Intraventricular CARv3-TEAM-E T Cells in Recurrent Glioblastoma.

Choi, Bryan D; Gerstner, Elizabeth R; Frigault, Matthew J; Leick, Mark B; Mount, Christopher W; Balaj, Leonora; Nikiforow, Sarah; Carter, Bob S et al. · N Engl J Med · 2024

case_series · Level IV

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Abstract

In this first-in-human, investigator-initiated, open-label study, three participants with recurrent glioblastoma were treated with CARv3-TEAM-E T cells, which are chimeric antigen receptor (CAR) T cells engineered to target the epidermal growth factor receptor (EGFR) variant III tumor-specific antigen, as well as the wild-type EGFR protein, through secretion of a T-cell-engaging antibody molecule (TEAM). Treatment with CARv3-TEAM-E T cells did not result in adverse events greater than grade 3 or dose-limiting toxic effects. Radiographic tumor regression was dramatic and rapid, occurring within days after receipt of a single intraventricular infusion, but the responses were transient in two of the three participants. (Funded by Gateway for Cancer Research and others; INCIPIENT ClinicalTrials.gov number, NCT05660369.).

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