Implantable CAR T cell factories enhance solid tumor treatment.

in Biomaterials by Sharda Pandit, Pritha Agarwalla, Feifei Song, Anton Jansson, Gianpietro Dotti, Yevgeny Brudno

TLDR

  • Drydux is a new way to make CAR T cells for treating solid tumors. The study shows that Drydux-enabled CAR T cells work better and last longer than the old way of making them. They also induce lasting tumor remission in animal tumor models. Drydux could revolutionize solid tumor CAR T cell therapy by delivering effective, rapid, and cost-effective treatments to more patients.

Abstract

Chimeric Antigen Receptor (CAR) T cell therapy has produced revolutionary success in hematological cancers such as leukemia and lymphoma. Nonetheless, its translation to solid tumors faces challenges due to manufacturing complexities, short-lived in vivo persistence, and transient therapeutic impact. We introduce 'Drydux' - an innovative macroporous biomaterial scaffold designed for rapid, efficient in-situ generation of tumor-specific CAR T cells. Drydux expedites CAR T cell preparation with a mere three-day turnaround from patient blood collection, presenting a cost-effective, streamlined alternative to conventional methodologies. Notably, Drydux-enabled CAR T cells provide prolonged in vivo release, functionality, and enhanced persistence exceeding 150 days, with cells transitioning to memory phenotypes. Unlike conventional CAR T cell therapy, which offered only temporary tumor control, equivalent Drydux cell doses induced lasting tumor remission in various animal tumor models, including systemic lymphoma, peritoneal ovarian cancer, metastatic lung cancer, and orthotopic pancreatic cancer. Drydux's approach holds promise in revolutionizing solid tumor CAR T cell therapy by delivering durable, rapid, and cost-effective treatments and broadening patient accessibility to this groundbreaking therapy.

Overview

  • The study focuses on the development of a new biomaterial scaffold called Drydux for generating tumor-specific Chimeric Antigen Receptor (CAR) T cells for solid tumor treatment. The hypothesis being tested is whether Drydux can improve the efficiency, persistence, and therapeutic impact of CAR T cell therapy in solid tumors compared to conventional methodologies. The methodology involves collecting patient blood, generating CAR T cells using Drydux, and testing their efficacy in animal tumor models. The primary objective of the study is to demonstrate the potential of Drydux in revolutionizing solid tumor CAR T cell therapy by delivering durable, rapid, and cost-effective treatments and broadening patient accessibility to this groundbreaking therapy.

Comparative Analysis & Findings

  • The study compares the outcomes observed under different experimental conditions, specifically the use of Drydux versus conventional CAR T cell therapy. The results show that Drydux-enabled CAR T cells provide prolonged in vivo release, functionality, and enhanced persistence exceeding 150 days, with cells transitioning to memory phenotypes. In contrast, conventional CAR T cell therapy offers only temporary tumor control. The study also demonstrates that equivalent Drydux cell doses induced lasting tumor remission in various animal tumor models, including systemic lymphoma, peritoneal ovarian cancer, metastatic lung cancer, and orthotopic pancreatic cancer. These findings suggest that Drydux-enabled CAR T cells are more effective and durable than conventional CAR T cell therapy in solid tumors.

Implications and Future Directions

  • The study's findings have significant implications for the field of research and clinical practice, as they demonstrate the potential of Drydux in revolutionizing solid tumor CAR T cell therapy. The approach holds promise in delivering durable, rapid, and cost-effective treatments and broadening patient accessibility to this groundbreaking therapy. However, the study also identifies limitations, such as the need for further preclinical and clinical studies to validate the safety and efficacy of Drydux in humans. Future research directions could include exploring the use of Drydux in combination with other therapies, investigating its potential in different solid tumor types, and optimizing the dosing and administration of Drydux-enabled CAR T cells.