drug_type
RELEVANT_DRUG
intervention_type
Cellular therapy (CAR T cells)
drug_description
Autologous CD19-directed CAR T-cell therapy (Breyanzi) composed of defined CD4+ and CD8+ T cells engineered to express an anti-CD19 CAR, targeting and killing CD19+ B cells.
nci_thesaurus_concept_id
C125192
nci_thesaurus_preferred_term
Lisocabtagene Maraleucel
nci_thesaurus_definition
A preparation of a defined ratio of CD4+ and CD8+ autologous T-lymphocytes transduced with a lentiviral vector expressing a chimeric antigen receptor (CAR) containing an anti-CD19 single chain variable fragment (scFv) fused to the signaling domain of 4-1BB (CD137), the zeta chain of the TCR/CD3 complex (CD3-zeta), and a truncated form of the human epidermal growth factor receptor (EGFRt), with potential immunostimulating and antineoplastic activities. Upon intravenous administration, lisocabtagene maraleucel is directed to and induces selective toxicity in CD19-expressing tumor cells. CD19 antigen is a B-cell specific cell surface antigen expressed in all B-cell lineage malignancies. Devoid of both ligand binding domains and tyrosine kinase activity, the expressed EGFRt both facilitates in vivo detection of the administered, transduced T-cells and can promote elimination of those cells through a cetuximab-induced antibody dependent cellular cytotoxicity (ADCC) response. The 4-1BB costimulatory signaling domain enhances both proliferation of T-cells and antitumor activity.
drug_mesh_term
Lisocabtagene Maraleucel
drug_category
CAR T
drug_class
Cellular Therapy
drug_delivery_route
Intravenous
drug_mechanism_of_action
Autologous CD4+ and CD8+ T cells are engineered with a lentiviral vector to express an anti‑CD19 chimeric antigen receptor containing 4‑1BB costimulatory and CD3ζ signaling domains. Upon binding CD19 on B cells, the CAR activates T‑cell effector functions, leading to proliferation, cytokine release, and targeted lysis of CD19+ malignant B cells. A truncated EGFR tag enables in vivo tracking and potential elimination of the modified cells.
drug_name
Lisocabtagene maraleucel
nct_id_drug_ref
NCT05583149