Table 2.
Class | Examples | Normal tissue expression | Clinical trial outcomesa | |||
---|---|---|---|---|---|---|
Antigen-targeting receptor | Cancer type | Tumor responses (responses/N) | On-target toxicity | |||
Shared tumor/self | MART1, gp100, CEA, CA9, ERBB2, ROR1, GD2, GPC3, CLDN18.2 | Variable | MART1 TCR52 | Melanoma | 6/20 | Skin, eye and ear |
Cancer germline | NY-ESO-1, select MAGE antigens, KK-LC-1 | Germ cells | NY-ESO-1 TCR50 | Synovial cell sarcoma, melanoma | 22/38 | None |
Neoantigen (mutation, frameshift, splice variant, etc.) | Mutant RAS, mutant BRAF, EGFRvIII | None | N/Ac | N/Ac | N/Ac | N/Ac |
Viral | HPV, HBV, EBV | None | E6 TCR9 | HPV-associated cancers | 2/12 | None |
Only clinical trials in which systemic administration of engineered T cell therapy resulted in on-target toxicity or ≥2 objective tumor responses as measured by RECIST criteria are included.
Toxicity interpretation is confounded by the targeting of an epitope shared by multiple MAGE family members and uncertainty about the expression of each MAGE antigen in the brain. Targeting of MAGE-A12 was via an epitope that differed from the MAGE-A3 epitope by one residue, at an HLA-A*02:01 anchor site (position 2).
Not applicable. Awaiting publication.