Systemic sclerosis & Raynaud's

Anti-CD19 CAR-T cell therapy as rescue treatment in systemic sclerosis relapsing after autologous haematopoietic stem cell transplantation: a case series

Rheumatology (Oxford)Published Case series

Authors' conclusion

Anti-CD19 CAR-T therapy was well tolerated and associated with clinical and radiological improvement in SSc patients relapsing after AHSCT.

Study context

Population
Female patients with SSc relapsing after autologous haematopoietic stem cell transplantation (AHSCT) (relapse: Modified Rodnan skin score (mRSS) increase ≥25% or forced vital capacity (FVC) decrease ≥10%); mean age 50 ± 13 yearsof 30 AHSCT patients
Participants
3 patients
Outcome
Clinical response over 12 months
Follow-up
12 months
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Favourable clinical response with FVC improvement (≥10%) and ≥25% reduction in mRSS, with reduced ground-glass opacities on CT

2

No CAR-T expansion and no clinical response

1

Observational data: associations, not effects.

Safety

Adverse events

Mild, limited to grade 1 cytokine release syndrome and one line-related thrombosis
No long-term haematological toxicity

Original publication

Anti-CD19 CAR-T cell therapy as rescue treatment in systemic sclerosis relapsing after autologous haematopoietic stem cell transplantation: a case series. Rheumatology (Oxford). Published 4 April 2026. doi:10.1093/rheumatology/keag173

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