Alan Skarbnik, Director of the Lymphoma & CLL Program and Immune Effector Cell Therapeutics Program at Novant Health, shared a post on X:
“In the US we argue CAR-T vs bispecifics while 36% of Latin America fights for access to rituximab.
Let that sink in.
GELL Survey 2025 – 73 centers, 16 countries:
- 73% highly restricted access to bispecifics
- ~0% commercial CAR-T outside Brazil
- Only 15% have NGS
- Only 35% access to clinical trials
We’re having 2026 debates with early 2000s access.
The real question isn’t CAR-T vs bispecifics. It’s: how do we close this gap?
Sobering data presented by Miguel Canales here in Chile.”

Title: Access to diagnostics, therapies, and advanced care for lymphoma in Latin America: A multicenter, survey-based study
Authors: Perla R. Colunga-Pedraza, Héctor Alejandro Vaquera Alfaro, Alia Guadalupe Ordoñez Ayala, Carlos Emir Córdova Lucio, Alejandra De Las Fuentes, Laura Korin, Guilherme Perini, Luis Mario Villela Martinez, David Gomez-Almaguer, Henry Idrobo, Juan Rangel-Patiño, Myrna Candelaria, Denisse Castro, Brady Beltran, Fabiola Valvert, Ana Oliver, Camila Peña, Marialejandra Torres Viera, Alana von Glasenapp, Alfredo Quiroz, Rosa Rios Jimenez, Eliana Miranda, and Luis Malpica

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