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. 2025 Jan 20;32(3):154–165. doi: 10.4078/jrd.2024.0122

Table 2.

Comparison between autologous CAR T-cell therapy and monoclonal antibodies in treatment of patients with SARDs

Autologous CAR T cells Monoclonal antibodies
Advantage Drug-free remission achieved through a single infusion
Deep tissue depletion efficacy
Relatively safe
Ready access without delay
Standardized output across multiple productions
Industrial-level production output
Disadvantage Serious side effects
Cytokine release syndrome
Immune effector cell-associated neurotoxicity syndrome
Severe infection associated with lymphodepletion pretreatment
High costs
Manufacturing complexity and time-consuming nature of production
Inconvenience of repeated administration
Persistent medication uses to sustain disease remission
Restricted therapeutic penetration beyond peripheral circulation

CAR: Chimeric Antigen Receptor, SARDs: systemic autoimmune rheumatic diseases.