ASH Clinical News ACN_5.3_web | Page 50

BACK of the BOOK Heard in the Blogosphere What if the Magic CAR T-Cell Bullet Misses? In Bloomberg, patients and hematologists/oncologists offered cautious optimism about “miraculous” chimeric antigen receptor T-cell therapies. “It can be a magic bullet, but that’s only for 39 or 40 percent of patients. This is the best option we have right now, but it’s not a slam-dunk.” —Frederick Locke, MD, leader of the Immune-Cell Therapy initiative at Moffitt Cancer Center “One of the biggest challenges we face using this therapy is to manage expecta- tions because of the responses we’ve seen. There is a lot of hope and that hope is deserved, but we do think about the fact that some patients don’t respond.” —Shannon Maude, MD, PhD, pediatric hematologist/oncologist at Children’s Hospital of Philadelphia “Be hopeful and have patience. Some days are normal, some are harder. Stay in a positive frame of mind and things will work out.” —Shahzad Bhat, a patient diagnosed with lymphoma who received axicabtagene ciloleucel “Understanding which patients are likely to benefit helps us to ensure we give the medicine to the right patient. What you don’t want to do is use therapy where it brings no value to patients, adds to cost and doesn’t lead to better results.” —Joseph Alvarnas, MD, hematologist/oncologist at City of Hope and chair of the American Society of Hematology’s Committee on Practice