF at the study facility.","_key":"92476cdfcdbf0"}]},{"markDefs":[],"children":[{"marks":[],"text":"","_key":"5c74ca26fc0a0","_type":"span"}],"_type":"block","style":"normal","_key":"e0ebc73c01cc"},{"children":[{"_type":"span","marks":[],"text":"Both physicians and patients conducted the surveys. Patients completed a 3-item questionnaire on PS, cough symptom severity, and the modified Medical Research Council (mMRC) scale. In contrast, physicians recorded patients' demographic data, clinical characteristics, and IPF diagnoses. They also recorded clinical examination data, treatment details, when treatment started, and why; for those who did not receive treatment, the physicians recorded the reasons why.","_key":"32a68fa996790"}],"_type":"block","style":"normal","_key":"7e25fab5b342","markDefs":[]},{"children":[{"text":"","_key":"8a631a22d4fb0","_type":"span","marks":[]}],"_type":"block","style":"normal","_key":"5df46ffb0cc2","markDefs":[]},{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"Physicians in the specialized respiratory and university hospitals also asked about the time from diagnosis at other facilities to referral, pulmonary function test (PFT) results, and Krebs von den Lungen 6 (KL-6) and surfactant protein D (Sp-D) values at the initial visit. ","_key":"777ac23244e30"}],"_type":"block","style":"normal","_key":"24cdddf66e01"},{"_key":"8d63c4c5ab36","markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"7c39b5f03be4"}],"_type":"block","style":"normal"},{"_key":"ed023c3455f7","markDefs":[],"children":[{"_type":"span","marks":[],"text":"The researchers performed a principal component analysis (PCA) using 15 clinical variables, including age, sex, medical facility, body mass index (BMI), specialized tests, and symptom severity. In the PCA plots, the researchers evaluated the distribution of clinical variables vs antifibrotic treatment.","_key":"2ecfffb092c6"}],"_type":"block","style":"normal"},{"_type":"block","style":"normal","_key":"1b5aff0d650c","markDefs":[],"children":[{"text":"","_key":"e78245645f0a0","_type":"span","marks":[]}]},{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"The researchers enrolled 518 patients with interstitial lung disease (ILD) in the study, 207 of whom were diagnosed with IPF. Among these 207 patients, 168 had a good PS, or a PS of 2 or less, which could indicate their treatment eligibility. Their mean (SD) age was 76.5 (8.2), and most (72.6%) were male. Also, 125 (74%) received treatment at a general hospital, 29 (17%) at either a specialized respiratory or a university hospital, and 14 (8%) at a clinic.","_key":"72be55df72210"}],"_type":"block","style":"normal","_key":"5f9e9f8aea0d"},{"_type":"block","style":"normal","_key":"8a0422349fc3","markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"d2dda4277fa10"}]},{"children":[{"_type":"span","marks":[],"text":"Of those with IPF, 39 (22.6%) received an antifibrotic drug. The PCA determined that the rate of antifibrotic treatment was significantly higher in referral hospitals than in clinics or general hospitals. Based on physicians’ questionnaires, most did not prescribe antifibrotic drugs due to mild symptoms, imaging findings, or oxygenation, with no differences between facilities. ","_key":"f402874016ac0"}],"_type":"block","style":"normal","_key":"857ca7efc518","markDefs":[]},{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"c5ae02e7402f"}],"_type":"block","style":"normal","_key":"9a3542063244"},{"markDefs":[],"children":[{"marks":[],"text":"However, for those who received antifibrotic drugs, the time from diagnosis to treatment in referral hospitals (16 cases) and general hospitals (20 cases) was a mean (SD) of 24.5 (35.7) and 35.5 (40.0) months, respectively; there were no significant differences.","_key":"c1b9ce7e0a5d","_type":"span"}],"_type":"block","style":"normal","_key":"558459c819ac"},{"style":"normal","_key":"405c9cc5899e","markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"31a7e09702620"}],"_type":"block"},{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"The researchers found that treatment rates were significantly higher among patients with poor PS, higher mMRC scores, and long-term oxygen therapy (LTOT) users (","_key":"3bea81611d950"},{"marks":["em"],"text":"P ","_key":"3bea81611d951","_type":"span"},{"_type":"span","marks":[],"text":"\u003c .0001). Therefore, symptom severity is a relevant factor for therapeutic intervention decisions in general hospitals. Conversely, treatment rates in referral hospitals were not associated with