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drug_type
RELEVANT_DRUG
intervention_type
Cellular immunotherapy (CAR T cells)
drug_description
CRISPR-edited, allogeneic anti-BCMA CAR T-cell therapy engineered from donor T cells to target BCMA on malignant plasma cells and induce T-cell–mediated cytotoxicity.
nci_thesaurus_concept_id
C199479
nci_thesaurus_preferred_term
Allogeneic CRISPR-edited Anti-BCMA CAR-T Cells CB-011
nci_thesaurus_definition
A preparation of allogeneic, off-the-shelf T-lymphocytes genetically modified and clustered regularly interspaced short palindromic repeats (CRISPR)-edited to contain a deletion of the TRAC gene, a site-specific insertion of a chimeric antigen receptor (CAR) specific for the tumor-associated antigen (TAA) B-cell maturation antigen (BCMA; tumor necrosis factor receptor superfamily member 17; TNFRSF17) into the TRAC gene, a deletion of the B2M gene, and a site-specific insertion of a gene encoding a B2M-HLA-E-peptide fusion into the B2M gene, with potential immunostimulating and antineoplastic activities. Upon administration, the allogeneic CRISPR-edited anti-BCMA CAR-T cells CB-011 recognize and bind to BCMA-expressing tumor cells. This may result in a specific cytotoxic T-lymphocyte (CTL)-mediated killing of BCMA-positive tumor cells. Knock out of the TRAC gene eliminates the endogenous T-cell receptors (TCRs), thereby preventing graft-versus-host disease (GvHD). The B2M protein is removed to eliminate endogenous HLA class I expression on the surface of the CB-011 CAR-T cells, which protects the CAR-T cells from host T-cell rejection. The B2M-HLA-E fusion protein is inserted to protect the CAR-T cells from host natural killer (NK) cell rejection. BCMA, a receptor for both a proliferation-inducing ligand (APRIL) and B-cell activating factor (BAFF), is a member of the tumor necrosis factor receptor superfamily (TNFRSF). BCMA is found on the surfaces of plasma cells, is overexpressed on malignant plasma cells and plays a key role in plasma cell proliferation and survival.
drug_mesh_term
Chimeric Antigen Receptor T-Cell Therapy
drug_category
CAR T
drug_class
Cellular Therapy
drug_delivery_route
Intravenous
drug_mechanism_of_action
CRISPR-edited, allogeneic T cells engineered with an anti-BCMA chimeric antigen receptor bind BCMA on malignant plasma cells, triggering T‑cell activation and cytotoxic killing. TRAC knockout removes endogenous TCR to reduce graft‑versus‑host disease, while B2M knockout and insertion of a B2M–HLA‑E fusion minimize host T- and NK‑cell rejection, enhancing persistence and antitumor activity.
drug_name
CB-011
nct_id_drug_ref
NCT05722418