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Mesothelin-targeted CAR-T immunotherapy

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Intraperitoneal CAR T-cell therapy for peritoneal carcinomatosis from gastroesophageal cancer: preclinical investigations to a phase I clinical trial (NCT06623396). (PubMed, J Immunother Cancer)
Of note, intraperitoneal treatment also exhibits potency against distant disease sites. These findings provide a strong rationale for clinical translation; we are now conducting a clinical trial (NCT06623396) to evaluate intraperitoneal administration of M28z1XXPD1DNR CAR T cells in patients with gastroesophageal cancer peritoneal carcinomatosis.
P1 data • Preclinical • Journal • PD(L)-1 Biomarker
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PD-L1 (Programmed death ligand 1) • PD-1 (Programmed cell death 1) • MSLN (Mesothelin) • TGFB1 (Transforming Growth Factor Beta 1)
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PD-L1 expression
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ATA2271
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Mesothelin-targeted CAR T-cell Therapy in Patients With Mesothelioma (clinicaltrials.gov)
P1, N=14, Active, not recruiting, Memorial Sloan Kettering Cancer Center | Trial completion date: Sep 2025 --> Sep 2026 | Trial primary completion date: Sep 2025 --> Sep 2026
Trial completion date • Trial primary completion date • Checkpoint inhibition
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MSLN (Mesothelin)
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cyclophosphamide • ATA2271
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A Study to Evaluate the Safety and Efficacy of OPB-101 in Platinum-resistant Ovarian Cancer (clinicaltrials.gov)
P1, N=30, Recruiting, Outpace Bio, Inc. | Not yet recruiting --> Recruiting
Enrollment open • Platinum resistant
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New P1 trial
6ms
New trial
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cyclophosphamide • fludarabine IV • UCLM802
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A Study of TAK-103 in Adult With Solid Tumors (clinicaltrials.gov)
P1, N=2, Terminated, Takeda | Trial completion date: Oct 2027 --> Feb 2025 | Active, not recruiting --> Terminated | Trial primary completion date: Oct 2027 --> Feb 2025; Business decision unrelated to patient safety
Trial completion date • Trial termination • Trial primary completion date
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MSLN (Mesothelin)
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NIB103
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Malignant Pleural Disease Treated With Autologous T Cells Genetically Engineered to Target the Cancer-Cell Surface Antigen Mesothelin (clinicaltrials.gov)
P1/2, N=113, Active, not recruiting, Memorial Sloan Kettering Cancer Center | Trial completion date: Apr 2025 --> Apr 2026 | Trial primary completion date: Apr 2025 --> Apr 2026
Trial completion date • Trial primary completion date
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PD-L1 (Programmed death ligand 1) • MSLN (Mesothelin)
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Keytruda (pembrolizumab) • cyclophosphamide • iCasp9M28z T cell infusion
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A Long-Term Follow-Up Basket Study for Participants Treated with SynKIR Chimeric Antigen Receptor (CAR) T Cell Product (clinicaltrials.gov)
P=N/A, N=60, Enrolling by invitation, Verismo Therapeutics | Not yet recruiting --> Enrolling by invitation
Enrollment open
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SynKIR-110
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Enrollment change
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BRCA1 (Breast cancer 1, early onset) • BRCA2 (Breast cancer 2, early onset) • MUC16 (Mucin 16, Cell Surface Associated)
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BRCA2 mutation • BRCA1 mutation
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cyclophosphamide • AB-1015
1year
New trial • Pan tumor
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SynKIR-110
1year
Long-Term Follow-Up Safety Study of Subjects Treated with SynKIR-110 in Cancer Studies (clinicaltrials.gov)
P=N/A, N=0, Withdrawn, Verismo Therapeutics | N=100 --> 0 | Recruiting --> Withdrawn
Enrollment change • Trial withdrawal
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SynKIR-110
1year
EVEREST-2: a seamless phase 1/2 study of A2B694, a logic-gated Tmod CAR T-cell therapy, in patients with mesothelin-expressing solid tumors with human leukocyte antigen-A*02 loss of heterozygosity (SITC 2024)
a May occur at any point in disease course. CRC, colorectal cancer; D, day; MESO, mesothelioma; NSCLC, non-small cell lung cancer; OVCA, ovarian cancer; PANC, pancreatic cancer; PCLD, preconditioning lymphodepletionDownload figure Open in new tab Download powerpoint Abstract 627 Figure 3 EVEREST-2 phase 1 dose escalation study design
CAR T-Cell Therapy • P1/2 data • Clinical • IO biomarker
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HLA-A (Major Histocompatibility Complex, Class I, A) • MSLN (Mesothelin)
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MSLN expression • HLA-A*02
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Tempus HLA-LOH assay
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liraltagene autoleucel (lira-cel)