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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.
Abstract:
Immunotherapy with CAR T-cells has revolutionised the treatment of B-cell and plasma cell-derived cancers. However, solid tumours present a much greater challenge for treatment using CAR-engineered immune cells. In a partner review, we have surveyed data generated in clinical trials in which patients with solid tumours that expressed any of 30 discrete targets were treated with CAR-based immunotherapy. That exercise confirms that efficacy of this approach falls well behind that seen in haematological malignancies, while significant toxic events have also been reported. Here, we consider approximately 60 additional candidates for which such clinical data are not available yet, but where pre-clinical data have provided support for their advancement to clinical evaluation as CAR target antigens.
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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