CAR-T(CAR-T)细胞疗法在非肿瘤性疾病中的应用
Chimeric antigen receptor T (CAR-T) cell therapy in non-oncological diseases.
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:Best Practices and Considerations for Clinical Pharmacology and Pharmacometric Aspects for Optimal Development of CAR-T and TCR-T Cell Therapies: An Industry Perspective.
Best Practices and Considerations for Clinical Pharmacology and Pharmacometric Aspects for Optimal Development of CAR-T and TCR-T Cell Therapies: An Industry Perspective.
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凭借可能实现“单次给药治愈”的前景,CAR-T 细胞疗法为血液系统恶性肿瘤的治疗和管理带来了范式转变。CAR-T 和 TCR-T 细胞疗法在成功治疗实体瘤适应症方面也取得了巨大进展。该领域正在迅速发展,近期进展包括“现货型”异体 CAR-T 疗法的临床开发,这类疗法可以克服自体 CAR-T 疗法中漫长而艰难的“静脉到静脉”等待时间。在这些 CAR-T 和 TCR-T 细胞疗法的开发中,存在独特的临床药理学、药理学计量学、生物分析以及免疫原性方面的考量和挑战。
因此,为帮助加速这些拯救癌症患者生命的疗法的开发,该领域专家在国际药物开发创新与质量联盟(IQ)的框架下齐聚一堂,成立了临床药理学领导组(CPLG)与转化及 ADME 科学领导组(TALG)之间的联合工作组。在本白皮书中,我们呈现了 IQ 联盟关于 CAR-T 和 TCR-T 细胞疗法最佳开发中临床药理学和药理学计量学方面的最佳实践与考量的观点。
With the promise of a potentially "single dose curative" paradigm, CAR-T cell therapies have brought a paradigm shift in the treatment and management of hematological malignancies. Both CAR-T and TCR-T cell therapies have also made great progress toward the successful treatment of solid tumor indications. The field is rapidly evolving with recent advancements including the clinical development of "off-the-shelf" allogeneic CAR-T therapies that can overcome the long and difficult "vein-to-vein" wait time seen with autologous CAR-T therapies. There are unique clinical pharmacology, pharmacometric, bioanalytical, and immunogenicity considerations and challenges in the development of these CAR-T and TCR-T cell therapies.
Hence, to help accelerate the development of these life-saving therapies for the patients with cancer, experts in this field came together under the umbrella of International Consortium for Innovation and Quality in Pharmaceutical Development (IQ) to form a joint working group between the Clinical Pharmacology Leadership Group (CPLG) and the Translational and ADME Sciences Leadership Group (TALG).
In this white paper, we present the IQ consortium perspective on the best practices and considerations for clinical pharmacology and pharmacometric aspects toward the optimal development of CAR-T and TCR-T cell therapies.
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