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Spanish Dual-Target CAR-T With Low-Intensity Transplant Shows Promising Pediatric Survival

Researchers report about 70% overall survival at roughly 20 months in heavily pretreated children given the CD19/CD22 therapy.

Overview

  • The La Paz team engineered a tandem CAR-T that recognizes CD19 and CD22 to reduce antigen escape in B‑cell acute lymphoblastic leukemia.
  • Patients received a tailored, low-intensity bone‑marrow transplant after CAR‑T to bolster persistence, avoiding total body irradiation.
  • Since May 2020, 12 pediatric and young adult patients were treated under compassionate use, with four deaths and eight survivors, five disease‑free for more than two years.
  • Findings were presented in Madrid and published in eBioMedicine, marking the first clinical report of this tandem approach in Spain and Europe by the unit.
  • A formal clinical trial has begun at Hospital La Paz, with the first infusion in late July and additional infusions scheduled for November and December, funded by Fundación CRIS.