Article ; Online: GPRC5D-Targeted CAR T Cells for Myeloma.
The New England journal of medicine
2022 Volume 387, Issue 13, Page(s) 1196–1206
Abstract: Background: B-cell maturation antigen (BCMA)-directed chimeric antigen receptor (CAR) T-cell therapies have generated responses in patients with advanced myeloma, but relapses are common. G protein-coupled receptor, class C, group 5, member D (GPRC5D) ... ...
Abstract | Background: B-cell maturation antigen (BCMA)-directed chimeric antigen receptor (CAR) T-cell therapies have generated responses in patients with advanced myeloma, but relapses are common. G protein-coupled receptor, class C, group 5, member D (GPRC5D) has been identified as an immunotherapeutic target in multiple myeloma. Preclinical studies have shown the efficacy of GPRC5D-targeted CAR T cells, including activity in a BCMA antigen escape model. Methods: In this phase 1 dose-escalation study, we administered a GPRC5D-targeted CAR T-cell therapy (MCARH109) at four dose levels to patients with heavily pretreated multiple myeloma, including patients with relapse after BCMA CAR T-cell therapy. Results: A total of 17 patients were enrolled and received MCARH109 therapy. The maximum tolerated dose was identified at 150×10 Conclusions: The results of this study of a GPRC5D-targeted CAR T-cell therapy (MCARH109) confirm that GPRC5D is an active immunotherapeutic target in multiple myeloma. (Funded by Juno Therapeutics/Bristol Myers Squibb; ClinicalTrials.gov number, NCT04555551.). |
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MeSH term(s) | B-Cell Maturation Antigen/therapeutic use ; Cytokine Release Syndrome/etiology ; Humans ; Immunotherapy, Adoptive/adverse effects ; Immunotherapy, Adoptive/methods ; Multiple Myeloma/drug therapy ; Neoplasm Recurrence, Local/etiology ; Receptors, Chimeric Antigen/therapeutic use ; Receptors, G-Protein-Coupled/therapeutic use ; T-Lymphocytes |
Chemical Substances | B-Cell Maturation Antigen ; GPRC5D protein, human ; Receptors, Chimeric Antigen ; Receptors, G-Protein-Coupled |
Language | English |
Publishing date | 2022-06-21 |
Publishing country | United States |
Document type | Clinical Trial, Phase I ; Journal Article |
ZDB-ID | 207154-x |
ISSN | 1533-4406 ; 0028-4793 |
ISSN (online) | 1533-4406 |
ISSN | 0028-4793 |
DOI | 10.1056/NEJMoa2209900 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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