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Armoring chimeric antigen receptor (CAR) T cells as micropharmacies for cancer therapy 装甲嵌合抗原受体(CAR) T细胞作为癌症治疗的微药物。
Pub Date : 2024-12-01 DOI: 10.1016/j.iotech.2024.100739
C. Carcopino , E. Erdogan , M. Henrich , S. Kobold
Chimeric antigen receptor (CAR)-T-cell therapy has emerged as a powerful weapon in the fight against cancer. However, its efficacy is often hindered by challenges such as limited tumor penetration, antigen escape, and immune suppression within the tumor microenvironment. This review explores the potential of armored CAR-T cells, or ‘micropharmacies’, in overcoming these obstacles and enhancing the therapeutic outcomes of adoptive T-cell (ATC) therapy. We delve into the engineering strategies behind these advanced therapies and the mechanisms through which they improve CAR-T-cell efficacy. Additionally, we discuss the latest advancements and research findings in the field, providing a comprehensive understanding of the role of armored CAR-T cells in cancer treatment. Ultimately, this review highlights the promising future of integrating micropharmacies into ATC therapy, paving the way for more effective and targeted cancer treatments.
嵌合抗原受体(CAR)- t细胞疗法已成为对抗癌症的有力武器。然而,其疗效经常受到肿瘤渗透有限、抗原逃逸和肿瘤微环境内免疫抑制等挑战的阻碍。这篇综述探讨了装甲CAR-T细胞或“微药物”在克服这些障碍和提高过继t细胞(ATC)治疗效果方面的潜力。我们深入研究了这些先进疗法背后的工程策略,以及它们提高car - t细胞疗效的机制。此外,我们还讨论了该领域的最新进展和研究成果,全面了解了装甲CAR-T细胞在癌症治疗中的作用。最后,本综述强调了将微药整合到ATC治疗中的前景,为更有效和更有针对性的癌症治疗铺平了道路。
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引用次数: 0
Adoptive cell therapy with tumor-infiltrating lymphocytes in combination with nivolumab in patients with advanced melanoma 肿瘤浸润淋巴细胞联合纳武单抗在晚期黑色素瘤患者中的过继细胞治疗。
Pub Date : 2024-12-01 DOI: 10.1016/j.iotech.2024.100728
D. König , B. Kasenda , M. Sandholzer , A. Chirindel , A. Zingg , R. Ritschard , H. Thut , K. Glatz , E.A. Kappos , D. Schaefer , C. Kettelhack , J. Passweg , K. Baur , A. Holbro , A. Buser , D. Lardinois , L.T. Jeker , N. Khanna , F. Stenner , M.S. Matter , H. Läubli

Background

Adoptive cell therapy (ACT) with tumor-infiltrating lymphocytes (TIL) is a personalized immunotherapy. The efficacy of TIL-ACT has been demonstrated prospectively in patients with advanced melanoma but is not limited to melanoma patients. Many patients are refractory to TIL-ACT, however, or their cancer becomes resistant. Combining anti-programmed cell death protein 1 (anti-PD-1) with TIL-ACT to antagonize the immunosuppressive tumor microenvironment may synergize to enhance the antitumor potential.

Material and methods

We set up the BaseTIL trial (NCT04165967), a single-center investigator-initiated phase I trial, to test feasibility and safety of TIL-ACT followed by PD-1 blockade in patients with advanced cutaneous melanoma with disease progression after at least one line of anti-PD-1. TIL-ACT included tumor collection, ex vivo TIL expansion, lymphodepletion with cyclophosphamide and fludarabine, TIL transfer, and in vivo TIL stimulation with interleukin 2 (125 000 IU/kg, 10 days). TIL-ACT was followed by nivolumab treatment for a maximum of 2 years. Nine patients were planned for inclusion.

Results

Between 2020 and 2022, we enrolled 11 patients and 9 underwent a TIL transfer (median transfused cell number: 66.25 × 109). Two patients did not start lymphodepletion. Nine patients received at least 1 dose of interleukin 2 (median number: 10; range, 1-10), seven started nivolumab (median number: 5; range, 2-23). All patients had hematologic adverse events (AEs). Most common non-hematologic AEs were fever and cytokine release syndrome. No nivolumab-associated AEs of ≥ grade 2 occurred. The objective response rate to TIL-ACT was 22% (2/9, 2 partial remission).

