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
- 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).
- Brudno JN, Kochenderfer JN. Recent advances in CAR T-cell toxicity: mechanisms, manifestations and management. Blood Rev 2019; 34:45-55.