Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2020 Apr;57(2):33-38.
doi: 10.1053/j.seminhematol.2020.07.005. Epub 2020 Jul 27.

Improving CAR T cell therapy by optimizing critical quality attributes

Review

Improving CAR T cell therapy by optimizing critical quality attributes

Opal L Reddy et al. Semin Hematol. 2020 Apr.

Abstract

Whether as a cure or bridge to transplant, chimeric antigen receptor (CAR)-T cell therapies have shown dramatic outcomes for the treatment of hematologic malignancies, and particularly relapsed/refractory B cell leukemia and lymphoma. However, these therapies are not effective for all patients, and are not without toxicities. The challenge now is to optimize these products and their manufacture. The manufacturing process is complex and subject to numerous variabilities at each step. These variabilities can affect the critical quality attributes of the final product, and this can ultimately impact clinical outcomes. This review will focus on optimizing the manufacturing variables that can impact the safety, purity, potency, consistency and durability of CAR-T cells.

Keywords: CAR-T cells; Critical quality attributes; Manufacturing.

PubMed Disclaimer

Conflict of interest statement

Conflicts of Interest None.

References

    1. Appelbaum JS, Pinto N, Orentas RJ. Promising Chimeric Antigen Receptors for Non-B-Cell Hematological Malignancies, Pediatric Solid Tumors, and Carcinomas In: Lee DW, Shah NN, eds. Chimeric Antigen Receptor T-Cell Therapies for Cancer. Cambridge, MA: Elsevier; 2020:137–63.
    1. Schuster SJ, Bishop MR, Tam CS, et al. Tisagenlecleucel in Adult Relapsed or Refractory Diffuse Large B-Cell Lymphoma. N Engl J Med 2019;380:45–56. - PubMed
    1. Brudno JN, Maric I, Hartman SD, et al. T Cells Genetically Modified to Express an Anti-B-Cell Maturation Antigen Chimeric Antigen Receptor Cause Remissions of Poor-Prognosis Relapsed Multiple Myeloma. J Clin Oncol 2018;36:2267–80. - PMC - PubMed
    1. Fry TJ, Shah NN, Orentas RJ, et al. CD22-targeted CAR T cells induce remission in B-ALL that is naive or resistant to CD19-targeted CAR immunotherapy. Nature medicine 2018;24:20–8. - PMC - PubMed
    1. Tuazon SA, Li A, Gooley T, et al. Factors affecting lymphocyte collection efficiency for the manufacture of chimeric antigen receptor T cells in adults with B-cell malignancies. Transfusion 2019;59:1773–80. - PMC - PubMed

MeSH terms

Substances