…once the [CAR-T] switch is activated, I'd imagine there would be a switch to a non-CAR-T treatment. Why is that not realistic IYO?
Since the hypothetical CAR-T in question was presumably not a first-line treatment, we’re talking about switching a patient who had an SAE from CAR-T to a third- or fourth-line non-CAR-T regimen. In the hematological malignancies where CAR-T is being attempted, it seems like a stretch to think that a patient is likely to have a long-term remission on the third or fourth try, using a lower-tech treatment option.
In other words, the CAR-T switch that’s the subject of this thread probably does more good for the drug vendor (by saving its reputation) than it does for the patient, IMO.
“The efficient-market hypothesis may be the foremost piece of B.S. ever promulgated in any area of human knowledge!”