Table 1.
Selected Published CAR T Cell Clinical Studies for Solid Tumors and Brain Tumors
Antigen | Diagnosis | Signaling Domain | Vector | T Cell Product | IL-2 after T Cells | Comment | References |
---|---|---|---|---|---|---|---|
Intravenous Administration, No Lymphodepleting Chemotherapy | |||||||
FRα | OVCA | ζ | RV | ATCsa | Y | 14/14 NR | 21 |
CAIX | RCC | ζ | RV | ATCs | N | 12/12 NR; on target/off cancer toxicity—bile ducts | 19,20 |
CD171 | NB | ζ | Plasmid | T cell clone | N | 1/6 PR | 83 |
EGFRvIII | HGG | 4-1BB | LV | ATCs | N | 1/10 SD | 17 |
GD2 | NB | ζ | RV | ATCs, VSTs | N | 3/11 CR | 81,82 |
HER2 | sarcoma | CD28ζ | RV | ATCs | N | 4/17 SD | 23 |
HER2 | HGG | CD28ζ | RV | VSTs | N | 3/17 SD | 26 |
Mesothelin | PCA | 41BBζ | mRNA | ATCs | N | 2/6 SD | 80 |
Intravenous Administration after Lymphodepleting Chemotherapy | |||||||
CD133 | HCC, PCA, CRC | 41BBζ | LV | ATCs | N | 3/23 PR, 14/23 SD | 24 |
CEACAM5 | CRC, PDCA, stomach, esophagus | ζ | RV | ATCs | Y | 7/14 SD; on target/off cancer toxicity—lung | 25 |
EGFR | PCA | 41BBζ | LV | ATCs | N | 4/16 PR, 8/16 SD, 2/16 NE | 86 |
EGFRvIII | HGG | CD28.41BBζ | RV | ATCs | Y | 17/18 NR, 1/18 NE due to TRMb | 16 |
GD2 | NB | CD28.OX40ζ | RVc | ATCs | N | 5/11 SD | 87 |
GPC3 | HCC | CD28ζ | LV | ATCs | N | 2/13 PR, 1/13 SD, 4/13 NE | 88 |
HER2 | CRC | CD28.41BBζ | LV | ATCs | Y | 1/1 TRMb; on target/off cancer toxicity—lung | 18 |
HER2 | sarcoma | CD28ζ | RV | ATCs | N | 1/10 CR; 3/10 SD | 89,90 |
Mesothelin | MPM, PCA, OVCA | 41BBζ | LV | ATCs | N | 11/15d SD | 91 |
PSMA | prostate | ζ | RV | ATCs | Y | 2/5 PR | 71 |
ROR1 | TNBC, NSCLC | 41BBζ | LV | ATCs | N | 4/6 mixed response; 1/6 SD; 1/6 not reported |
72 |
VEGF-R2 | metastatic CA | – | RV | ATCs | Y | 1/23 PR | e |
Intravenous Administration after Allotransplant | |||||||
GD2 | NB | ζ | RV | VSTs | N | 3/3 PD | f |
Locoregional Administration | |||||||
B7-H3 | meningioma | 41BBζ | LV | ATCs | N | 1/1 evidence of ALV | 73 |
IL-13Rα2 | HGG | ζ | plasmid | T cell clone | N | 1/3 tumor necrosis | 74 |
IL-13Rα2 | HGG | ζ | plasmid | T cell clonea | N | imaging study; outcome not reported | 75 |
IL-13Rα2 | HGG | 41BBζ | LV | ATCs | N | 1/1 CR | 22 |
Mesothelin | MPM, lung CA, breast CA | CD28ζ | RVc | ATCs | N | 2/21g CR, 5/21 PR, 4/21 SD | 76 |
MUC1 | SVA | 41BBζ or CD28ζ | LVh | ATCs | N | 1/1 tumor necrosis | 92 |
ALV, antigen loss variant; ATC, activated T cell; CA, cancer; CR, complete response; CRC, colorectal cancer; HCC, hepatocellular carcinoma; HGG, high-grade glioma; LV, lentivirus; MPM, malignant pleural mesothelioma; N, no; NB, neuroblastoma; NE, not evaluable; NR, no response; OVCA, ovarian cancer; PCA, pancreatic adenocarcinoma; PR, partial response; RCC, renal cell carcinoma; RV, retrovirus; SD, stable disease; SVA, seminal vesicle adenocarcinoma; VST, virus-specific T cell; Y, yes.
Several patients received allogeneic cell products.
Pulmonary complications.
CAR vector also encoded inducible caspase-9.
6 of 15 patients received lymphodepleting chemotherapy.
ClinicalTrials.gov: NCT01218867.
ClinicalTrials.gov: NCT01460901.
18 of 21 patients received lymphodepleting chemotherapy and 13 of 21 patients received pembrolizumab.
41BBζ CAR vector also encoded IL-12.