NCIt synonyms : Autologous Anti-CD19CAR-4-1BB-CD3zeta-EGFRt-expressing CD4 /CD8 CM T-lymphocytes
JCAR014;
NCIt definition : A defined preparation of CD4 and CD8 central memory (CM) autologous T-lymphocytes
transduced with a lentiviral vector expressing a chimeric antigen receptor (CAR) containing
an anti-CD19 single chain variable fragment (scFv) fused to the signaling domains
of CD28, 4-1BB (CD137), the zeta chain of the TCR/CD3 complex (CD3-zeta), and a truncated
form of the human epidermal growth factor receptor (EGFRt), with potential immunostimulating
and antineoplastic activities. Upon intravenous administration, autologous anti-CD19CAR-4-1BB-CD3zeta-EGFRt-expressing
CD4 /CD8 CM T-lymphocytes JCAR014 are directed to and induce selective toxicity in
CD19-expressing tumor cells. CD19 antigen is a B-cell specific cell surface antigen
expressed in all B-cell lineage malignancies. Devoid of both ligand binding domains
and tyrosine kinase activity, the expressed EGFRt both facilitates in vivo detection
of the administered, transduced T-cells and can promote elimination of those cells
through a cetuximab-induced antibody dependent cellular cytotoxicity (ADCC) response.
The 4-1BB costimulatory signaling domain enhances both proliferation of T-cells and
antitumor activity.;