Table 1.
Molecular initiating events of five different therapies with their description and examples of the corresponding drugs.
| Therapy | Event | Description | Examples |
|---|---|---|---|
| CAR-T cells | MIE1 | Binding of CAR to antigen | Abecma (idecabtagene vicleucel; target: BCMA), Kymriah (tisagenlecleucel; target: CD19), Yescarta (axicabtagene ciloleucel; target: CD19); Tecartus (brexucabtagene autoleucel; target: CD19), Carvykti (ciltacabtagene autoleucel; target: BCMA), Breyanzi (lisocabtagene maraleucel; target: CD19) |
| Checkpoint inhibitors (CPIs) | MIE2 | Binding of CPI to target T cell and formation of immune synapse | Nivolumab (PD-1), Pembrolizumab (PD-1), Avelumab (PDL-1), Ipilimumab (CTLA-4), |
| T-cell engagers (TCEs) | MIE3 | Binding of TCE to both target T cell and antigen expressing cells, and formation of immune synapse | Blinatumomab (CD19), Teclistamab (BCMA), Mosunetuzumab (CD20), Epcoritamab (CD20), Glofitamab (CD20), Elranatamab (BCMA), Talquetamab (GPRC5D) |
| Crosslinking and activation of T cells | MIE4 | Binding of T cell agonist mAb to T cell | Muromonab (OKT3, target: CD3), TGN1412 (CD28) |
| Activation of FcγR-expressing effector cells | MIE5 | Binding of mAb to antigen-expressing cell, interaction of the Fc part of the mAb with FcγR expressing cells, activation of effector functions by FcγR expressing cells | Rituximab (CD20), Alemtuzumab (CD52) |
CAR-T cells, chimeric antigen receptor T cellsl MIE, molecular initiating event; CPIs, checkpoint inhibitors; PD-1, programmed cell death protein 1; PDL-1, programmed death-ligand 1; CTLA-4, cytotoxic T-lymphocyte-associated protein 4; TCEs, T-cell engagers; mAb, monoclonal antibody; FcγR, Fc gamma receptor.