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Isolated oral CD30+/CD4+ CAR+ T cell lymphoma in long-term remission after radiotherapy.

Bezerra, Evandro, Lupu, Ludmila, de Lima, Marcos, Pfaller, Lena, Neal, Alison, Hajizadeh, Nelly, Zhao, Qiuhong, Beibel, Martin, Chung, Catherine, Lemmens, Myriam, Sim, Austin, Oertli, Mevion, Voorhees, Timothy, Bohnert, Rebecca, Denlinger, Nathan, Gilbart, Yoann, Bontadelli, Lara, Monovich, Laura, Willert, Jennifer, Stover, Daniel, Gao, Jingbo, Li, Li1, Reinker, Stefan, Naumann, Ulrike, Menssen, Hans, Jones, Daniel, Libertini, Silvana and Brammer, Jonathan E. (2025) Isolated oral CD30+/CD4+ CAR+ T cell lymphoma in long-term remission after radiotherapy. Molecular therapy : the journal of the American Society of Gene Therapy, 33 (12). pp. 6033-6040. ISSN 1525-0024

Abstract

A chimeric antigen receptor (CAR)+ CD30+/CD4+ T cell lymphoma (TCL) manifested as a single oral ulceration 22 months after treatment with tisagenlecleucel (tisa-cel), an anti-CD19 CAR T cell-based therapy. The TCL showed lentiviral integration in ANKHD1-EIF4EBP3, loss of function of TET2, and NTRK1 copy number gain, suggesting that genetic alterations unrelated to insertional mutagenesis contributed to lymphomagenesis. The patient remains in remission 2 years after radiotherapy. This is the only CAR+TCL case reported at the Ohio State University James Comprehensive Cancer Center out of 288 patients treated with CAR-T cells.

Item Type: Article
Keywords: Humans CD4-Positive T-Lymphocytes Immunotherapy, Adoptive Ki-1 Antigen Lymphoma, T-Cell Receptors, Chimeric Antigen Remission Induction Treatment Outcome
Date Deposited: 03 Mar 2026 00:45
Last Modified: 03 Mar 2026 00:45
URI: https://oak.novartis.com/id/eprint/57063

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