Conclusions

TIL-ACT with nivolumab is feasible and safe. Larger trials are needed to further determine the efficacy of this combination.
背景:肿瘤浸润淋巴细胞(TIL)过继细胞治疗(ACT)是一种个性化的免疫治疗方法。TIL-ACT在晚期黑色素瘤患者中的疗效已被证实,但并不局限于黑色素瘤患者。然而,许多患者对TIL-ACT是难治的,或者他们的癌症变得耐药。抗程序性细胞死亡蛋白1 (anti-PD-1)与TIL-ACT联合拮抗免疫抑制的肿瘤微环境,可协同增强抗肿瘤潜能。材料和方法:我们建立了BaseTIL试验(NCT04165967),这是一项单中心研究者发起的I期试验,旨在测试TIL-ACT随后PD-1阻断治疗在至少一种抗PD-1治疗后疾病进展的晚期皮肤黑色素瘤患者的可行性和安全性。TIL- act包括肿瘤收集、体外TIL扩增、环磷酰胺和氟达拉宾淋巴细胞清除、TIL转移和白细胞介素2 (125 000 IU/kg, 10天)在体内TIL刺激。在TIL-ACT治疗之后,纳武单抗治疗最多2年。计划纳入9例患者。结果:在2020年至2022年期间,我们纳入了11例患者,其中9例接受了TIL转移(输血细胞数中位数:66.25 × 109)。两名患者没有开始淋巴细胞清除。9例患者接受了至少1剂白介素2(中位数:10;范围,1-10),7人开始使用纳武单抗(中位数:5;范围,2-23)。所有患者均有血液学不良事件(ae)。最常见的非血液学ae是发热和细胞因子释放综合征。未发生与尼武单抗相关的≥2级不良事件。TIL-ACT的客观有效率为22%(2/ 9,2部分缓解)。结论:TIL-ACT联合纳武单抗是可行且安全的。需要更大规模的试验来进一步确定这种组合的疗效。
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引用次数: 0
69P Dose-dependent detrimental effect of proton pump inhibitors (PPIs) on clinical outcomes from immune checkpoint inhibitors (ICI) in patients (pts) with solid tumors
Pub Date : 2024-12-01 DOI: 10.1016/j.iotech.2024.100812
E. Speziale , L. Brunetti , V. Santo , M.G. Tucci , F. Spagnolo , R. Giusti , M. De Tursi , P. Queirolo , F. Zoratto , D.J. Pinato , M.G. Vitale , A. Inno , R. Chiari , R. Marconcini , M. Ghidini , S. Bracarda , A.J. Gelibter , F. Grossi , P.A. Ascierto , A. Cortellini
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引用次数: 0
36P Exploring the role of soluble B7-H3 (sB7-H3) as a biomarker to predict the clinical benefit and/or the occurrence of immune related adverse events (irAEs) in advanced cancer patients treated with immune checkpoint inhibitors (ICIs)
Pub Date : 2024-12-01 DOI: 10.1016/j.iotech.2024.100918
L. Liguori , G. Polcaro , V. Manzo , V. Pagliara , C. Ferrone , G. Cattaneo , E. Debellis , M. Cascella , A. Filippelli , V. Conti , S. Pepe , F. Sabbatino
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引用次数: 0
61P Optimized protocol for the accelerated production of dendritic cell-derived exosomes (DEXs): Achieving speed without compromising efficacy
Pub Date : 2024-12-01 DOI: 10.1016/j.iotech.2024.100872
R.E. Gutierrez , F. Gutierrez Castro , I. Rivadeneira , F. Krakowiak , J. Iturra , W. Dorado , R. Aguilera
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引用次数: 0
50P Phase I trial of P-MUC1C-ALLO1 allogeneic CAR-T cells in advanced epithelial malignancies
Pub Date : 2024-12-01 DOI: 10.1016/j.iotech.2024.100861
D. Oh , P. Vu , J.C. Baranda , J. Henry , I.I. Rodriguez Rivera , J.D. Eskew , R. Belani , M. Martinez-Prieto , J. McCaigue , H. Namini , S. Haag , D. Bauer , C. Martin , C. Gregovics , A. Murphy , J. Coronella , D.J. Shedlock , E.E. Dumbrava
{"title":"50P Phase I trial of P-MUC1C-ALLO1 allogeneic CAR-T cells in advanced epithelial malignancies","authors":"D. Oh ,&nbsp;P. Vu ,&nbsp;J.C. Baranda ,&nbsp;J. Henry ,&nbsp;I.I. Rodriguez Rivera ,&nbsp;J.D. Eskew ,&nbsp;R. Belani ,&nbsp;M. Martinez-Prieto ,&nbsp;J. McCaigue ,&nbsp;H. Namini ,&nbsp;S. Haag ,&nbsp;D. Bauer ,&nbsp;C. Martin ,&nbsp;C. Gregovics ,&nbsp;A. Murphy ,&nbsp;J. Coronella ,&nbsp;D.J. Shedlock ,&nbsp;E.E. Dumbrava","doi":"10.1016/j.iotech.2024.100861","DOIUrl":"10.1016/j.iotech.2024.100861","url":null,"abstract":"","PeriodicalId":73352,"journal":{"name":"Immuno-oncology technology","volume":"24 ","pages":"Article 100861"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143129093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
43P Machine learning radiomics based on CT to predict response to lenvatinib plus tislelizumab based therapy for unresectable hepatocellular carcinoma
Pub Date : 2024-12-01 DOI: 10.1016/j.iotech.2024.101003
G. Chen , C. Zheng , X. Xie , E. Zou , Y. Wang
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引用次数: 0
93P Pseudoprogression in immunotherapy: Illusion or reality? P-PIT study
Pub Date : 2024-12-01 DOI: 10.1016/j.iotech.2024.100836
A. Toulet , D. Vansteene , V. Seegers , F. Bigot , S. Guillemois , R. Delva , M. De Vries-Brilland
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引用次数: 0
31P Peripheral-blood Immune-predictors of pathological complete response in patients with triple-negative breast cancer undergoing neoadjuvant chemo-immunotherapy
Pub Date : 2024-12-01 DOI: 10.1016/j.iotech.2024.100913
C. Santoro , C. Valenza , G. Pellizzari , G. Antonarelli , D. Trapani , M. Milano , E. Munzone , G. Curigliano
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引用次数: 0
67MO Node-sparing modified short-course radiotherapy combined with CAPOX and tislelizumab in patients with MSS/pMMR locally advanced rectal cancer: A multicentre phase II trial (mRCAT)
Pub Date : 2024-12-01 DOI: 10.1016/j.iotech.2024.100810
Z. Song , C. Cai , X. Sun , W. Lao , D. Wang , X. Wang , H. Liu , W. Cui , J. Du , M. Chen , H. Wang
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引用次数: 0
期刊
Immuno-oncology technology
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