[HTML][HTML] Manufacture of Clinical-Grade CD19-Specific T Cells Stably Expressing Chimeric Antigen Receptor Using Sleeping Beauty System and Artificial Antigen …

H Singh, MJ Figliola, MJ Dawson, S Olivares, L Zhang… - PloS one, 2013 - journals.plos.org
H Singh, MJ Figliola, MJ Dawson, S Olivares, L Zhang, G Yang, S Maiti, P Manuri…
PloS one, 2013journals.plos.org
Adoptive transfer of T cells expressing a CD19-specific chimeric antigen receptor (CAR) is
being evaluated in multiple clinical trials. Our current approach to adoptive immunotherapy
is based on a second generation CAR (designated CD19RCD28) that signals through a
CD28 and CD3-ζ endodomain. T cells are electroporated with DNA plasmids from the
Sleeping Beauty (SB) transposon/transposase system to express this CAR. Stable integrants
of genetically modified T cells can then be retrieved when co-cultured with designer artificial …
Adoptive transfer of T cells expressing a CD19-specific chimeric antigen receptor (CAR) is being evaluated in multiple clinical trials. Our current approach to adoptive immunotherapy is based on a second generation CAR (designated CD19RCD28) that signals through a CD28 and CD3-ζ endodomain. T cells are electroporated with DNA plasmids from the Sleeping Beauty (SB) transposon/transposase system to express this CAR. Stable integrants of genetically modified T cells can then be retrieved when co-cultured with designer artificial antigen presenting cells (aAPC) in the presence of interleukin (IL)-2 and 21. Here, we reveal how the platform technologies of SB-mediated transposition and CAR-dependent propagation on aAPC were adapted for human application. Indeed, we have initiated clinical trials in patients with high-risk B-lineage malignancies undergoing autologous and allogeneic hematopoietic stem-cell transplantation (HSCT). We describe the process to manufacture clinical grade CD19-specific T cells derived from healthy donors. Three validation runs were completed in compliance with current good manufacturing practice for Phase I/II trials demonstrating that by 28 days of co-culture on γ-irradiated aAPC ∼1010 T cells were produced of which >95% expressed CAR. These genetically modified and propagated T cells met all quality control testing and release criteria in support of infusion.
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