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drug_type
RELEVANT_DRUG
intervention_type
Cellular therapy (CAR T)
drug_description
Autologous gene-modified T cells expressing a chimeric antigen receptor targeting CD56 (NCAM1) with a PD-1 signal-conversion module to overcome PD-1/PD-L1–mediated inhibition and enhance cytotoxicity against CD56-positive tumor cells.
nci_thesaurus_concept_id
C178587
nci_thesaurus_definition
A preparation of allogeneic T-lymphocytes that have been transduced with a lentiviral vector to express a chimeric antigen receptor (CAR) consisting of a humanized anti-CD5 single chain variable fragment (scFv) domain linked to a interleukin (IL)-15/IL-15sushi domain and a safety switch, with potential immunostimulating and antineoplastic activities. Upon administration, the allogeneic anti-CD5-IL-15/IL-15sushi-safety switch CAR T cells target and bind to CD5-expressing tumor cells, thereby inducing selective cytotoxicity in CD5-expressing tumor cells. The IL-15/IL-15sushi domain activates and increases the levels of natural killer (NK) cells and memory CD8+ T-cells. The memory T-cells enhance the secretion of the cytokine interferon-gamma (IFN-g), which further potentiates the immune response against tumor cells. This may increase tumor cell killing and decrease tumor cell proliferation. The pro-survival cytokine IL-15 regulates CD8+ T and NK cell development, activation and proliferation. The safety switch, composed of two rituximab (RTX)-binding epitope sites, allows for the selective elimination of the CAR-T cells through the administration of RTX. CD5, a T-cell associated antigen, is expressed in many T-cell lymphomas and leukemias.
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
Autologous T cells genetically engineered to express a chimeric antigen receptor that binds CD56 (NCAM1), triggering T‑cell activation and cytotoxic killing of CD56‑positive tumor cells; incorporates a PD‑1 signal‑conversion module that transforms PD‑1/PD‑L1 inhibitory signals into activating signals to enhance antitumor activity and persistence.
drug_name
Anti-CD56 CAR T cells
nct_id_drug_ref
NCT05941156