Phenotypic and functional attributes of lentivirus-modified CD19-specific human CD8+ central memory T cells manufactured at clinical scale

X Wang, A Naranjo, CE Brown, C Bautista… - Journal of …, 2012 - journals.lww.com
X Wang, A Naranjo, CE Brown, C Bautista, CLW Wong, WC Chang, B Aguilar, JR Ostberg…
Journal of immunotherapy, 2012journals.lww.com
A key determinant of the therapeutic potency of adoptive T-cell transfer is the extent to which
infused cells can persist and expand in vivo. Ex vivo propagated virus-specific and chimeric
antigen receptor (CAR)-redirected antitumor CD8+ effector T cells derived from CD45RA−
CD62L+ central memory (T CM) precursors engraft long-term and reconstitute functional
memory after adoptive transfer. Here, we describe a clinical scale, closed system,
immunomagnetic selection method to isolate CD8+ T CM from peripheral blood …
Abstract
A key determinant of the therapeutic potency of adoptive T-cell transfer is the extent to which infused cells can persist and expand in vivo. Ex vivo propagated virus-specific and chimeric antigen receptor (CAR)-redirected antitumor CD8+ effector T cells derived from CD45RA− CD62L+ central memory (T CM) precursors engraft long-term and reconstitute functional memory after adoptive transfer. Here, we describe a clinical scale, closed system, immunomagnetic selection method to isolate CD8+ T CM from peripheral blood mononuclear cells (PBMC). This method uses the CliniMACS device to first deplete CD14+, CD45RA+, and CD4+ cells from PBMC, and then to positively select CD62L+ cells. The average purity and yield of CD8+ CD45RA− CD62L+ T CM obtained in full-scale qualification runs were 70% and 0.4%(of input PBMC), respectively. These CD8+ T CM are responsive to anti-CD3/CD28 bead stimulation, and can be efficiently transduced with CAR encoding lentiviral vectors, and undergo sustained expansion in interleukin (IL)-2/IL-15 over 3–6 weeks. The resulting CD8+ T CM-derived effectors are polyclonal, retain expression of CD62L and CD28, exhibit CAR-redirected antitumor effector function, and are capable of huIL-15-dependent in vivo homeostatic engraftment after transfer to immunodeficient NOD/Scid IL-2RgCnull mice. Adoptive therapy using purified T CM cells is now the subject of a Food and Drug Administration-authorized clinical trial for the treatment of CD19+ B-cell malignancies, and 3 clinical cell products expressing a CD19-specific CAR for IND# 14645 have already been successfully generated from lymphoma patients using this manufacturing platform.
Lippincott Williams & Wilkins