Umoja Biopharma, Seattle, WA.
Fred Hutchinson Cancer Center, Seattle, WA.
Blood. 2024 Aug 29;144(9):977-987. doi: 10.1182/blood.2024024523.
Chimeric antigen receptor (CAR) T-cell therapies have demonstrated transformative efficacy in treating B-cell malignancies. However, high costs and manufacturing complexities hinder their widespread use. To overcome these hurdles, we have developed the VivoVec platform, a lentiviral vector capable of generating CAR T cells in vivo. Here, we describe the incorporation of T-cell activation and costimulatory signals onto the surface of VivoVec particles (VVPs) in the form of a multidomain fusion protein and show enhanced in vivo transduction and improved CAR T-cell antitumor functionality. Furthermore, in the absence of lymphodepleting chemotherapy, administration of VVPs into nonhuman primates resulted in the robust generation of anti-CD20 CAR T cells and the complete depletion of B cells for >10 weeks. These data validate the VivoVec platform in a translationally relevant model and support its transition into human clinical testing, offering a paradigm shift in the field of CAR T-cell therapies.
嵌合抗原受体 (CAR) T 细胞疗法在治疗 B 细胞恶性肿瘤方面显示出了变革性的疗效。然而,高昂的成本和复杂的制造工艺阻碍了它们的广泛应用。为了克服这些障碍,我们开发了 VivoVec 平台,这是一种能够在体内产生 CAR T 细胞的慢病毒载体。在这里,我们描述了将 T 细胞激活和共刺激信号以多结构域融合蛋白的形式整合到 VivoVec 颗粒 (VVPs) 的表面上,并显示出增强的体内转导和改善的 CAR T 细胞抗肿瘤功能。此外,在没有淋巴清除化疗的情况下,将 VVPs 给药到非人类灵长类动物体内,导致抗 CD20 CAR T 细胞的大量产生,并使 B 细胞完全耗竭超过 10 周。这些数据在转化相关模型中验证了 VivoVec 平台的有效性,并支持其进入人体临床测试,为 CAR T 细胞治疗领域带来了范式转变。
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