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How do you envision incorporating CAR-T therapy into your clinical rheumatology practice?

This question is part of our collaboration with ACR Convergence 2026 to preview a session from this year's meeting. This question is inspired by the session series: "Cellular Immunotherapy: Are We on the Cusp of a Therapeutic Revolution in Rheumatology?
4 Answers
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Rheumatology · Cleveland Clinic
Answered on

This is an excellent question—one that, for now, might best be explored over a glass of white wine and some lively hand-waving. It’s a question I often find myself reflecting on every time I hear a presentation or read a new paper on the subject. Here’s a brief editorial response outlining how I env...

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Rheumatology · Uniformed Services University of the Health Sciences (USUHS)
Answered on

I agree with Dr. @Dr. First Last who gives a nice detailed answer. I'm very impressed with this technology. Over 43 patients with severe SLE have been treated with CAR-T and reported in the literature. Almost all went into a prolonged drug-free remission The 1st two from China post-BCMA/CD-19 CAR-T ...

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Rheumatology · University of Michigan
Answered on

I envision incorporating CAR-T therapy into clinical rheumatology by first identifying the right patient. At present, this would mean carefully selected patients with severe, refractory, or progressive autoimmune disease despite appropriate standard therapies, particularly those with organ-threateni...

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Rheumatology · Ohio State University
Answered on

I view CAR-T therapy much the way rheumatologists viewed infliximab (Remicade) in the late 1990s: not as the end of the story, but as the beginning of a new therapeutic era.

When Remicade was introduced, it transformed our ability to treat autoimmune disease. Yet its greatest contribution may have b...

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