drug_type
RELEVANT_DRUG
intervention_type
Biological (CAR T‑cell therapy)
drug_description
An autologous anti‑CD19 CAR T‑cell therapy (Breyanzi; liso‑cel) composed of CD4+ and CD8+ T cells with a 4‑1BB costimulatory domain, targeting CD19+ malignant 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 engineered to express an anti‑CD19 chimeric antigen receptor with 4‑1BB costimulation and CD3ζ signaling. Upon infusion, the CAR T cells bind CD19 on malignant B cells, become activated, expand, and mediate cytotoxic killing and cytokine release to eliminate CD19+ tumor cells; the 4‑1BB domain enhances T‑cell proliferation and persistence. A truncated EGFR tag enables in vivo tracking and potential elimination of the cells if needed.
drug_name
Lisocabtagene maraleucel
nct_id_drug_ref
NCT05873712