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CAR T Therapy

      Safety of CAR-T
      CAR T cell therapy took the centre stage in 2022 where data pertaining to a successful case series of 5 patients with refractory SLE were published by Prof Schett’s group. Since then, this area of therapeutic has expanded exponentially. Our growing enthusiasm was slightly dampened though when the FDA required all six approved CAR T-cell therapies in oncology to include a black box warning regarding the risk of second primary malignancies in
      Following the landmark case series by the Erlangen group, multiple cellular therapies have entered the race—each with unique targets, constructs, and mechanisms. Yet, a fundamental question remains: How deep is the B-cell depletion? In clinical practice, peripheral blood counts often serve as our surrogate for depletion. But these may only tell part of the story.
      Drs. Jack Cush & Arthur Kavanaugh, two of rheumatology’s most trusted voices, provide a breakdown of the latest breakthroughs and hottest topics in rheumatology from the 2025 ACR Convergence meeting in Chicago.
      Rheumatology Roundup
      Here's the last installment of our "ACR Best" abstracts as chosen by the RheumNow faculty.  Most of these were from the final, day 4, but a few were noteworthy holdovers from day 3. Enjoy!
      NEPTUNUS: Ianalumab in Sjogren's https://t.co/K9Xm51Kb5X

      Finally good news in Sjogrens disease.

      @RheumNow
      #ACR25

      Nouf Al hemmadi NoufAhmedAlham2

      1 month 1 week ago
      NEPTUNUS: Ianalumab in Sjogren's https://t.co/K9Xm51Kb5X Finally good news in Sjogrens disease. @RheumNow #ACR25
      Why are vaccine Abs maintained after CAR-T
      -depletion of pathogenic #Abs are dampened/eliminated
      Clonal repetoire expan

      Janet Pope Janetbirdope

      1 month 1 week ago
      Why are vaccine Abs maintained after CAR-T -depletion of pathogenic #Abs are dampened/eliminated Clonal repetoire expansion Remission=naive B cell pop'n Reset immune system sparing memory cells vs ?not all pathogenic cells eliminated in tissue #ACR25 @RheumNow @ACRheum #26S21 https://t.co/jb3dD5Ssip
      CAR T
      Which cells to target
      What patients & what disease
      When is right time
      In vivo (new) ex vivo
      Premeds immune sup

      Janet Pope Janetbirdope

      1 month 1 week ago
      CAR T Which cells to target What patients & what disease When is right time In vivo (new) ex vivo Premeds immune suppression What to use, ?if anything Cons Is it safe ?long term effectiveness What is failure rate ICANs and other side effects #ACRBest #ACR25 @RheumNow #26S21 https://t.co/TUSJh1hrPr https://t.co/JiqYzgBmYP
      Needle in a haystack
      What T cell to target for #autoimmune diseases

      T cell repetoires (TCR) not all are sequenced and m

      Janet Pope Janetbirdope

      1 month 1 week ago
      Needle in a haystack What T cell to target for #autoimmune diseases T cell repetoires (TCR) not all are sequenced and many can exist to present antigens Diff scales of approaches Implications CAR-T CD19 CD20 BCMA Treg HLAB27 etc! #ACR25 @ACRheum @RheumNow Alok Joglekar #26S08 https://t.co/Qgw8Akz1xk
      Toxicity is the big question about CAR-T in RA - what did the CRS/ICANS profile look like in this German ph1 in RA?

      Pre

      David Liew drdavidliew

      1 month 1 week ago
      Toxicity is the big question about CAR-T in RA - what did the CRS/ICANS profile look like in this German ph1 in RA? Pretty good so far - but obviously will be under enormous scrutiny when we are looking at diseases with good existing therapies #ACR25 ABST0471 @RheumNow https://t.co/xXyzOwLvx8
      2465: Dual-target CD19/BCMA CAR-T in refractory SLE (Phase 1)
      🔹All pts (n=10) met SRI-4 by wk24
      🔹DORIS remission:

      Akhil Sood MD, MS AkhilSoodMD

      1 month 1 week ago
      2465: Dual-target CD19/BCMA CAR-T in refractory SLE (Phase 1) 🔹All pts (n=10) met SRI-4 by wk24 🔹DORIS remission: 5 (wk24), 6 (wk36–48) 🔹Residual proteinuria (n=4); renal bx (n=3) showed resolved IC deposits & inflammation 🔹CRS Grade 1 (n=6); no ICANS @RheumNow #ACR25
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