drug_type
RELEVANT_DRUG
intervention_type
CAR T-cell therapy
drug_description
Autologous CD19-directed CAR T-cell therapy (with CD28 costimulation) that targets and kills CD19-positive malignant B cells.
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 engineered with a CD19-directed chimeric antigen receptor containing a CD28 costimulatory domain and CD3ζ signaling domain. After infusion, the CAR T cells bind CD19 on malignant B cells, become activated, expand, release cytokines, and kill target cells via perforin/granzyme–mediated cytotoxicity, eliminating CD19-positive tumors.
drug_name
Axicabtagene Ciloleucel
nct_id_drug_ref
NCT06550141