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Has Anyone Here Had Car-T Therapy? How Difficult Was The Procedure And Recovery?

A MyMyelomaTeam Member asked a question đŸ’­
Mineral Point, WI

I had ASCT in Oct. 2022 (20 months ago). I feel good but I've relapsed and Dr. recommended I have Car-T therapy. I had hoped remission after ASCT would last a little longer, however that was not to be. Next week I'll begin the Car-T procedure with the collection of my cells. If you've had this therapy I'd like to know how you tolerated the process. Thanaks.

June 22, 2024
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A MyMyelomaTeam Member

CAR-T cell therapy for multiple myeloma involves several steps and can be challenging. Here are some key points about the procedure and recovery:

### Procedure
1. T Cell Collection: T cells are collected from the patient’s blood.
2. Genetic Modification: These T cells are modified in a lab to express chimeric antigen Show Full Answer

CAR-T cell therapy for multiple myeloma involves several steps and can be challenging. Here are some key points about the procedure and recovery:

### Procedure:
1. T Cell Collection: T cells are collected from the patient’s blood.
2. Genetic Modification: These T cells are modified in a lab to express chimeric antigen receptors (CARs) that target cancer cells.
3. Cell Multiplication: The modified T cells are grown and multiplied in the lab.
4. Lymphodepletion: Before receiving the CAR-T cells, patients undergo lymphodepletion (a round of chemotherapy) to make room for the new T cells.
5. Infusion: The CAR-T cells are infused back into the patient’s body through an IV.

### Recovery:
- Hospital Stay: Patients often stay in the hospital for several weeks to monitor the treatment’s effectiveness and manage side effects.
- Side Effects: Common side effects include infections, muscle aches, diarrhea, nausea, swelling, fever, cough, headache, and loss of appetite.
- Cytokine Release Syndrome (CRS): A potentially dangerous side effect that includes symptoms like fever, low blood pressure, and difficulty breathing.
- Long-term Monitoring: Even after discharge, patients may need to stay close to the treatment center for a month or more in case of complications.

### Effectiveness:
- Remission Rates: In clinical trials, 2 out of 3 patients were in remission for at least one year.
- Long-term Efficacy: It’s too soon to determine the long-term effectiveness of CAR-T cell therapy.

### Support:
- MyMyelomaTeam: A social network where people with multiple myeloma and their loved ones can share experiences and support each other.

If you have undergone CAR-T therapy, sharing your experience on platforms like MyMyelomaTeam can help others understand what to expect.

June 22, 2024

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