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CAR-T Therapy in Multiple Myeloma

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About this Podcast:

An expert-led discussion on the transformative role of CAR-T therapy in treating relapsed multiple myeloma. We explore the clinical journey from patient selection to managing toxicities, while addressing the critical challenges of affordability, infrastructure, and indigenous manufacturing within the Indian healthcare ecosystem.

About the guest:

Dr. Mallikarjun Kalashetty is a senior clinician and leader in hematological malignancies, stem cell transplantation, and cellular therapy, with extensive experience translating advanced therapies from global research into real-world clinical practice in India.

Episode overview:

In this episode of The Cure Circle, host Dr. Smita Karpate is joined by Dr. Mallikarjun Kalashetty, Head of Clinical Hematology, Hemato-Oncology, Bone Marrow Transplantation, and Cellular Therapy at Manipal Hospitals, Bengaluru.

Multiple myeloma remains one of the most complex and relentless blood cancers, treatable, but rarely curable. While modern drug combinations and stem cell transplants have extended survival, relapse is inevitable for most patients. This is where CAR-T therapy is redefining the landscape.
Drawing directly from real clinical experiences and translational research, this episode explores how immune cells can be reprogrammed to last longer, fight harder, and potentially change survival outcomes for patients with advanced cancers.
The conversation moves beyond hype into reality: patient selection, treatment timelines, toxicities, infrastructure needs, and the stark contrast between global breakthroughs and Indian access. From cytokine release syndrome to long-term immune suppression, from affordability to indigenous CAR-T manufacturing, this episode offers a grounded, clinician’s view of what it truly takes to deliver cellular therapy safely and effectively.

More importantly, it asks the bigger question: Is CAR-T a final solution—or a stepping stone toward the next generation of cell-based therapies?

In this episode, Dr. Kalashetty and Dr. Karpate discuss:

  • Why relapse is inevitable in multiple myeloma and how CAR-T changes outcomes in triple-class refractory disease
  • Who qualifies for CAR-T therapy and when it should be considered in the treatment journey
  • How CAR-T compares to chemotherapy, immunotherapy, and stem cell transplantation
  • Real-world toxicities like cytokine release syndrome (CRS) and neurotoxicity—and how clinicians manage them
  • Why CAR-T can be safer than transplant for select “CAR-fit but transplant-unfit” patients
  • The current status of CAR-T availability in India, including DCGI-approved products
  • Cost realities: India vs global benchmarks and what affordability truly enables
  • Infrastructure, training, and ecosystem gaps that innovators and startups must solve
  • Whether CAR-T is the endgame or a foundation for allogeneic, dual-target, and next-gen cellular therapies
What began as a routine pharma dinner in 2011 where Prof. Schelkar first heard about CTLA-4 checkpoint antibodies became the moment that redirected his scientific career. Today, he is pioneering approaches that go beyond receptor design and focus on something deeper: T-cell fitness and stem-like memory T cells (TSCM) capable of renewing themselves and sustaining anti-tumor activity.

The Cure Circle continues to bring together clinicians, researchers, industry leaders, and innovators to discuss not only what is possible in cell and gene therapy—but what is necessary to make it accessible, ethical, and impactful.

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