CAR-T cell therapy: cytokine release syndrome (CRS)

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

CAR-T cell therapy: cytokine release syndrome (CRS). CRS usually develops 2-3 days after infusion but can be delayed up to 14 days.

Pathology

  • CRS usually develops 2-3 days after infusion but can be delayed up to 14 days
  • It progresses over hours to days
  • The severity is graded 1-4

Clinical features

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Laboratory features: elevated indices

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Complications

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Treatment

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Acronym

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References

  1. Freyer CW, Porter DL. Cytokine release syndrome and neurotoxicity following CAR T-cell therapy for hematologic malignancies. J Allergy Clin Immunol 2020 (Online ahead of print).
  2. Brudno JN, Kochenderfer JN. Recent advances in CAR T-cell toxicity: mechanisms, manifestations and management. Blood Rev 2019; 34:45-55.

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