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drug_type
RELEVANT_DRUG
intervention_type
cellular therapy (CD19-directed CAR T cells)
drug_description
Autologous CD19-directed CAR T-cell therapy composed of defined CD4+ and CD8+ T-cell subsets to target malignant B cells.
nci_thesaurus_concept_id
C125192
nci_thesaurus_preferred_term
Lisocabtagene Maraleucel
nci_thesaurus_definition
A preparation of a defined ratio of CD4+ and CD8+ autologous T-lymphocytes transduced with a lentiviral vector expressing a chimeric antigen receptor (CAR) containing an anti-CD19 single chain variable fragment (scFv) fused to the signaling domain of 4-1BB (CD137), the zeta chain of the TCR/CD3 complex (CD3-zeta), and a truncated form of the human epidermal growth factor receptor (EGFRt), with potential immunostimulating and antineoplastic activities. Upon intravenous administration, lisocabtagene maraleucel is directed to and induces selective toxicity in CD19-expressing tumor cells. CD19 antigen is a B-cell specific cell surface antigen expressed in all B-cell lineage malignancies. Devoid of both ligand binding domains and tyrosine kinase activity, the expressed EGFRt both facilitates in vivo detection of the administered, transduced T-cells and can promote elimination of those cells through a cetuximab-induced antibody dependent cellular cytotoxicity (ADCC) response. The 4-1BB costimulatory signaling domain enhances both proliferation of T-cells and antitumor activity.
drug_mesh_term
Lisocabtagene Maraleucel
drug_category
CAR T
drug_class
Cellular Therapy
drug_delivery_route
Intravenous
drug_mechanism_of_action
Autologous CD4+ and CD8+ T cells are engineered with a lentiviral vector to express a CD19-specific chimeric antigen receptor containing an anti-CD19 scFv, 4-1BB costimulatory domain, and CD3-zeta signaling domain. Upon binding CD19 on B-cell malignancies, the CAR activates T-cell cytotoxicity and proliferation to kill target cells. A truncated EGFR tag enables in vivo tracking and potential cetuximab-mediated elimination of the infused cells.
drug_name
Lisocabtagene maraleucel
nct_id_drug_ref
NCT05934448