00:00The introduction of these new treatments in the field of lymphoma treatment has changed
00:11the therapeutic prospects for a consistent quota of patients.
00:17Let us remember that the new cases of lymphoma in Italy are every year more than 14,000.
00:23The results with the first line of treatment are particularly good.
00:28We treat more than 50% of patients,
00:31but in the field of the most aggressive group of these lymphomas,
00:35which are the large B-cell lymphomas, the primitive lymphoma of the mediastinum
00:39and the follicular lymphomas of grade 3,
00:42when there is no cure with the first treatment,
00:47there is an extremely compromised situation of prognosis
00:51with only a small percentage of patients who manage to obtain the cure.
00:57The revolution is precisely in this group of patients
01:00for whom we had extremely limited therapeutic prospects
01:06with an almost absence of probability of cure,
01:10today they manage to obtain certainly amazing results.
01:15If we look at the study, for example,
01:18the study TRASHEND, which was done with the isocell,
01:23we can see how the percentage of complete and partial remissions
01:30rises by 75%, but above all,
01:33there are more than 50% of patients who obtain a complete remission.
01:38Many of these complete remissions remain permanent,
01:43thus giving the idea of a definitive cure.
01:46Another significant advantage of this type of CAR-T
01:52is represented by the profile of toxicity.
01:55CAR-T often has significant side effects
01:58in terms of two syndromes, two strange diseases,
02:02the syndrome of release of cytokines,
02:04a neurological toxicity defined by ICANTS.
02:07Well, with this molecule, with the isocell,
02:12the toxicity is clearly reduced
02:19compared to the other CAR-T available.
02:21Lymphoma, I think we have already said it,
02:24roughly there are 2,500-3,000 patients a year
02:27who can possibly access CAR-T.
02:31I repeat, there are not only lymphomas with large B cells,
02:34but there are also other variants of lymphomas.
02:36As far as myeloma is concerned, the number of myeloma is lower.
02:40Overall, in Italy there are around 4,500-5,000 new cases,
02:45but we consider that it is an increasing pathology,
02:48therefore an increasing incidence.
02:50We also consider that myeloma in general is not a curable disease,
02:54so almost all patients are destined to receive
03:00a second, third and even fourth line treatment.
03:03So I'm not saying it's the whole population,
03:06but it's a very high percentage.
03:08The limits for myeloma to reach CAR-T
03:11are mainly represented by contraindications to treatment,
03:15because myeloma is a disease that mainly affects the elderly,
03:20so there could be a significant number of these patients
03:23who are not eligible for CAR-T,
03:25but I still believe that absolutely more than 50% of patients,
03:29perhaps 70%, can be eligible for CAR-T.
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