Elsevier

Annals of Oncology

Volume 33, Issue 3, March 2022, Pages 259-275
Annals of Oncology

Special Article
Management of adults and children receiving CAR T-cell therapy: 2021 best practice recommendations of the European Society for Blood and Marrow Transplantation (EBMT) and the Joint Accreditation Committee of ISCT and EBMT (JACIE) and the European Haematology Association (EHA)

https://doi.org/10.1016/j.annonc.2021.12.003Get rights and content
Under a Creative Commons license
open access

Background

Several commercial and academic autologous chimeric antigen receptor T-cell (CAR-T) products targeting CD19 have been approved in Europe for relapsed/refractory B-cell acute lymphoblastic leukemia, high-grade B-cell lymphoma and mantle cell lymphoma. Products for other diseases such as multiple myeloma and follicular lymphoma are likely to be approved by the European Medicines Agency in the near future.

Design

The European Society for Blood and Marrow Transplantation (EBMT)-Joint Accreditation Committee of ISCT and EBMT (JACIE) and the European Haematology Association collaborated to draft best practice recommendations based on the current literature to support health care professionals in delivering consistent, high-quality care in this rapidly moving field.

Results

Thirty-six CAR-T experts (medical, nursing, pharmacy/laboratory) assembled to draft recommendations to cover all aspects of CAR-T patient care and supply chain management, from patient selection to long-term follow-up, post-authorisation safety surveillance and regulatory issues.

Conclusions

We provide practical, clinically relevant recommendations on the use of these high-cost, logistically complex therapies for haematologists/oncologists, nurses and other stakeholders including pharmacists and health sector administrators involved in the delivery of CAR-T in the clinic.

Key words

CAR T-cells
B-cell acute lymphoblastic leukemia (B ALL)
large B-cell lymphoma (LBCL)
multiple myeloma (MM)
cytokine release syndrome (CRS)
immune effector cell associated neurotoxicity syndrome (ICANS)

Cited by (0)

These authors contributed equally to this work and should both be considered as first authors.