Treatment journey

Get an overview of your patients’ CAR-T treatment journey and learn how to identify patients suitable for CAR-T therapy, refer more efficiently and address needs and concerns of your patients already in treatment.

REFERRING HOSPITAL

Selection of patients

referring hospital: Referring hospital: haematologist and oncologist

  • Assessing whether the patient is eligible and suitable for CAR T treatment with YESCARTA® in DLBCL 
  • Informing the patient about CAR T treatment with YESCARTA®
  • and managing expectations before referral  
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Referral

referring hospital: Referring hospital: haematologist, oncologist, and administrative personnel

  • Referring the patient to a hospital qualified in YESCARTA®/TECARTUS® treatment
  • Seeking approval for the prescription of YESCARTA®/TECARTUS®
  • Consideration of bridging therapy for the patient
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TREATING HOSPITAL
Weeks

Pre-Leukapheresis

treating hospital: Treating hospital: haematologist, oncologist, and nurse

  • Confirming patient suitability 
  • Collaboration of the multidisciplinary team 
  • Coordination with YESCARTA®/TECARTUS® manufacturer Kite  
  • Providing patients with information and managing expectations  
  • Planning leukapheresis  
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Weeks

Leukapheresis

treating hospital: Treating hospital: apheresis physician and nurse

  • Collecting the patient’s lymphocytes through leukapheresis
  • Packing the apheresis material for courier collection
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3 days

Post-leukapheresis

treating hospital: Treating hospital: haematologist and oncologist

  • Consideration of bridging therapy for the patient
  • Processing of the T cells and engineering of CAR T cells (YESCARTA®/TECARTUS®) by Kite
  • Coordination of the delivery date
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3 days

Conditioning treatment

treating hospital: Treating hospital: haematologist, oncologist, and nurse

  • Giving the patient lymphodepleting chemotherapy
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3-4 hours

Yescarta/Tecartus infusion

treating hospital: Treating hospital: haematologist, oncologist, and cell therapy facility

  • Risk management of CRS and neurological events
  • Checking patient health and providing information before infusion
  • Pre-medicating the patient before infusion
  • Checking and preparing the YESCARTA®/TECARTUS® infusion
  • Performing the infusion
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Ca. 14 days

Monitoring at hospital

treating hospital: Treating hospital: haematologist, oncologist, and nurse

  • Daily monitoring to Day 7
  • Reporting adverse events
  • Instructing patients, relatives, and carers on adverse events
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TREATING HOSPITAL AND REFERRING HOSPITAL
5 years

Continued follow up

treating hospital and referring hospital: Treating hospital and referring hospital

  • Weekly phone calls from the CAR T treatment team
  • First assessment of tumour response
  • Handover to the referring physician
  • The schedule for follow-up appointments
  • Monitoring and reporting adverse events
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SE-TEC-0037 | 09/2024