Treatment and the treatment process

What is CAR-T

CAR-T is a "living medicine" made from your own T cells.

Last updated: ~1 min read
A T cell with a new receptor.
Figure 1.A T cell with a new receptor.

01Short answer

T cells are collected from your blood, and in the lab they are given a new receptor, a CAR, that recognises a leukaemia marker (for example CD19). They are multiplied and returned to you. Today it is used mainly in relapsed or refractory B-cell ALL and some lymphomas. It is given once, but the cells can live in the body for a long time.

02Simple explanation

Topic. what CAR-T is.

Ask. Your team will explain your own situation.

Write down. Your questions.

Overview. The article “Immunotherapy and CAR-T”.

03Scientific explanation

CAR: chimeric antigen receptor, an antibody part plus a T-cell signalling part.

B-cell aplasia: CAR-T also destroys healthy B cells, so immunoglobulin may be needed.

04What happens in the body?

What CAR-T is

T cells are collected from your blood, and in the lab they are given a new receptor, a CAR, that recognises a leukaemia marker (for example CD19). They are multiplied and returned to you. Today it is used mainly in relapsed or refractory B-cell ALL and some lymphomas. It is given once, but the cells can live in the body for a long time.

In more detail

CAR: chimeric antigen receptor, an antibody part plus a T-cell signalling part. B-cell aplasia: CAR-T also destroys healthy B cells, so immunoglobulin may be needed.

The receptor and CD19.
Figure 2.The receptor and CD19.

The overview

This article goes deep into one subject. For the bigger picture, see “Immunotherapy and CAR-T”.

A living medicine — What is CAR-T
Figure 3.A living medicine — What is CAR-T

05What CAR-T is: the steps

Four steps.

Eligibility — Assessment.1EligibilityAssessment.
Collection — Apheresis.2CollectionApheresis.
Manufacture — The lab.3ManufactureThe lab.
Infusion — Once.4InfusionOnce.

06Key facts

QuestionAnswerSee
For whom?Mainly relapsed B-ALL“Treatment of relapse”
How is it made?From your own T cells“How CAR-T cells are made”
Risks?CRS, neurological effects“Risks of CAR-T”

07Key terms

CAR
Chimeric antigen receptor.
Apheresis
Collecting certain cells from the blood.

08Key points

  • Everyone’s plan is individual.
  • Write down and bring your questions.
  • Report new symptoms early.
  • Do not change medicines yourself.
  • For food, see “Handwashing: the simplest protection” and “Eggs and dairy: safe choices”.
  • Overview: “Immunotherapy and CAR-T”.

09Frequently asked questions

Does CAR-T replace a transplant?

Sometimes; sometimes it is a bridge to one.

Is this the same for everyone?

No; the plan depends on the type of leukaemia and your situation.

Where is the overview?

In the article “Immunotherapy and CAR-T”.

10Questions for your doctor

Take these questions to your appointment. The ones you save are collected on the “My questions” page and stay on this device only.

  1. Does CAR-T replace a transplant?

  2. Is this the same for everyone?

  3. Where is the overview?

My questions

12Sources

  1. National Cancer Institute (NCI). CAR T Cells: Engineering Immune Cells to Treat Cancer
  2. National Cancer Institute (NCI). Immunotherapy to Treat Cancer
  3. MedlinePlus. Leukemia
  4. American Cancer Society. ASCO Cancer Treatment and Survivorship Care Plans
  5. National Cancer Institute (NCI). Definition of relapse – NCI Dictionary of Cancer Terms
  6. National Cancer Institute (NCI). Types of Cancer Treatment
  7. American Cancer Society. Chemotherapy
  8. American Cancer Society. Chemo Infusions or Injections
  9. American Cancer Society. Chemotherapy Side Effects
  10. American Cancer Society. Chemotherapy for Acute Myeloid Leukemia (AML)
Medical disclaimerThis information is for educational purposes only and does not replace medical advice.
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