决定异体 CAR T 细胞排斥与扩增的细胞和分子机制
Cellular and molecular mechanisms determining allogeneic CAR T cell rejection and expansion.
我们评估了11例接受单一批次cemacabtagene ansegedleucel(cema-cel)治疗的大B细胞淋巴瘤患者,cemacabtagene ansegedleucel是一种异体抗CD19 CAR T产品。
英文原题:An IQ Consortium Perspective on Best Practices for Bioanalytical and Immunogenicity Assessment Aspects of CAR-T and TCR-T Cellular Therapies Development.
An IQ Consortium Perspective on Best Practices for Bioanalytical and Immunogenicity Assessment Aspects of CAR-T and TCR-T Cellular Therapies Development.
过去十年间,CAR-T 疗法在临床上对血液系统恶性肿瘤显示出显著疗效,新的研究表明,在将这些新型疗法用于靶向实体瘤以及治疗自身免疫性疾病方面正在取得进展。
过去十年,CAR-T疗法在临床上治疗血液系统恶性肿瘤显示出显著疗效;新研究表明,这些新型疗法也正用于靶向实体瘤及治疗自身免疫性疾病。该领域的创新,包括TCR-T、异基因或“现货型”CAR-T,以及靶向自身抗原或经过功能增强的CAR-T,可能进一步拓展疗效和适应范围。这类细胞疗法具有独特属性——细胞来源于患者、在细胞内表达、可在体内扩增并发生表型改变——因此药代动力学和免疫原性评估面临独特的生物分析挑战。国际药物研发创新与质量联盟(IQ)转化及ADME科学领导组(TALG)召集业内专家,共同讨论和考量这些挑战。本白皮书介绍IQ联盟对于CAR-T和TCR-T细胞疗法开发中生物分析及免疫原性评估的最佳实践和重要考量的观点。
CAR-T therapies have shown remarkable efficacy against hematological malignancies in the clinic over the last decade and new studies indicate that progress is being made to use these novel therapies to target solid tumors as well as treat autoimmune disease. Innovation in the field, including TCR-T, allogeneic or "off the shelf" CAR-T, and autoantigen/armored CAR-Ts are likely to increase the efficacy and applications of these therapies. The unique aspects of these cell-based therapeutics; patient-derived cells, intracellular expression, in vivo expansion, and phenotypic changes provide unique bioanalytical challenges to develop pharmacokinetic and immunogenicity assessments. The International Consortium for Innovation and Quality in Pharmaceutical Development (IQ) Translational and ADME Sciences Leadership Group (TALG) has brought together a group of industry experts to discuss and consider these challenges. In this white paper, we present the IQ consortium perspective on the best practices and considerations for bioanalytical and immunogenicity aspects toward the optimal development of CAR-T and TCR-T cell therapies.
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