Chimeric antigen receptor (CAR) T-cell therapy is an innovative technology that has fundamentally changed approaches to treating certain forms of oncological diseases. The anticipated development of CAR T cell-based therapies in the near future is expected to broaden the range of therapeutic targets and holds the potential to decrease treatment costs, thereby expanding accessibility for a broader patient population. This review article provides an overview of the practical applications of CAR T-cell therapy in clinical settings, describes the global market for commercial CAR T-cell products and offers insights into the future landscape of CAR T-cell therapy. We focus on emerging therapies, novel targets and strategic approaches to improve treatment efficacy and reduce costs. Furthermore, we discuss the progress of CAR T-cell therapy in Russia, where this type of therapy is in the early stages of development but already demonstrates promising potential. © 2024 The HealthBook Company Ltd. All rights reserved.