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drug_type
RELEVANT_DRUG
intervention_type
Cellular therapy
drug_description
Autologous engineered T-cell therapy with a logic-gate circuit to recognize PSMA and CA9; CAR-like activation enabling targeted cytotoxicity against clear-cell renal cell carcinoma. Administered as a single IV infusion; designed to enhance tumor specificity and reduce off-tumor toxicity.
nci_thesaurus_concept_id
C204206
nci_thesaurus_preferred_term
Autologous PSMA-inducible Anti-CA9 CAR T-cells AB-2100
nci_thesaurus_definition
A preparation of autologous T-lymphocytes that have been modified to encode a genetic circuit consisting of a priming receptor that induces the expression of a chimeric antigen receptor (CAR) specific for the tumor-associated antigen (TAA) carbonic anhydrase IX (CAIX; carbonic anhydrase 9; CA9; G250) upon binding to the TAA prostate-specific membrane antigen (PSMA), and a microRNA-adapted short hairpin RNA (shRNA-miR) module targeting Fas (FAS; CD95; APO-1; tumor necrosis factor receptor superfamily member 6; TNFRSF6) and human transforming growth factor beta (TGF-beta) receptor II (TGFbRII; TGFBR2), with potential immunomodulating and antineoplastic activities. Upon administration, autologous PSMA-inducible anti-CA9 CAR T-cells AB-2100 target and bind to PSMA expressed on tumor cells and in tumor-associated neovasculature, and induce the expression of anti-CA9 CAR, thereby killing PSMA- and CA9-expressing tumor cells. The downregulation of the expression of Fas by the shRNA-miR prevents Fas-mediated apoptosis of the AB-2100 T-cells in the tumor microenvironment (TME). The downregulation of the expression of TGFbRII abrogates TGF-beta-mediated immunosuppression in the TME. PSMA is expressed on the membrane of prostatic epithelial cells and overexpressed on prostate tumor cells as well as in a variety of other tumors, including renal cell carcinomas. CA9 is a member of the carbonic anhydrase family that is found in a majority of renal cell carcinomas while absent in most normal tissues. AB-2100 T-cells have also been engineered to include a constitutive synthetic pathway activator that increases signal transducer and activator of transcription 3 (STAT3) signaling, thereby promoting T-cell cytotoxicity and expansion.
drug_mesh_term
Chimeric Antigen Receptor T-Cell Immunotherapy
drug_category
CAR T
drug_class
Cellular Therapy
drug_delivery_route
Intravenous
drug_mechanism_of_action
Autologous T cells engineered with a PSMA-inducible anti-CA9 CAR (logic-gate circuit). Engagement of PSMA triggers expression of an anti-CA9 CAR, enabling CAR-like activation and cytotoxic killing of PSMA/CA9-expressing tumor cells. Embedded shRNA-miR modules downregulate Fas and TGFβRII to resist apoptosis and TGF-β–mediated immunosuppression, and a constitutive activator enhances STAT3 signaling to promote T-cell expansion and function, improving specificity and reducing off-tumor toxicity.
drug_name
AB-2100
nct_id_drug_ref
NCT06245915