PS, mMRC score, or LTOT use; symptom severity is not considered when deciding on therapeutic intervention in this setting.","_key":"3bea81611d952"}],"_type":"block","style":"normal","_key":"6d62900c1858"},{"style":"normal","_key":"c6d313d6b853","markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"2143012e56060"}],"_type":"block"},{"children":[{"_type":"span","marks":[],"text":"The researchers acknowledged their limitations, one being that they conducted their study in a rural part of Japan rather than an urban area. Therefore, it cannot be considered an overall assessment of the country. Similarly, because it only analyzed patients within Japan, the findings may not be generalizable to other populations. Despite this, the researchers expressed confidence in their findings.","_key":"733fa6ec90cb0"}],"_type":"block","style":"normal","_key":"0fcce14fd947","markDefs":[]},{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"ec99bb31c7f20"}],"_type":"block","style":"normal","_key":"c123d1713c4c"},{"_key":"673ca5ee1f79","markDefs":[],"children":[{"text":"“Our findings indicate that further awareness of the indications for antifibrotic therapy in mild cases of IPF and collaboration between general and specialized hospitals are required,” the authors concluded.","_key":"6782f7edc4e90","_type":"span","marks":[]}],"_type":"block","style":"normal"},{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"0dfe505ed68c0"}],"_type":"block","style":"normal","_key":"6912c26a1eb1"},{"_type":"block","style":"normal","_key":"7e5e3dae0a29","markDefs":[],"children":[{"_key":"de858caaf4a60","_type":"span","marks":["strong"],"text":"References"}]},{"listItem":"number","markDefs":[],"children":[{"_type":"span","marks":[],"text":"Asami-Noyama M, Hamada K, Asai Y, et al. Factors associated with non-intervention of antifibrotic agents in IPF patients. ","_key":"0a33c3b7d7640"},{"_type":"span","marks":["em"],"text":"Respir Investig","_key":"0a33c3b7d7641"},{"_type":"span","marks":[],"text":". 2024;62(6):1124-1131. doi:10.1016/j.resinv.2024.09.008","_key":"0a33c3b7d7642"}],"level":1,"_type":"block","style":"normal","_key":"a3c3837dd0f9"},{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"Raghu G, Rochwerg B, Zhang Y, et al. An official ATS/ERS/JRS/ALAT clinical practice guideline: treatment of idiopathic pulmonary fibrosis. An update of the 2011 clinical practice guideline. 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Those with 3 points or more were classified as experiencing social isolation. The researchers noted that participants were included at the first available wave in which they self-reported COPD and answered at least 3 questions related to social isolation.","_key":"774bce287f390"}],"_type":"block","style":"normal","_key":"36b241a75d00"},{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"fe2f81665c4c0"}],"_type":"block","style":"normal","_key":"b08eb8c285c6"},{"_key":"8ccf59deb9bb","markDefs":[],"children":[{"_type":"span","marks":[],"text":"All-cause mortality was determined using HRS date-of-death measures. Cox proportional hazard models were then used to determine the association between social isolation and all-cause mortality, adjusting for age, race, sex, and ethnicity, which have previously been associated with social isolation.","_key":"df4927f8fef80"}],"_type":"block","style":"normal"},{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"4ade442bd8d00"}],"_type":"block","style":"normal","_key":"dd06cf11b8c2"},{"children":[{"_type":"span","marks":[],"text":"The study population consisted of 1241 participants, with a mean (SD) age of 68.4 (9.8) years; the majority was female (59.3%). Of these participants, 293 (23.6%) reported experiencing social isolation. Additionally, 539 participants (43.4%) died after a median follow-up of 4.4 years (range, 0.1-14.6 years).","_key":"48351ba598330"}],"_type":"block","style":"normal","_key":"06ad69063af8","markDefs":[]},{"_type":"block","style":"normal","_key":"56dae2dd0f40","markDefs":[],"children":[{"text":"","_key":"894f2dfd41e70","_type":"span","marks":[]}]},{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"Those with COPD and social isolation were at an increased risk of death (unadjusted HR, 1.35; 95% CI, 1.08-169; adjusted HR, 1.35; 95% CI, 1.04-1.75) than those without social isolation. Therefore, median survival time was lower among socially isolated participants (7.0 years; 95% CI, 5.8-8.2) vs those not socially isolated (9.1 years; 95% CI, 8.3-10.4). 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