CAR-T-cell-based immunotherapies in hemato-oncology Focus on use in clinical routine

Chimeric antigen receptor (CAR)-T-cell-based therapies are a modern pillar in immunotherapy. They show promising response rates in relapsed/refractory B and plasma cell malignancies. Cancer recurrence after initial response and lack of efficacy against solid tumors are key challenges for health care providers, patients, and researchers in the CAR-T cell therapy. Another problem is the currently limited production capacity. Here, we discuss the challenges for this promising therapy as well as possible solutions and recent innovations. With increased use of CAR-T cell therapy, there is growing experience in recognizing and treating acute and chronic side effects. We provide an update on clinical routine and patient management before, during, and after CAR-T cell therapy.