“With the rise of CAR T-cell therapy in oncology, Dr. Georg Schett, a rheumatologist and immunologist at the University of Erlangen in Germany, started mulling a new idea to help lupus patients.
Lupus causes the body’s B cells — white blood cells that produce antibodies — to go haywire. In CAR T-cell therapy, a patient’s own T cells, a type of immune cell, are extracted and engineered to wipe out disease-causing B cells. They’re then put back in the body, where they replicate, acting like ‘serial killers’ that can clear out B cells even from deep within tissues that other drugs can’t reach, Dr. Schett said.
Perhaps most tantalizing to Dr. Schett was the idea that a single infusion might do the trick, freeing young women from the constraints, and uncertainty, of living with lupus…
Of the two dozen lupus patients Dr. Schett has treated, all but one went into remission and remained off treatment after at least six months, and some for longer than four years. (One patient who had a relapse underwent CAR T-cell therapy a second time and is now symptom free.)
It will be years before doctors know for sure whether those results can last. In the meantime, patients say the treatment has given them an opportunity to live a normal life.”
From New York Times.