CAR T-Cell Benefits Outweigh Risks: Marks

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CBER director Peter Marks says the benefits of chimeric antigen receptor T-cell (CAR-T) therapy far outweigh the risks involved, including secondary T-cell malignancies. Speaking 1/8 to the Alliance for Regenerative Medicine State of the Industry briefing, Marks said that while FDA issued a safety advisory for patients receiving CAR-T about T-cell malignancies at the end of 11/2023, only 22 cases out of more than 27,000 individuals treated had been reported by the end of 2023.

“Make no mistake,” he said, “the overall risk/benefit profile [for CAR-T] is still incredibly beneficial. For all of the approved uses, we don’t have any concerns with continued use of these products.”

He discussed the positive survival curves for children and young adults with acute lymphoblastic leukemia and adults with non-Hodgkin lymphoma and the “low amounts of toxicity” they have. “It doesn’t salvage everyone, which means we can always do better, but it’s really quite remarkable.”

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