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Cell Therapy

Taking immune cells, engineering or expanding them, and giving them back as a living drug.

CAR-T has transformed B-cell malignancies and myeloma. Solid tumours are the frontier: TIL therapy (lifileucel), TCR-T (afamitresgene), CAR-T against CLDN18.2 and GPC3, armoured and logic-gated CARs, allogeneic and in vivo CAR-T (targeted LNPs delivering CAR mRNA), CAR-NK and CAR-macrophages.

Cell Therapy: how this front works · animated schematic, not to scale

Technologies

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Phase 2
Allogeneic (off-the-shelf) cell therapy

Cell therapies made from healthy donors in advance, so patients do not have to wait for their own cells to be engineered.

Emerging
Allogeneic donor and iPSC master cell banks

Making cell therapies from a healthy donor or stem-cell line in advance, so patients get an off-the-shelf product instead of waiting weeks.

Standard of care
Allogeneic stem cell transplantation

Replacing a patient's blood system with a donor's, so the donor's immune cells hunt down any leukaemia left behind. Still the only cure for many high-risk leukaemias.

Standard of care
Apheresis and starting-material collection

Apheresis is collecting a patient's white blood cells through a machine over several hours. Every autologous CAR-T begins here, and the quality of these cells shapes the final product.

Phase 1
Armoured, logic-gated & next-gen CARs

Upgraded CAR-T cells that also secrete immune boosters, resist exhaustion, or only fire when two signals are present.

Standard of care
Autologous stem cell transplant (high-dose therapy)

Collect the patient's own blood-forming stem cells, give a very high dose of chemotherapy that would otherwise destroy the marrow, then give the cells back to rebuild it.

Phase 1
CAR-NK & CAR-macrophage

Putting the cancer-seeking receptor on natural killer cells or macrophages instead of T cells, which could be safer and off-the-shelf.

Preclinical
CAR-T against stroma: fibroblasts and myeloid cells

Instead of attacking the cancer cell, engineering T cells to strip away the scaffolding and the suppressive immune cells that protect it.

Approved
CAR-T cell therapy

A patient's T cells are removed, given a synthetic receptor that recognises the cancer, multiplied, and put back as a living drug.

Phase 1
CAR-T for glioma (IL13Rα2, GD2, EGFRvIII, multi-target)

Engineered immune cells delivered directly into the brain or spinal fluid. Some children with an incurable brainstem tumour have had striking, if temporary, responses.

Established
Cell-therapy orchestration and chain-of-identity software

Scheduling and tracking software that makes sure each patient's cells come back to that patient, on time.

Established
Cell-therapy release and potency testing

The quality checks a CAR-T batch must pass before it can be given: sterile, correct identity, enough live CAR-positive cells, and no replicating virus.

Established
Closed automated cell-therapy manufacturing

Sealed, robot-run machines that turn a patient's blood cells into a CAR-T product with far fewer hands, clean rooms, and mistakes.

Established
Cryopreservation and cell-therapy cold chain

Freezing cells at minus 150 degrees and shipping them in liquid-nitrogen 'dry shippers' with tracking, so a living drug arrives alive and matched to the right patient.

Phase 1
In vivo CAR-T

Instead of engineering T cells in a factory, an injection reprograms them inside the patient's body.

Phase 1
Logic-gated therapeutics (AND, NOT gates)

Cells or drugs that fire only when two conditions are true at once, so healthy tissue expressing just one of them is spared.

Established
Plasmid DNA and mRNA raw-material manufacturing

Plasmid DNA and mRNA raw materials are the DNA templates and enzymes behind viral vectors and mRNA vaccines. They are invisible to patients but decisive for supply.

Emerging
Point-of-care and decentralised cell manufacturing

Making CAR-T cells at or near the hospital instead of shipping cells to a central factory and back.

Standard of care
Tandem autologous transplant

Two rounds of very high-dose chemotherapy with stem-cell rescue, back to back, used in high-risk neuroblastoma in North America.

Approved
TCR-T cell therapy

T cells engineered with a receptor that sees fragments of proteins inside the cancer cell, reaching targets CAR-T cannot.

Approved
TIL therapy

Immune cells that have already found their way into the tumour are harvested, grown to billions, and returned.

Established
Viral vector manufacturing (lentiviral, retroviral, AAV)

Producing the engineered viruses that carry a CAR gene into T cells. Viral vector manufacturing is a long-standing bottleneck for cell and gene therapy.

Connected

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technologies

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companies

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institutions

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Advanced Centre for Treatment, Research and Education in CancerBarts Cancer Institute / Barts Health NHS TrustChan Zuckerberg BiohubChinese PLA General HospitalChristian Medical College, VelloreCleveland Clinic Abu DhabiComprehensive Cancer Center Freiburg (CCCF)Comprehensive Cancer Center Mainfranken, University Hospital WürzburgDan L Duncan Comprehensive Cancer Center, Baylor College of MedicineGeneva University Hospitals (HUG)Great Ormond Street Hospital for ChildrenHadassah Medical CenterHospital Clínic de Barcelona / IDIBAPSHospital del Mar / Hospital del Mar Research InstituteHospital Universitario 12 de OctubreHUS Comprehensive Cancer Center, Helsinki University HospitalInstitut Paoli-CalmettesIRCCS Azienda Ospedaliero-Universitaria di Bologna – Policlinico Sant'OrsolaIRCCS Ospedale San RaffaeleIUCT Oncopole – Institut Universitaire du Cancer de ToulouseKing Faisal Specialist Hospital and Research CentreKyoto University HospitalLausanne University Hospital (CHUV) / Ludwig Institute LausanneMasonic Cancer Center, University of MinnesotaMax Delbrück Center for Molecular MedicineNational Cancer Centre SingaporeNational University Hospital / National University Cancer Institute, SingaporeNCI Center for Cancer Research (intramural programme)Peking University Cancer HospitalPrincess Máxima Center for Pediatric OncologyQIMR Berghofer Medical Research InstituteRigshospitalet – Copenhagen University HospitalRuijin Hospital, Shanghai Jiao Tong UniversitySeoul St. Mary's HospitalSheba Medical CenterSiriraj Hospital, Mahidol UniversitySociety for Immunotherapy of CancerTaipei Veterans General HospitalTexas Children's Cancer and Hematology CenterUnion Hospital, Tongji Medical CollegeUniversity Cancer Center Frankfurt (UCT)University College London Hospitals / UCL Cancer InstituteUniversity Hospitals Birmingham / University of Birmingham Cancer Research Centre

roadmaps

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people

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