Manufacturing process |
Cell Source |
Healthy donor |
Patient (recipient) |
Expansion capacity |
High |
Limited |
Off-the-Shelf Availability |
Standardized product |
Customized for each patient, limited off-the-shelf availability |
Possibility of T-cell phenotype selection |
High |
Limited |
Quality of original T cells |
High |
Low |
Time of accessibility |
Readily available |
Time-consuming, possible for manufacturing failure |
Treatment |
Requirement for lymphodepletion |
Enhanced lymphodepletion regimen, or standard lymphodepletion regimen (with additional HLA depletion) |
Standard lymphodepletion regimen |
Flexibility in dosing |
Flexible for redosing or changes of target |
Limited flexibility as the dose is dependent on the patient's ability to yield sufficient T cells |
In vivo persistence |
Short (days to months) |
Long (months to years) |
Side effects |
GVHD |
High risk |
Low risk |
Immunogenicity (HVGR) |
Possible |
Lower risk |
CRS and ICANS |
Yes |
Yes |
Cost |
Lower |
Expensive, upwards to US$350,000 |