Annual Meeting of the Japanese Society of Toxicology
The 49th Annual Meeting of the Japanese Society of Toxicology
Session ID : S16-2
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Symposium 16
Lymphodepleted non-human primate model for the assessment of acute on-target and off-tumor toxicity of human CAR-T cells
*Shigeki YAGYUHidemi MOCHIZUKIMiyuki TANAKAAkihito SHIMOIYozo NAKAZAWA
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CONFERENCE PROCEEDINGS FREE ACCESS

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Abstract

Chimeric antigen receptor (CAR)-T cell therapy possesses the potential to cause unexpected on-target toxicities that may be life-threatening. Non-human primates (NHPs) share considerable structural homology and expression profiles of most proteins with humans. Therefore, they are utilized as an animal model for non-clinical safety studies of CAR-T cells. We have developed a lymphodepleted NHP model by conditioning the animals with immunosuppressive chemotherapy designed to simulate clinical practice conditions to induce transient mixed chimerism before administering human EPHB4 receptor-specific CAR-T cells to evaluate the toxicity of these cells. Lymphodepletion was successfully achieved on day -1 before T cell infusion and persisted over seven days without severe organ toxicities. A single administration of human EPHB4-CAR-T cells did not induce overt on-target/off-tumor toxicities within seven days after the administration, although CAR-T cells were activated in vivo as evidenced by the elevation in copy numbers of the CAR transgene. Although this NHP model is limited for the complete evaluation of toxicity of human CAR-T cells and the conditioning protocol should be further optimized, this lymphodepleted NHP model could be used to assess acute on-target/off-tumor toxicities of CAR-T cells.

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