CAR T-Cell Therapy

What is CAR T-Cell Therapy

What is CAR T-Cell Therapy

CAR T-cell therapy is a type of cancer immunotherapy that targets and combats cancer by enabling the body's immune system to identify, locate, and destroy cancer cells.

At SJMC, we conduct clinical trials for CAR T-cell therapy that is customised depending on each individual patient. The process starts by collecting T cells-specific white blood cells that can recognise and destroy abnormal cells. These cells are then enhanced by adding a new type of receptor known as a chimeric antigen receptor (CAR). This modification significantly improves your immune system's ability to find and eliminate cancer cells.

As a leading oncology centre in Malaysia, whether you seek for a second opinion or more advanced treatment options, contact us to discuss whether CAR T-cell therapy is suitable for you and learn how we can assist in advancing your care journey.

Types of Cancers treated by CAR T-Cell Therapy

CAR T-cell therapy can be very helpful in treating some types of cancer, even when other treatments are no longer effective.

Leukaemia

Targets relapsed or refractory B cell Acute Lymphoblastic Leukaemia (ALL) in both children and adults.

Lymphoma

Targets relapsed or refractory Non-Hodgkin Lymphomas (NHL), including specific types like Diffuse Large B Cell Lymphoma (DLBCL) and High-Grade B Cell Lymphoma.

Multiple Myeloma

A cancer of plasma cells - a type of white blood cells made in the bone marrow that play a crucial role in immune defence by creating antibodies.

The Process Steps of CAR T-Cell Therapy

If CAR T-cell therapy is deemed a suitable option for you by your doctor, the following are the steps you will undergo:

Leukapheresis

Step 1:
Leukapheresis

A process that separates & collects specific blood components, such as T cells, from your blood. It is also known as apheresis and typically, it lasts between 2 to 3 hours.

Cell Modification

Step 2:
Cell Modification

These T cells are then sent to the lab where they are genetically modified to add a chimeric antigen receptor (CAR). These cells are now called CAR T cells.

Cell Multiplication

Step 3:
Cell Multiplication

The CAR T cells are grown and multiplied in the lab until there are millions of them.

Preparation CAR T-Cell

Step 4:
Preparation

Before reinfusing the CAR T cells, you may undergo chemotherapy to prepare your body for the treatment, creating a more receptive environment for the modified T cells.

CAR T-Cell Infusion

Step 5:
CAR T-Cell Infusion

The multiplied CAR T cells will then be infused back to your bloodstream. This usually takes about 1 hour.

Monitoring and Follow-up

Step 6:
Monitoring and Follow-up

After the CAR T-cell therapy infusion, you will be monitored closely by our healthcare team for possible side effects and response to the therapy, this could necessitate an extended stay in the hospital and subsequent follow-up appointments, with the frequency will be decided by the healthcare team.

The Side Effects of CAR T-Cell Therapy

While this powerful approach targets cancer cells, it's important to note that it may also affect healthy cells, leading to some side effects as listed below.

These side effects necessitate close monitoring and supportive care to manage and mitigate potential risks associated with CAR T-cell therapy.

Cytokine Release Syndrome (CRS)

  • Dyspnea (shortness of breath)
  • Fever
  • Low blood pressure
  • Rarely, heart or lung issues

Neurological Issues

  • Aphasia (difficulty speaking)
  • Balance problems
  • Confusion
  • Dysgraphia (difficulty writing)
  • Headache
  • Seizures
  • Tremors or twitching

Other Potential Side Effects

  • Allergic reactions during infusion
  • Fatigue
  • Increased bruising or bleeding
  • Hypokalaemia (low levels of potassium)
  • Hyponatremia (low sodium levels)
  • Increased risk of infection

Who Would Benefit from CAR T-Cell Therapy?

  • This therapy is specifically designed for patients who have tried standard cancer treatments, including chemotherapy, radiation, stem cell, or bone marrow transplants, or for those whose cancer has recurr
  • If you or a loved one falls into this category, CAR T-cell therapy might represent a viable next step in your treatment journey. Book an appointment with our specialist to determine your eligibility for this therapy via clinical trials.

CAR T-Cell Therapy: The SJMC Advantage

CAR T-Cell Therapy:
The SJMC Advantage

  • Extensive treatment options for complex cancers
    We caters to a wider range of patient needs, offering customised therapy options to match every unique case.
  • Experienced Oncology Team
    Being an award-winning hospital and accredited with ACHSI, our cancer care team consists of highly skilled professionals dedicated to maintaining exceptional standards in Malaysia.
  • Personalised attention and education
    At SJMC, patients receive one-to-one attention and comprehensive education about their treatment, ensuring they feel informed and supported every step of the way.
  • Cost effective & convenient
    Choosing SJMC for treatment means accessing high-quality care at a more affordable cost than overseas options like in Singapore, combined with the ease of receiving care closer to home.
CAR T-Cell Therapy: The SJMC Advantage

Make an appointment with our Haematologists

Dr Alan Teh Kee Hean

Designation
Consultant Haematologist
Specialty
Haematology

Dr Mohd Haris Fadzillah Bin Abdul Rahman

Designation
Consultant Physician and Haematologist
Specialty
Haematology

Dr Ng Soo Chin

Designation
Consultant Haematologist
Specialty
Haematology

Dr Xavier Sim Yoon Han

Designation
Consultant Haematologist
Specialty
Haematology