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On 2nd May 2017, the U.S. Food and Drug Administration (FDA) accepted the Investigational New Drug (IND) application and granted clearance for CD33-specific Chimeric Antigen Receptor (CAR) + T-cell therapy for patients with Relapsed or Refractory (R/R) Acute Myeloid Leukemia (AML).1
CD33-specific CAR+ T-cell is a lentiviral construct that co-expresses CD33-specific CAR and a kill switch based on a tag derived from the epidermal growth factor receptor, which allows for the conditional elimination of CAR-T cells in vivo. CD33 is a transmembrane protein expressed on normal and malignant myeloid-derived cells. In AML blasts, CD33 is broadly expressed and high levels of CD33 expression is associated with poor survival outcomes in AML patients. 2 Preclinical analysis of CD33 CAR-T cells in CD33+ AML cell lines have demonstrated specific cytotoxicity.3
The IND approval granted by the FDA allows CD33-speciifc CAR T-cell to be evaluated in phase I clinical trial (NCT03126864) in R/R AML patients which is now active. In this study, the safety and tolerability of three different doses of CD33-CAR T-cell would be evaluated in CD33+ patients with R/R AML. Treatment of the first patient enrolled in this study is anticipated to begin in June 2017.1
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