drug_type
RELEVANT_DRUG
intervention_type
Cellular therapy (autologous CAR T cells)
drug_description
Autologous, gene-modified Tmod logic-gated CAR T-cell therapy with an MSLN-targeting activating receptor and an HLA-A*02–specific inhibitory receptor, designed to selectively kill mesothelin-positive tumor cells with loss of HLA-A*02 while sparing normal tissues.
nci_thesaurus_concept_id
C202232
nci_thesaurus_preferred_term
Autologous Anti-MSLN CAR/HLA-A*02-gated Inhibitory Receptor/B2M shRNA-expressing T-lymphocytes A2B694
nci_thesaurus_definition
A preparation of autologous T-lymphocytes that have been transduced with a lentiviral vector expressing an activating chimeric antigen receptor (CAR) specific for the tumor-associated antigen (TAA) mesothelin (MSLN), a leukocyte immunoglobulin-like receptor 1 (LIR-1)-based inhibitory receptor specific for human leukocyte antigen (HLA)-A*02 (HLA-A*02), and a short hairpin RNA (shRNA) targeting beta-2 microglobulin (B2M; beta2M), with potential immunomodulating and antineoplastic activities. Upon administration, the autologous anti-MSLN CAR/HLA-A*02-gated inhibitory receptor/B2M shRNA-expressing T-lymphocytes A2B694 target and bind to MSLN-expressing tumor cells, thereby killing MSLN-expressing tumor cells that have loss of heterozygosity (LOH) for HLA-A*02 protein. The inhibitory receptor specific for HLA-A*02 acts as a self-regulated safety switch that blocks the killing of HLA-A*02-positive MSLN-expressing normal, healthy cells. HLA-A*02 is expressed on normal cells but not on tumor cells due to LOH. The B2M shRNA disrupts the expression of the B2M component of the HLA class I molecule. MSLN, a cell surface glycoprotein involved in cell adhesion, is overexpressed in a variety of cancer cell types.
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, gene‑modified logic‑gated CAR T cells with an MSLN‑targeting activating CAR and an HLA‑A*02–specific inhibitory receptor (Tmod) that enable killing of mesothelin‑positive tumor cells that have lost HLA‑A*02 while sparing HLA‑A*02–positive normal tissues; includes B2M shRNA to modulate HLA class I on the engineered T cells. Anti‑tumor effect via redirected T‑cell cytotoxicity (perforin/granzyme, cytokines).
drug_name
A2B694
nct_id_drug_ref
NCT06051695