drug_type
RELEVANT_DRUG
intervention_type
Cellular therapy (autologous CAR T-cell therapy)
drug_description
Autologous gene-modified T lymphocytes engineered to express a chimeric antigen receptor targeting B7-H3 (CD276), with an inducible caspase-9 (iC9) safety switch; designed to activate T-cell cytotoxicity against B7-H3–positive tumor cells.
nci_thesaurus_concept_id
C204924
nci_thesaurus_preferred_term
Autologous Anti-B7-H3 CAR-iC9-expressing T-lymphocytes
nci_thesaurus_definition
A preparation of autologous T-lymphocytes that have been genetically modified to express a chimeric antigen receptor (CAR) specific for the immunoregulatory protein B7-homologue 3 (B7-H3, CD276) and the suicide gene inducible caspase 9 (iCasp9 or iC9), with potential immunostimulating and antineoplastic activities. Upon administration, autologous anti-B7-H3 CAR-iC9-expressing T-lymphocytes specifically target and bind to B7-H3-expressing tumor cells, resulting in tumor cell lysis. B7-H3, a type I transmembrane protein and a member of the B7 co-stimulatory protein superfamily, is overexpressed on certain tumor cell types and on various immune cells. It is a negative regulator of T-cell activation and its overexpression plays a key role in tumor cell invasion and metastasis. The iCasp9 safety switch consists of a full-length caspase 9, including its caspase recruitment domain, linked to a human FK506 drug-binding domain with an F36V mutation (FKBP12-F36V). If the administered CAR T-cells lead to unacceptable side effects, the chemical homodimerizer AP1903 can be administered. AP1903 binds to the FKBP12-F36V drug-binding domain, activates caspase 9 and results in apoptosis of the administered CAR T-cells.
drug_mesh_term
Cell- and Tissue-Based Therapy
drug_category
CAR T
drug_class
Cellular Therapy
drug_delivery_route
Intravenous
drug_mechanism_of_action
Autologous T lymphocytes engineered to express a chimeric antigen receptor targeting B7-H3 (CD276). CAR engagement of B7-H3 on tumor cells triggers T-cell activation, cytokine release, and cytotoxic lysis of B7-H3–positive cells. The construct includes an inducible caspase-9 (iC9) safety switch that can be activated by a dimerizer (e.g., AP1903/rimiducid) to selectively ablate the infused CAR T cells if needed.
drug_name
iC9-CAR.B7-H3 T cells
nct_id_drug_ref
NCT06158139