NCIt synonyms : Anti-BCMA-CAR-4-1BB-CD3zeta-EGFRt SIN Lentiviral Vector-transduced Autologous CD4
/CD8 T-lymphocytes; Autologous BCMA-specific CAR-4-1BB-CD3zeta-EGFRt-expressing CD4 /CD8 T Lymphocytes;
NCIt definition : A preparation of an approximately equal ratio of autologous CD4- and CD8-positive
T-lymphocytes that have been ex vivo transduced with a genetically-engineered self-inactivating
(SIN) lentiviral vector (LV) expressing a chimeric antigen receptor (CAR) containing
a single chain variable fragment (scFv) specific for the human tumor-associated antigen
(TAA) B-cell maturation antigen (BCMA; tumor necrosis factor receptor superfamily
member 17; TNFRSF17) fused to the co-stimulatory domain of 4-1BB (CD137), the CD3-zeta
(CD3z) T-cell signaling domain, and a truncated form of the human epidermal growth
factor receptor (EGFRt), with potential immunostimulating and antineoplastic activities.
Upon administration, the autologous anti-BCMA-CAR-4-1BB-CD3zeta-EGFRt-expressing CD4
/CD8 T-lymphocytes specifically recognize and induce selective toxicity against BCMA-expressing
tumor cells. Devoid of both ligand binding domains and tyrosine kinase activity, the
expressed EGFRt facilitates both 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. BCMA, a tumor-specific antigen and a receptor
for both a proliferation-inducing ligand (APRIL) and B-cell activating factor (BAFF),
is a member of the tumor necrosis factor receptor superfamily (TNFRSF) and plays a
key role in plasma cell survival. BCMA is found on the surfaces of plasma cells and
is overexpressed on malignant plasma cells.;