drug_type
RELEVANT_DRUG
intervention_type
Cellular therapy (CAR T cells)
drug_description
Autologous anti-CD19 chimeric antigen receptor (CAR) T-cell therapy (axi-cel). Patient T cells are engineered to express a CD19-targeted CAR with CD28 costimulatory and CD3ζ signaling domains; given once at 2.0×10^6 CAR+ cells/kg as consolidation in high-risk large B-cell lymphoma.
nci_thesaurus_concept_id
C120309
nci_thesaurus_preferred_term
Axicabtagene Ciloleucel
nci_thesaurus_definition
A preparation of autologous peripheral blood T-lymphocytes (PBTL) that have been transduced with a gammaretoviral vector expressing a chimeric antigen receptor (CAR) consisting of an anti-CD19 single chain variable fragment (scFv) coupled to the costimulatory signaling domain CD28 and the zeta chain of the T-cell receptor (TCR)/CD3 complex (CD3 zeta), with potential immunostimulating and antineoplastic activities. Upon intravenous infusion and re-introduction of axicabtagene ciloleucel into the patient, these cells bind to and induce selective toxicity in CD19-expressing tumor cells. CD19 antigen is a B-cell specific cell surface antigen that is expressed in all B-cell lineage malignancies. CD3 zeta is one of several membrane-bound polypeptides found in the TCR/CD3 complex; it regulates both the assembly and cell surface expression of TCR complexes. CD28 is essential for CD4+ T-cell proliferation, interleukin-2 production, and T-helper type-2 (Th2) development.
drug_mesh_term
axicabtagene ciloleucel
drug_category
CAR T
drug_class
Cellular Therapy
drug_delivery_route
Intravenous
drug_mechanism_of_action
Autologous T cells are genetically engineered to express a CD19-directed chimeric antigen receptor containing a CD28 costimulatory and CD3ζ signaling domain. Upon binding CD19 on B-cell malignancies, the CAR T cells activate, proliferate, and mediate cytotoxicity (perforin/granzyme and cytokine-dependent killing), leading to elimination of CD19+ tumor cells and on-target B-cell aplasia.
drug_name
Axicabtagene ciloleucel
nct_id_drug_ref
NCT06609304