CAR-Based Immunotherapy of Solid Tumours-A Survey of the Emerging Targets

John Maher1,2,3, David M Davies3

  • 1CAR Mechanics Group, Guy's Cancer Centre, School of Cancer and Pharmaceutical Sciences, King's College London, Great Maze Pond, London SE1 9RT, UK.

Cancers
|February 25, 2023
PubMed

Insights

Chimeric antigen receptor (CAR) T-cell therapy shows promise for blood cancers but faces challenges in solid tumors. Further research into novel CAR targets is needed to improve efficacy and safety in solid tumor treatment.

Area of Science:

  • Oncology
  • Immunology
  • Biotechnology

Background:

  • CAR T-cell immunotherapy has transformed B-cell and plasma cell cancer treatment.
  • Solid tumors present significant challenges for CAR T-cell therapy compared to hematological malignancies.
  • Previous clinical trials targeting 30 antigens in solid tumors showed limited efficacy and notable toxicity.

Purpose of the Study:

  • To review preclinical data for approximately 60 additional CAR target antigens for solid tumors.
  • To identify promising candidates for future clinical evaluation in solid tumor immunotherapy.

Main Methods:

  • Literature review of preclinical data for potential CAR target antigens.
  • Analysis of existing clinical trial data for CAR T-cell therapy in solid tumors (from a partner review).

Main Results:

  • Efficacy of CAR T-cell therapy in solid tumors lags behind hematological malignancies.
  • Significant toxic events have been reported in clinical trials for solid tumors.
  • Preclinical data support the advancement of ~60 new CAR target candidates for solid tumors.

Conclusions:

  • CAR T-cell therapy for solid tumors requires further development and optimization.
  • Identifying and validating novel CAR targets is crucial for improving treatment outcomes.
  • Additional research into these 60 candidates may lead to more effective solid tumor immunotherapies.

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