TY - JOUR
AU - Korenkov, M.
AU - Liebaert, J.
AU - Yousefian, S.
AU - Schwartz, Christian
AU - Demel, U. M.
AU - Braune, J.
AU - Odabasi, M. C.
AU - Herzberg, L.
AU - Böckle, D.
AU - Görür, N. C.
AU - V Landenberg-Roberg, V.
AU - Bohl, S.
AU - Tregel, E.
AU - Hennig, S.
AU - Franke, C.
AU - Haas, Simon
AU - Keller, U.
AU - Krönke, J.
AU - Busse, Christian
TI - Chronic inflammatory demyelinating polyneuropathy (CIDP) after cilta-cel therapy.
JO - Blood cancer journal
VL - 15
IS - 1
SN - 2044-5385
CY - [London]
PB - Springer Nature
M1 - DKFZ-2025-02181
SP - 168
PY - 2025
AB - Ciltacabtagene-autoleucel (cilta-cel) is a CAR-T cell therapy highly active in relapsed/refractory multiple myeloma but can induce severe immune-mediated toxicities. We describe two patients who developed chronic inflammatory demyelinating polyneuropathy (CIDP) after cilta-cel. Patient 1 presented with rapidly progressive gait ataxia, flaccid paraparesis, and oculomotor palsy 112 days post infusion; Patient 2 developed an analogous syndrome on day 19. In both patients, electromyography and nerve-conduction studies confirmed sensorimotor axonal-demyelinating neuropathy; brain MRI and CSF infection panels were unremarkable. CAR-T cells were detectable in blood and CSF, yet a predominance of CD8⁺ non-CAR-Tcells was observed. TCR-β sequencing revealed a hyper-expanded clone ( 30
KW - Humans
KW - Polyradiculoneuropathy, Chronic Inflammatory Demyelinating: etiology
KW - Polyradiculoneuropathy, Chronic Inflammatory Demyelinating: diagnosis
KW - Male
KW - Middle Aged
KW - Immunotherapy, Adoptive: adverse effects
KW - Female
KW - Aged
LB - PUB:(DE-HGF)16
C6 - pmid:41115887
DO - DOI:10.1038/s41408-025-01384-9
UR - https://inrepo02.dkfz.de/record/305463
ER -