Advances in CAR-T and cellular therapy from EBMT 2020: MSCs, clinical trial updates and gene-edited effector cells
Oct 1, 2020
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Experts discuss recent updates in CAR-T and cellular therapy, including T cell engineering, CRISPR gene disruption, mesenchymal stem cells for COVID-19 pneumonia, and CAR-T cell therapy in challenging patient populations. They also analyze studies on CAR-T cell therapy, comparing management of toxicities, eligibility criteria, and durable responses. Additionally, they explore a comparison study between exocaptogen, CIBMTR, and T-stinlucil, and the potential of gene-edited effector cell therapy.
Advancements in CAR-T and cellular therapy include the use of mesenchymal stem cells for graft versus host disease and potential application in COVID-19 inflammatory disease.
Gene-edited effector cell therapy offers the potential to improve T-cell therapies by enhancing potency and creating off-the-shelf T-cells without graft-versus-host disease risk.
Deep dives
Advancements in Cellular Therapy for Hematological Malignancies
The podcast episode explores recent updates in CAR-T and cellular therapy for hematological malignancies. The first discussion focuses on the engineering of T cells and the use of mesenchymal stem cells for treating graft versus host disease (GVHD). The efficacy of CAR-T cell therapy and the use of CRISPR to disrupt genes are highlighted. Additionally, the potential application of mesenchymal stem cells in COVID-19 inflammatory disease is discussed. The second part of the podcast delves into CAR-T cell therapy for multiple myeloma, highlighting studies such as Karma, Cartitude 1, and Evolve that demonstrate high response rates and durable remission durations in a refractory patient population. Lastly, the podcast covers key clinical trials involving CAR-T cell therapy for refractory-diffuse large B-cell lymphoma, including Zuma1, Juliet, and Transcend studies, which show comparable durable responses and acceptable toxicity profiles.
The discussion focuses on gene-edited effector cell therapy and its potential to improve T-cell therapies. The benefits of editing out specific genes, such as CD7, to enhance CAR T-cell potency are explored. The potential for removing inhibitory receptors and creating off-the-shelf T-cells without graft-versus-host disease risk is also discussed. The researchers emphasize the endless possibilities for engineering T-cells and highlight the future potential of off-the-shelf cell products for greater flexibility and efficacy in gene editing.
Advancements in CAR-T and Cellular Therapy for Hematological Malignancies
The podcast episode covers recent advancements in CAR-T and cellular therapy for hematological malignancies. It discusses the engineering of T-cells, the use of mesenchymal stem cells for graft versus host disease (GVHD), and the potential application of mesenchymal stem cells in COVID-19 inflammatory disease. The second part focuses on CAR-T cell therapy for multiple myeloma, highlighting studies such as Karma, Cartitude 1, and Evolve, which show high response rates and durable remission durations in a refractory patient population. The final part discusses key clinical trials involving CAR-T cell therapy for refractory-diffuse large B-cell lymphoma, including Zuma1, Juliet, and Transcend studies, which demonstrate comparable durable responses and manageable toxicity profiles.
Cell therapy involves the transplantation of viable cells into a patient in order to trigger a medicinal effect. CAR-T is a popular form of cell therapy, specifically immunotherapy, that can use a patient’s own altered immune cells to fight cancer.
In this podcast, Annalisa Ruggeri, MD, of IRCCS OSpedale Pediatrico Bambino Gesu, Noopur Raje, MD, of Massachusetts General Hospital, Matthew Frigault, MD, of Massachusetts General Hospital, and Maksim Mamonkin, PhD, of Baylor College of Medicine discuss key updates and clinical trial results in the field of CAR-T and cellular therapies presented at EBMT 2020.