Table 2.
Design of BCMA targeted CAR T cell vectors and clinical trials for MM
Institution | NCI | Bluebird Multi-Inst | Nanjing Legend | UPenn | MSK |
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Overview |
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scFv derived from | Murine Hybridoma | Murine Hybridoma | Murine Hybridoma | Human Library | Human Library |
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Co-stimulatory domain | CD28 | 4-1BB | 4-1BB | 4-1BB | 4-1BB |
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Gene transfer | Retrovirus | Lentivirus | Lentivirus | Lentivirus | Retrovirus |
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Conditioning | Cyclophosphamide+ Fludarabine | Cyclophosphamide+ Fludarabine | Cyclophosphamide | None (cohort 1)> Cyclophosphamide | Cyclophosphamide+/-Fludarabine |
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BCMA Ag required | >50% | >50% | “clear expression” | no requirement | >1% |
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Clinicaltrials.gov Identifier | NCT02215967 | NCT02658929 | NCT03090659 | NCT02546167 | NCT03070327 |
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Median prior lines | 7 | 7 | 3 | 9 | Not yet reported |
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Efficacy | CR: 1 | CR: 4 | CR: 15 | CR: 1 | Not yet reported |
VGPR: 4 | VGPR: 7 | VGPR: 13 | VGPR: 2 | ||
PR: 3 | PR: 4 | PR: 7 | PR: 1 | ||
16 evaluable pts | 18 evaluable pts | 35 evaluable pts | 9 evaluable pts | ||
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Legend |
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NCI National Cancer Institute, UPenn University of Pennsylvania, MSK Memorial Sloan Kettering, scFv single chain variable fragment, CD3 ζ T cell receptor zeta-chain