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April 13, 2026Pediatric Blood & Cancer0 citationsOpen Access

Intravitreal GD2‐Specific Chimeric Antigen Receptor T‐Cell Therapy for Refractory Retinoblastoma

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SSSubongkoch SubhadhirasakulJSJatuporn SujjitjoonPYPa‐thai Yenchitsomanus

Key Points

  • To evaluate the safety and efficacy of GD2-specific CAR T-cell therapy for treating refractory retinoblastoma.
  • Administered two intravitreal injections of GD2-CAR T cells under compassionate use
  • Monitored patient for localized ocular inflammation and intraocular pressure
  • Conducted histopathological analysis of tumor tissue
  • Localized ocular inflammation developed post-injection but subsided
  • Increased intraocular pressure led to enucleation within 6 weeks
  • Histopathology revealed dense lymphocytic infiltration around the tumor

Abstract

ABSTRACT Effective treatments for advanced, treatment‐resistant retinoblastoma (RB) remain limited. GD2‐specific chimeric antigen receptor (CAR) T cells show potent antitumor activity with minimal toxicity but have not previously been evaluated in RB. Under compassionate use, a patient with refractory RB received two intravitreal GD2‐CAR T‐cell injections. Localized ocular inflammation developed around the tumor within 1 week, subsided, and recurred after the second injection. Elevated intraocular pressure required enucleation at 6 weeks. Histopathology demonstrated dense peritumoral lymphocytic infiltration without anterior segment involvement. Intravitreal GD2‐CAR T‐cell therapy was feasible, well tolerated, and induced localized immune activation and tumor regression, supporting further investigation.

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Cite This Study

Subhadhirasakul et al. (2026) studied this question.

synapsesocial.com/papers/69dc88d83afacbeac03eaa6dhttps://doi.org/10.1002/1545-5017.70334
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