The CAR T Access Crisis: Why Eligible Patients Aren’t Getting a Potentially Curative Therapy
Release Date: 05/13/2026
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In this episode of Bench to Bedside, Dr. Roy Jensen welcomes Dr. Joseph McGurk, division director of Hematologic Malignancies and Cellular Therapies at The University of Kansas Cancer Center, to discuss CAR T-cell therapy and the growing “CAR T crisis” in access. Dr. McGurk explains how CAR T is made from a patient’s own T cells and why it has produced unprecedented, potentially curative outcomes in blood cancers such as diffuse large B-cell lymphoma, leading to FDA approvals in second- and third-line settings. He shares national data showing only 25% of eligible second-line patients and...
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In this episode of the Bench to Bedside podcast, Dr. Roy Jensen, vice chancellor and director of The University of Kansas Cancer Center, speaks with Dr. Ronald Chen, chair of Radiation Oncology and associate director for Community Outreach and Engagement at KU Cancer Center. Dr. Chen shares his personal and professional journey from growing up in Topeka to Harvard and a career on the East Coast and back to Kansas, focusing on his motivation to return home and how his work impacts rural communities. He discusses his efforts in cancer care, telehealth and clinical trials, emphasizing the...
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info_outlineIn this episode of Bench to Bedside, Dr. Roy Jensen welcomes Dr. Joseph McGurk, division director of Hematologic Malignancies and Cellular Therapies at The University of Kansas Cancer Center, to discuss CAR T-cell therapy and the growing “CAR T crisis” in access. Dr. McGurk explains how CAR T is made from a patient’s own T cells and why it has produced unprecedented, potentially curative outcomes in blood cancers such as diffuse large B-cell lymphoma, leading to FDA approvals in second- and third-line settings. He shares national data showing only 25% of eligible second-line patients and 35% of eligible third-line patients receive CAR T, with access declining as distance from a treatment center increases. The conversation highlights barriers including referral patterns, education gaps, logistics, socioeconomic factors, and disparities, and outlines KU’s efforts to expand outreach, partner with community sites, and build infrastructure to improve timely evaluation and treatment.
00:00 Welcome and the CAR T Crisis
01:25 How CAR T works
05:00 Breakthrough results and approvals
06:52 The access gap data
10:16 Why delays are deadly
11:49 Barriers to referral and equity
17:31 Taking CAR T closer to home
19:37 What patients can do now
22:22 Rapid evaluation and parallel workflow
24:26 New cancer center and GMP expansion
28:46 Closing thoughts and resources
Links from this Episode:
- Learn more about CAR T treatment at KU Cancer Center
- Learn more about Dr. Joseph McGuirk
- Read Dr. McGuirk’s research “Real-world treatment patterns and survival outcomes in second and third line settings in large B-cell lymphoma (LBCL)”
- Read Dr. McGuirk’s article “Leading Oncologist Rings the Alarm Bell: ‘We Have a Crisis in Life-Saving Access to CAR T-Cell Therapy’
- Hear Dr. McGuirk talk about CAR T access on KCUR’s “Up to Date” podcast
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