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Cytokine-Enhanced CAR T Cell Therapy Achieves Breakthrough Results in Lymphoma

Penn researchers report 81% response rates and durable remissions in refractory B-cell lymphoma using huCART19-IL18, a next-generation CAR T therapy with a rapid manufacturing process.

Overview

  • The Phase I trial of huCART19-IL18 demonstrated tumor reduction in 81% of heavily pretreated B-cell lymphoma patients, with 52% achieving complete remission and some remissions lasting over two years.
  • The therapy incorporates interleukin 18 (IL18), a cytokine that enhances immune response by activating additional immune components and improving CAR T cell persistence and potency.
  • No new safety concerns were observed; side effects like cytokine release syndrome and neurotoxicity remained manageable within standard protocols.
  • A novel three-day manufacturing process, developed at Penn, significantly shortens the production timeline compared to the conventional nine- to fourteen-day process, offering faster treatment initiation for aggressive cancers.
  • Follow-up trials are underway for acute lymphocytic leukemia, chronic lymphocytic leukemia, and non-Hodgkin’s lymphoma, with potential applications being explored for solid tumors.