NCIt synonyms : Autologous L1CAM-specific CAR EGFRt T-cells; Autologous CD171-specific CAR-EGFRt-expressing T Lymphocytes;
NCIt definition : A preparation of autologous human T-lymphocytes expressing a chimeric antigen receptor
(CAR) specific for the L1 cell adhesion molecule (L1CAM; L1-CAM; CD171) antigen and
a truncated form of the human epidermal growth factor receptor (EGFRt), with potential
immunostimulating and antineoplastic activities. Upon re-infusion into the patient,
the autologous anti-L1CAM-CAR-EGFRt-expressing T-cells are directed to and induce
selective toxicity in L1CAM-expressing tumor cells. L1CAM, a neuronal cell adhesion
molecule and member of the L1 protein family, plays a key role in the development
of the nervous system; it is overexpressed in various tumor cell types and is associated
with increased chemoresistance, tumor progression, migration and metastasis. Devoid
of both ligand-binding domains and tyrosine kinase activity, EGFRt facilitates both
the detection of the administered T-cells in vivo and the elimination of the modified
T-cells following a cetuximab-induced antibody-dependent cellular cytotoxicity (ADCC)
response.;