CAR T Cell Therapy

Treatment Options

CAR T Cell Therapy

Immunotherapy enhances the power of a patient’s immune system to attack tumors. An immunotherapy approach, called chimeric antigen receptor (CAR) T cell therapy, uses patients’ own immune cells to treat their cancer.

CAR T cell therapy provides engineered molecules called chimeric antigen receptors (CARs) that recognize and destroy antigens present on the surface of lymphoma cells. T cells are removed from patients and genetically modified to produce CARs. The genetically engineered CAR T cells are grown in the laboratory until they number in the billions and are then infused back into the patient.

CAR T Cell Process

1. Leukapheresis

Your T cells are obtained through a process called leukapheresis, which usually takes three to four hours.

2. T-Cell Engineering

The T cells are sent to a processing center where they are genetically engineered to target your lymphoma.

3. CAR T Cell Transport

Once enough of the CAR-T cells are available at the processing center, the cells are frozen for transport to your certified treatment center.

4. Lymphodepleting Chemotherapy

A few days prior to your CAR-T cell infusion, you will receive low-dose chemotherapy.

5. CAR T Cell Infusion

A few days after completing chemotherapy, you will receive your CAR-T cells at your certified treatment center.

6. CAR T Cells Attack the Lymphoma

Once the CAR-T cells enter your body, they begin to multiply and attack the lymphoma cells.

Approved CAR T Cell Therapies in Lymphoma

Approved CAR T Cell therapies include:

  • Axicabtagene Ciloleucel (Yescarta)
    • Treatment targeting CD19 for patients with certain types of relapsed/refractory large B-cell lymphoma after at least two other kinds of treatment. (DLBCL not otherwise specified; primary mediastinal large B-cell lymphoma; high-grade B-cell lymphoma; DLBCL arising from FL).
    • For the treatment of adult patients with relapsed or refractory follicular lymphoma (FL) after two or more lines of systemic therapy
  • Brexucabtagene Autoleucel (Tecartus)
    • Treatment targeting CD19 for patients with relapsed or refractory mantle cell lymphoma (MCL).
  • Lisocabtagene Maraleucel (Breyanzi)
    • Treatment targeting CD19 for patients with certain types of large B-cell lymphoma, including diffuse large B-cell lymphoma (DLBCL) not otherwise specified (including DLBCL arising from indolent lymphoma), high-grade B-cell lymphoma, primary mediastinal large B-cell lymphoma, and follicular lymphoma grade 3B, who have not responded to, or who have relapsed after, at least two other types of systemic treatment.
  • Tisagenlecleucel (Kymriah)
    • Treatment targeting CD19 for patients with certain types of relapsed/refractory large B-cell lymphoma after two or more lines of systemic therapy. (DLBCL not otherwise specified; high grade B-cell lymphoma; DLBCL arising from FL)

Download the CAR T Cell Process Fact Sheet

Learn more about the CAR T cell therapy process and what to expect.