CAR-T Cell Therapy for Solid Tumors: Are we Still That Far? a Systematic Review of Literature

Cancer Invest. 2022 Nov;40(10):923-937. doi: 10.1080/07357907.2022.2125004. Epub 2022 Sep 20.

Abstract

This systematic review aims to assess all the prospective studies published to date on the efficacy of CAR-T cell therapy in solid tumors. Databases searched were PubMed and Google Scholar from inception through May 1st 2021. Search query was (Chimeric antigen receptor) or (CAR-T) or (T-CAR). Twenty-nine prospective studies (265 patients) were included. Most published clinical trials are phase I. Clinical benefit was 100% in epithelial ovarian cancer, 70-82% in gastrointestinal tumors, 79% in mesothelioma, 63% in small-cell lung cancer, 24-67% in sarcoma, 50-62% in prostate cancer, and 45-50% in central nervous system tumors. No serious CAR-T cell specific serious toxicities were noted.

Keywords: CAR T-cell therapy; chimeric antigen receptor; precision medicine; solid tumors.

Publication types

  • Systematic Review

MeSH terms

  • Cell- and Tissue-Based Therapy
  • Gastrointestinal Neoplasms*
  • Humans
  • Immunotherapy, Adoptive / adverse effects
  • Male
  • Prospective Studies
  • Receptors, Antigen, T-Cell / genetics
  • Receptors, Antigen, T-Cell / therapeutic use
  • Receptors, Chimeric Antigen*
  • T-Lymphocytes

Substances

  • Receptors, Chimeric Antigen
  • Receptors, Antigen, T-Cell