TY - JOUR A1 - Yakoub-Agha, Ibrahim A1 - Chabannon, Christian A1 - Bader, Peter A1 - Basak, Grzegorz W. A1 - Bönig, Halvard-Björn A1 - Ciceri, Fabio A1 - Corbacioglu, Selim A1 - Duarte, Rafael F. A1 - Einsele, Hermann A1 - Hudecek, Michael A1 - Kersten, Marie José A1 - Köhl, Ulrike A1 - Kuball, Jürgen A1 - Mielke, Stephan A1 - Mohty, Mohamad A1 - Murray, John A1 - Nagler, Arnon A1 - Robinson, Stephen A1 - Saccardi, Riccardo A1 - Sanchez-Guijo, Fermin A1 - Snowden, John A. A1 - Srour, Micha A1 - Styczynski, Jan A1 - Urbano-Ispízua, Álvaro A1 - Hayden, Patrick J. A1 - Kröger, Nicolaus T1 - Management of adults and children undergoing chimeric antigen receptor T-cell therapy: best practice recommendations of the European Society for Blood and Marrow Transplantation (EBMT) and the Joint Accreditation Committee of ISCT and EBMT (JACIE) T2 - Haematologica N2 - Chimeric antigen receptor (CAR) T cells are a novel class of anti-cancer therapy in which autologous or allogeneic T cells are engineered to express a CAR targeting a membrane antigen. In Europe, tisagenlecleucel (Kymriah™) is approved for the treatment of refractory/relapsed acute lymphoblastic leukemia in children and young adults as well as relapsed/refractory diffuse large B-cell lymphoma, while axicabtagene ciloleucel (Yescarta™) is approved for the treatment of relapsed/refractory high-grade B-cell lymphoma and primary mediastinal B-cell lymphoma. Both agents are genetically engineered autologous T cells targeting CD19. These practical recommendations, prepared under the auspices of the European Society of Blood and Marrow Transplantation, relate to patient care and supply chain management under the following headings: patient eligibility, screening laboratory tests and imaging and work-up prior to leukapheresis, how to perform leukapheresis, bridging therapy, lymphodepleting conditioning, product receipt and thawing, infusion of CAR T cells, short-term complications including cytokine release syndrome and immune effector cell-associated neurotoxicity syndrome, antibiotic prophylaxis, medium-term complications including cytopenias and B-cell aplasia, nursing and psychological support for patients, long-term follow-up, post-authorization safety surveillance, and regulatory issues. These recommendations are not prescriptive and are intended as guidance in the use of this novel therapeutic class. Y1 - 2019 UR - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/53554 UR - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-535541 SN - 1592-8721 SN - 0390-6078 N1 - Copyright© 2020 Ferrata Storti Foundation Material published in Haematologica is covered by copyright. All rights are reserved to the Ferrata Storti Foundation. Use of published material is allowed under the following terms and conditions: https://creativecommons.org/licenses/by-nc/4.0/legalcode. Copies of published material are allowed for personal or internal use. Sharing published material for non-commercial purposes is subject to the following conditions: https://creativecommons.org/licenses/by-nc/4.0/legalcode, sect. 3. Reproducing and sharing published material for commercial purposes is not allowed without permission in writing from the publisher. VL - 105 IS - 2 SP - 297 EP - 316 PB - Ferrata Storti Foundation CY - Pavia ER -