‘You give me fever!’: are health services ready for immune cell engager therapy in advanced solid malignancies?

Immune cell engager therapeutic strategies using bioengineered molecules to redirect immune cells into tumor are starting to demonstrate promising clinical activity in multiple early phase trials across numerous targets and a range of solid tumor types. These therapies, however, carry the risk of ex...

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Main Authors: Andrew Furness, Juanita Lopez, Claire Livings, Claire Pettinger, Rafael Grochot
Format: Article
Language:English
Published: BMJ Publishing Group 2022-12-01
Series:Journal for ImmunoTherapy of Cancer
Online Access:https://jitc.bmj.com/content/10/12/e006073.full
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author Andrew Furness
Juanita Lopez
Claire Livings
Claire Pettinger
Rafael Grochot
author_facet Andrew Furness
Juanita Lopez
Claire Livings
Claire Pettinger
Rafael Grochot
author_sort Andrew Furness
collection DOAJ
description Immune cell engager therapeutic strategies using bioengineered molecules to redirect immune cells into tumor are starting to demonstrate promising clinical activity in multiple early phase trials across numerous targets and a range of solid tumor types. These therapies, however, carry the risk of exaggerated cytokine-mediated on-target off-tumor adverse events that require highly specialized inpatient facilities. We report here the Royal Marsden experience of treating patients with advanced solid tumors on early phase immune engager clinical trials in a dedicated inpatient facility, focusing specifically on patterns of cytokine-mediated toxicity seen and proposing a risk-mitigation algorithm for the safe, feasible and scalable delivery of these therapies.
format Article
id doaj-art-685e419c10a44010b20b8a8800523aa7
institution OA Journals
issn 2051-1426
language English
publishDate 2022-12-01
publisher BMJ Publishing Group
record_format Article
series Journal for ImmunoTherapy of Cancer
spelling doaj-art-685e419c10a44010b20b8a8800523aa72025-08-20T02:32:57ZengBMJ Publishing GroupJournal for ImmunoTherapy of Cancer2051-14262022-12-01101210.1136/jitc-2022-006073‘You give me fever!’: are health services ready for immune cell engager therapy in advanced solid malignancies?Andrew Furness0Juanita Lopez1Claire Livings2Claire Pettinger3Rafael Grochot4Department of Medical Oncology, Royal Marsden NHS Foundation Trust, London, UKDrug Development Unit, Royal Marsden NHS Foundation Trust, London, UKDepartment of Oncology, University of London Saint George`s, London, UKDrug Development Unit, Royal Marsden NHS Foundation Trust, London, UKDrug Development Unit, Royal Marsden NHS Foundation Trust, London, UKImmune cell engager therapeutic strategies using bioengineered molecules to redirect immune cells into tumor are starting to demonstrate promising clinical activity in multiple early phase trials across numerous targets and a range of solid tumor types. These therapies, however, carry the risk of exaggerated cytokine-mediated on-target off-tumor adverse events that require highly specialized inpatient facilities. We report here the Royal Marsden experience of treating patients with advanced solid tumors on early phase immune engager clinical trials in a dedicated inpatient facility, focusing specifically on patterns of cytokine-mediated toxicity seen and proposing a risk-mitigation algorithm for the safe, feasible and scalable delivery of these therapies.https://jitc.bmj.com/content/10/12/e006073.full
spellingShingle Andrew Furness
Juanita Lopez
Claire Livings
Claire Pettinger
Rafael Grochot
‘You give me fever!’: are health services ready for immune cell engager therapy in advanced solid malignancies?
Journal for ImmunoTherapy of Cancer
title ‘You give me fever!’: are health services ready for immune cell engager therapy in advanced solid malignancies?
title_full ‘You give me fever!’: are health services ready for immune cell engager therapy in advanced solid malignancies?
title_fullStr ‘You give me fever!’: are health services ready for immune cell engager therapy in advanced solid malignancies?
title_full_unstemmed ‘You give me fever!’: are health services ready for immune cell engager therapy in advanced solid malignancies?
title_short ‘You give me fever!’: are health services ready for immune cell engager therapy in advanced solid malignancies?
title_sort you give me fever are health services ready for immune cell engager therapy in advanced solid malignancies
url https://jitc.bmj.com/content/10/12/e006073.full
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