A single dose of peripherally infused EGFRvIII-directed CAR T cells mediates antigen loss and induces adaptive resistance in patients with recurrent glioblastoma

Author:

O’Rourke Donald M.1ORCID,Nasrallah MacLean P.2ORCID,Desai Arati3ORCID,Melenhorst Jan J.4ORCID,Mansfield Keith5ORCID,Morrissette Jennifer J. D.6ORCID,Martinez-Lage Maria2ORCID,Brem Steven1ORCID,Maloney Eileen1,Shen Angela7ORCID,Isaacs Randi5ORCID,Mohan Suyash8,Plesa Gabriela4ORCID,Lacey Simon F.4ORCID,Navenot Jean-Marc4ORCID,Zheng Zhaohui4ORCID,Levine Bruce L.4ORCID,Okada Hideho9,June Carl H.4ORCID,Brogdon Jennifer L.5,Maus Marcela V.10ORCID

Affiliation:

1. Department of Neurosurgery, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA 19104, USA.

2. Division of Neuropathology, Department of Pathology and Laboratory Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA 19104, USA.

3. Department of Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA 19104, USA.

4. Center for Cellular Immunotherapies, University of Pennsylvania, Philadelphia, PA 19104, USA.

5. Novartis Institutes for BioMedical Research, Cambridge, MA 02139, USA.

6. Division of Precision and Computational Diagnostics, Department of Pathology and Laboratory Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA 19104, USA.

7. Novartis Oncology, East Hanover, NJ 07936, USA.

8. Division of Neuroradiology, Department of Radiology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA 19104, USA.

9. Department of Neurosurgery, University of California, San Francisco, San Francisco, CA 94143, USA.

10. Cellular Immunotherapy Program, Cancer Center and Department of Medicine, Massachusetts General Hospital, Boston, MA 02129, USA.

Abstract

A trial of autologous T cells redirected to a specific mutation in glioblastoma patients illustrates mechanisms of resistance.

Funder

NIH

Publisher

American Association for the Advancement of Science (AAAS)

Subject

General Medicine

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