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CAR T-Cell Therapy: What It Is & How It Works | Medflick

icon-blog By -Kanika Sharma
icon-blog By -February 15, 2025
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Everything You Need to Know About CAR T-Cell Therapy: What It Is & How It Works

Introduction

This isn't science fiction; it's CAR T-cell therapy, a treatment that rewires your immune system to find and eliminate cancer. In areas where conventional treatments are failing, this ground-breaking strategy is transforming the way we combat cancer.

With its remarkable success in treating blood cancers with tailored immunotherapy, CAR T cell therapy has completely changed the way that cancer is treated. It is one of the most recent and promising treatments for blood cancer. It combats cancer cells by using the body's own natural defences. Therefore, CAR-T therapy is intended to be a one-time treatment, in contrast to many other medical therapies for blood cancer.

Beyond blood cancers, researchers are now pushing CAR T cell therapy to target solid tumours with improved delivery, precision, and resilience in the face of tough challenges.

But who can benefit from CART-T cell therapy, and how does it work? Let's explore the science of this revolutionary treatment!
 

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What is CAR T-Cell Therapy?

Certain blood cancers can be treated with immunotherapy using chimeric antigen receptor (CAR) T-cell therapy. This therapy functions by efficiently transforming your T lymphocytes (T cells) into cancer fighting machines. In CAR T-cell treatment, doctors introduce an additional gene that alters your cell activity and increases their capacity to identify and eliminate malignant cells. It is very effective in treating blood cancer. If it is unable to completely cure the cancer, it helps in prolonging the lives of many blood cancer patients. It is advised for the treatment of following types of blood cancer:

  • B-cell acute lymphoblastic leukemia 
  • Multiple myeloma
  • Diffuse large B-cell lymphoma
  • High-grade B-cell lymphoma.
  • Follicular lymphoma
  • Mantle cell lymphoma
  • Primary mediastinal large B-cell lymphoma
     

How Does CAR T-Cell Therapy Work?

Knowing more about T cells, which are white blood cells in your immune system, may help you comprehend better how CAR T-cell therapy functions. Your immune system tracks proteins called antigens present on the surface of invading cells to watch out for invaders, including cancer cells.

Receptors are proteins on the surface of your T cells. These receptors are able to identify cells with abnormal antigens. When a receptor identifies an aberrant cell, T cells activate, serving as a monitoring mechanism for aberrant cells. In addition to eliminating the aberrant cell, the activated T cell also triggers the other components of your immune system to assist in locating and eliminating the aberrant cell.

However, cancer cells are not always detected by your T-cell receptors. CAR T cells, which are your own T cells modified to identify a particular antigen on the surface of cancer cells. By introducing a synthetic gene for a chimeric antigen receptor, researchers can modify your T cells. They then encourage the growth and multiplication of the newly generated CAR T cells until there are sufficient cells to efficiently target cancer cells.

CAR T-cell receptors identify and eliminate cancer cells once they enter your bloodstream. Additionally, the cells continue to proliferate, ensuring that you have a steady supply of CAR T cells that are specifically targeting the cancer cells. This treatment is also called a "living drug" because of its sustained delivery and prolonged activity.
 

How is CAR T-Cell Therapy Done?

An intravenous line (IV) is used to administer a CAR T-cell infusion, which takes five to thirty minutes. During the procedure, you might have to stay in the hospital. 

  • The CAR T cells are kept stored in controlled conditions until they are needed.
  • The bag containing CAR T cells is connected to an intravenous line.
  • Then CAR T cells start flowing into the bloodstream.
     

Benefits of CAR T-Cell Therapy

When other therapies fail or the cancer returns (recurs), CAR T-cell therapy stands as a reliable option for treating some types of blood cancer. Sometimes certain blood cancers get completely cured using CAR T-cell therapy. It can prolong the lives of many blood cancer patients.
 

What is the Success Rate of CAR T-Cell Therapy?

A research conducted in 2020 monitored children undergoing this therapy for acute lymphoblastic leukaemia. Over 85% of the children experienced complete remission after CAR T-cell therapy and 60% of such children remained cancer-free for a year after the treatment.
 

Cost Comparison of CAR T-Cell Therapy at Different Hospitals in India

Following are the hospitals that providing CAR T-Cell therapy in India:

Hospitals Type of CAR-T Cell Therapy CAR T-Cell therapy in India (in USD)
Tata Memorial Centre, Mumbai Autologous CD19-targeted CAR-T cells $50,000 - $85,000
Apollo Hospitals, Chennai CD19-targeted CAR-T cells (CAR-T 19) $50,000 - $85,000
Christian Medical College (CMC), Vellore CD19 and BCMA-targeted CAR-T cells $50,000 - $85,000
HCG Cancer Centre, Bengaluru CD19-targeted CAR-T cells $50,000 - $85,000
AIIMS, New Delhi CD19-targeted CAR-T cells $50,000 - $85,000
Fortis Memorial Research Institute, Gurgaon CD19-targeted CAR-T cells $50,000 - $85,000
Max Super Speciality Hospital, New Delhi CD19-targeted CAR-T cells $50,000 - $85,000
Jaslok Hospital and Research Centre, Mumbai CD19-targeted CAR-T cells $50,000 - $85,000
Rajiv Gandhi Cancer Institute and Research Centre, New Delhi CD19-targeted CAR-T cells $50,000 - $85,000
Amrita Institute of Medical Sciences, Kochi CD19-targeted CAR-T cells $50,000 - $85,000

 

Conclusion

The FDA has approved CAR T cell therapy since 2017. Many patients with blood cancer still have hope because of CAR T-cell treatment. When blood cancer returns or conventional treatments fail, CAR T cell therapy offers some people hope for a longer lifespan. Others see the procedure as a chance for recovery. This treatment has significantly transformed cancer care globally.

To stay informed, learn correct facts and insights on CAR T-Cell Therapy from our expert oncologists. Book your consultation now!

Frequently Ask Questions:

Q1: Who is Eligible for CAR-T Therapy?

CAR-T therapy may be an option for patients with specific blood malignancies that have relapsed or are unresponsive to conventional treatments, such as leukaemia, lymphoma, or multiple myeloma.
 

Q2: What is CAR-T Therapy for Leukemia, Lymphoma & Myeloma

For patients with multiple myeloma, lymphoma, and refractory leukaemia, CAR-T treatment is a cutting-edge immunotherapy that alters a patient's T-cells to target and eliminate cancer cells.
 

Q3: CAR-T Therapy vs. Bone Marrow Transplant: Which is Better?

CAR-T therapy is a type of targeted immunotherapy, whereas bone marrow transplantation substitutes healthy cells for sick ones. The type of malignancy, patient health, and past treatment outcomes all influence the optimal choice.
 

Q4: How is Cytokine Release Syndrome (CRS) managed in CAR-T therapy?

In order to prevent problems, CRS, a common side effect, is treated with drugs such tocilizumab and steroids in addition to supportive care in a hospital setting.
 

Q5: How can international patients access CAR-T therapy in India?

International patients can access CAR-T therapy in India through specialized cancer hospitals, medical tourism services, and expert oncologists who guide them through treatment plans and visa processes.
 

Q6: What is the estimated stay duration for CAR-T therapy treatment in India?

CAR-T therapy in India is anticipated to take over four to six weeks, including pre-treatment assessment, infusion, side effect monitoring, and initial recovery.
 

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