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

利用多细胞因子颗粒平台工程化改进CAR T细胞产品,用于治疗血液肿瘤和实体瘤

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作者:Heather K Lin ,Biaggio Uricoli ,Ruby Freeman ,Akm Nawshad Hossian ,Zhulin He ,Ji Young L Anderson ,Milla Neffling ,Jonathan M Legier ,Dejah A Blake ,Deon B Doxie ,Remya Nair ,Jean L Koff ,Kavita M Dhodapkar ,Mala Shanmugam ,Erik C Dreaden ,Sarwish Rafiq

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.

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