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Bespoke individualised therapies – complex logistics
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Automated manufacture
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Expensive
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Allogeneic CAR-T
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Antigen escape relapses
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Targeting multiple antigens – single CAR construct, multiple CAR constructs, multiple cellular products
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Clinical challenges
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Durability of responses?
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Defining cell dose, optimal lymphodepletion
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Positioning in overall treatment pathway
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Optimal approach to limit or manage toxicities
CAR19: challenges