Engineering Improved CAR T Cell Products with A Multi‐Cytokine Particle Platform for Hematologic and Solid Tumors

Sarwish Rafiq · 2024-02-14

Abstract

Despite the remarkable clinical efficacy of chimeric antigen receptor (CAR) T cells in hematological malignancies, only a subset of patients achieves a durable complete response (dCR). DCR has been correlated with CAR T cell products enriched with T cells memory phenotypes. Therefore, reagents that consistently promote memory phenotypes during the manufacturing of CAR T cells have the potential to significantly improve clinical outcomes. A novel modular multi‐cytokine particle (MCP) platform is developed that combines the signals necessary for activation, costimulation, and cytokine support into a single “all‐in‐one” stimulation reagent for CAR T cell manufacturing. This platform allows for the assembly and screening of compositionally diverse MCP libraries to identify formulations tailored to promote specific phenotypes with a high degree of flexibility. The approach is leveraged to identify unique MCP formulations that manufacture CAR T cell products from diffuse large B cell patients   with increased proportions of memory‐like phenotypes MCP‐manufactured CAR T cells demonstrate superior anti‐tumor efficacy in mouse models of lymphoma and ovarian cancer through enhanced persistence. These findings serve as a proof‐of‐principle of the powerful utility of the MCP platform to identify “all‐in‐one” stimulation reagents that can improve the effectiveness of cell therapy products through optimal manufacturing.

Institutions
Funding

St. Baldrick's Foundation

Research Grant 641261

NIGMS NIH HHS

T32 GM142617

U.S. Department of Defense

Idea Award W81XWH-19-1-0420

NCI NIH HHS

P30 CA138292

Georgia Clinical and Translational Science Alliance

UL1-TR002378

NCATS NIH HHS

UL1 TR002378

Leukemia and Lymphoma Society

TRP Award # 0000067358

American Society of Hematology

Minority Recruitment Initiative

U.S. Department of Defense

Idea Award W81XWH‐19‐1‐0420

Georgia Clinical and Translational Science Alliance

UL1‐TR002378