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. 2023 Jun 30;35(3):239–244. doi: 10.21147/j.issn.1000-9604.2023.03.03

Table 1. Targets of CAR-T cell therapy in solid tumors with clinical evidence of efficacy.

Target Disease Response rate Survival Comments Ref.
CAR-T, chimeric antigen receptor-T; GPC3, glypican-3; MSLN, mesothelin; PSMA, prostate-specific membrane antigen; TAG-72, tumor-associated glycoprotein-72; HER2, human epidermal growth factor receptor 2; EGFR, epidermal growth factor receptor; GC, gastrointestinal cancers; HCC, hepatocellular carcinoma; PC, pancreatic carcinoma; OC, ovarian carcinoma; mCRPC, metastatic castration-resistant prostate cancer; CRC, metastatic colorectal cancer; NSCLC, non-small cell lung cancer; MPM, malignant pleural mesothelioma; BC, breast cancer; GBM, glioblastoma; CR, complete response; ORR, objective response rate; DCR, disease control rate; PR, partial response; SD, stable disease; PD, progressive disease; OS, overall survival; PFS, progression-free survival; CRS, cytokine release syndrome; 95% CI, 95% confidence interval.
GD2 High-risk neuroblastoma CR: 27% of patients with active disease Overall response: 63%
Median OS: 31 months
Among patients who received the recommended dose, the 3-year OS and event-free survival were 60% and 36%, respectively. (3)
Claudin-18.2 GC ORR: 48.6%
DCR: 73.0%
Median PFS: 3.7 months
OS: 81% at 6 months
Eighty-three percent of patients showed tumor regression; 11% showed reversible grade 3/4 gastrointestinal toxicities (4)
GPC3 or MSLN HCC or PC or OC CR: 1/6
PR: 1/6
SD: 2/6
Not available One PC patient (1/6, 16.7%) achieved CR; one HCC patient (1/6, 16.7%) achieved PR; and 2 HCC (2/6, 33.3%) achieved SD (14)
PSMA mCRPC Five of 13 patients achieved a PSMA reduction of ≥30% Median PFS: 4.4 months Median OS: 15.9 months Five of 13 patients achieved a PSA reduction of ≥30%, 5 out of 13 patients developed high-grade CRS (29)
TAG-72 CRC Seven of 8 evaluable patients in trial C-9701 and 2 evaluable patients
in trial C-9702 showed an increase in TAG-72 in post-infusion sera following heat treatment
Not available Detectable, but mostly short-term (≤14 weeks), persistence of CART72 cells was observed in blood; one patient had CART72 cells detectable at 48 weeks (30)
HER2 Sarcomas SD: 4/17 Median OS: 13 months Of 17 evaluable patients, 4 had SD for 12−14 months. Three of these patients had their tumor removed, with one showing ≥90% necrosis. (31)
4-1BB and PD1 CRC or OC or NSCLC DCR: 65.6% Not available DuoBody-PD-L1×4-1BB (GEN1046) is a first-in-class bispecific immunotherapy with a manageable safety profile and encouraging preclinical and early clinical activity (32)
Mesothelin MPM or BC PR: 2/16
SD: 9/16
PD: 5/16
Median OS: 23 months
One-year OS: 83%
/ (33)
IL-13Rα2 GBM CR: 1/1 Not available This first-in-human experience establishes a foundation for future adoptive therapy studies using off-the-shelf, zinc-finger modified, and/or glucocorticoid resistant CAR-T cells. (34)
EGFR NSCLC PR: 1/9
SD: 6/9
PD: 2/9
Median OS: 15.63 months
PFS: 7.13 months
PFS of these nine patients was 7.13 (95% CI: 2.71−17.10 ) months, while the median OS was 15.63 (95% CI: 8.82−22.03) months. (35)