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Pan-heme CAR: Anti-CD38 CAR T cells for myeloid, lymphoid and plasma cell malignancies

Project Term

Project Summary

Our SCOR team has a razor-sharp focus on an exciting new treatment modality for blood cancers: chimeric antigen receptor (CAR) T cells. T cells can be trained to target cancer cells by genetic modification. In fact, previous support from the Leukemia & Lymphoma Society allowed us to successfully develop CAR T cells targeted to CD19, a pan-B cell marker. This treatment, generically called CART-19, was approved by the FDA in 2017 for the treatment of B-cell acute lymphoid leukemia (B-ALL) and in 2018 for some non-Hodgkin lymphoma (NHL), with promising results in other B cell malignancies such as chronic lymphocytic leukemia (CLL). Thus, the development of a single therapy for a single disease (initially, CLL) paid handsome dividends when translated to a broader range of CD19-expressing malignancies (ALL, NHL).

Lay Abstract

The goal of our new project is to build upon this model with a comprehensive program to develop CAR T cells that have the potential to be even more broadly applicable to a variety of hematologic malignancies, including acute myeloid leukemia (AML), T-cell ALL, and multiple myeloma.

This time, the molecule of interest is CD38. Unlike CD19 it is not restricted just to B cells. We think CD38 may be particularly relevant because it has several biological functions with a role in cancer cells’ evasion of the immune system. By focusing on CD38 we plan to develop a new treatment for cancer, as well as to devote significant resources to understanding what this relatively under-studied molecule does in cancer cells and in normal cells. We then aim to treat a small number of children and adults suffering from leukemia or myeloma with anti-CD38 CAR T cells. We hope that by the time of its completion, support of this project by the LLS will have generated another innovative treatment for patients with a variety of blood cancers. In order to accomplish our goals, we have assembled a multidisciplinary team of scientists and physicians, most of whom have worked together before to develop CART cell therapy for B-cell disease. The main components of the program are: 1. CART cells for adult AML. 2. CART cells for pediatric AML. 3. CART cells for T-ALL. 4. CART cells for multiple myeloma.

The group has extensive experience at bringing novel cellular therapies to patients with hematologic malignancies.

Program

Specialized Center of Research Program

Carl June, MD

The Trustees of the University of Pennsylvania, Medical Center

Philadelphia, PA
United States

The Leukemia & Lymphoma Society (LLS) is now Blood Cancer United. Learn more.