CARGO Therapeutics Announces ASH 2024 Abstract on CRG-023, a Tri-specific CAR T, Highlighting Innovative Construct Design and Durable Anti-B-Cell Lymphoma Activity
– CRG-023 is a CD19-, CD20-, CD22-targeting tri-specific CAR T product candidate designed with the goal of providing more patients with a broad range of B-cell malignancies with durable responses by addressing several known causes of relapse, resulting in a potential best-in-class CAR T-cell therapy –
– First of its kind, tri-cistronic CAR T to express three independent CARs from a single vector, with each CAR having a distinct co-stimulatory domain –
– Data demonstrated sustained anti-tumor activity and a lack of functional exhaustion during repeated challenge from tumor cells, preservation of T cell memory phenotype relative to controls, sustained tumor clearance when only a single antigen is expressed, and robust in vivo, anti-lymphoma activity at low CAR T dose levels –
– Abstract will be presented during poster presentation at ASH, Saturday, December 7, 2024; 5:30 PM – 7:30 PM PST –
SAN CARLOS, Calif., Nov. 05, 2024 (GLOBE NEWSWIRE) — CARGO Therapeutics, Inc. (Nasdaq: CRGX), a clinical-stage biotechnology company positioned to advance next generation, potentially curative cell therapies for cancer patients, today announced that its first abstract on CRG-023 will be presented as a poster at the upcoming 66th American Society of Hematology (ASH) Annual Meeting and Exposition, taking place December 7-10, 2024, in San Diego, California.
“We are unique in our approach to optimizing many aspects of a cell therapy for patient benefit. The advancement of CRG-023 underscores our sophisticated cell-engineering capabilities and importantly, our pipeline potential in next-generation CAR T-cell therapies that are designed to deliver multiple, therapeutically beneficial transgene “cargo” from a single vector,” said Gina Chapman, President and Chief Executive Officer of CARGO Therapeutics. “CRG-023 is the culmination of a rigorous two-year effort and squarely in line with our mission to develop best-in-class, and potentially curative CAR T-cell therapies for patients with cancer. Based on the encouraging pre-clinical data, we are actively preparing for an IND submission.”
CRG-023 is designed with the goal of providing more patients with durable responses by addressing several known causes of relapse associated with existing CAR T-cell therapies, such as tumor antigen loss (e.g., CD19), loss of co-stimulation (e.g., CD58) and T-cell exhaustion. CRG-023 is a first of its kind CAR T product candidate with a construct that targets three B-cell lineage antigens (CD19, CD20, and CD22) via three separately expressed CARs. For the CD19 and CD20 CARs, new scFv binders were selected for optimal CAR-mediated activity following an extensive antibody discovery and screening campaign. Each CAR has a CD3ζ signaling domain and a distinct co-stimulatory domain. The CD20 CAR design, which incorporates a CD2 costimulatory domain, was informed by observations that CD58 expression loss is associated with poor response outcomes to CD19 CAR T-cell therapy. Intentional engineering and optimization of the final construct sought to limit onset of functional T-cell exhaustion and to sustain performance across a range of antigen expression profiles in order to prevent antigen escape.
“CAR T therapy has been curative for some but not all who are afflicted with certain lymphomas, leukemias and multiple myeloma,” said Michael Ports, Chief Scientific Officer of CARGO Therapeutics. “Knowledge is increasing about mechanisms that contribute to poor outcomes to cell therapy. At CARGO, we apply this knowledge to the holistic design of CARs and to other engineered transgenes to advance the potential of cell therapies. For CRG-023, our team optimized components of each CAR, including selection of new binders and incorporation of CD2 co-stimulation to limit onset of T-cell exhaustion that may affect outcomes in high disease burden patients. To address antigen escape, three optimally designed CARs were then engineered into a tri-cistronic construct. Importantly, each individual CAR in the tri-cistronic format independently sustained meaningful anti-tumor activity when only a single antigen was expressed. We are encouraged by the mechanistic insights that will be presented by our team at ASH, and we look forward to translating these results to the clinic.”
The abstract reviews the CRG-023 construct design, including the discovery of novel CD19 and CD20 scFv binders, selected for enhanced CAR performance, that were combined with the existing CD22 scFv binder used in firicabtagene autoleucel (firi-cel). The iterative engineering of the construct allowed for the selection of the optimal costimulatory domain configuration and optimal assemblage in a unique tri-cistronic lentiviral vector designed to maximize durable anti-tumor response. Importantly, in these mouse models, CRG-023 CAR T cells were able to sustain durable in vitro anti-tumor activity despite repeated tumor challenge against tumor cells expressing all or any one of the three antigens. Superior tumor control was observed as compared to benchmark CAR T cells, without increased cytokine secretion and while sustaining a less effector-differentiated phenotype. In vivo studies showed that CRG-023 CAR T cells were highly active and able to clear Raji lymphoma tumor cells expressing the three target antigens in a dose-response manner and down to the lowest dose tested (1×105 CAR+ cells). Additionally, the data showed that CRG-023 T cells were able to durably clear tumor cells in models mimicking antigen loss in contrast to mono-CAR T cells such as FMC63-containing CD19 CAR T cells.
The ASH abstract is now available at www.hematology.org. Details of CARGO’s presentation are as follows:
Title: CRG-023 Is a Novel Tri-Specific CAR T Product Candidate Engineered to Prevent Antigen Escape and Sustain Durable Anti-Tumor Functionality Against B-Cell Malignancies
Presenter: Idit Sagiv Barfi, PhD
Publication #2035
Session: 702. CAR-T Cell Therapies: Basic and Translational: Poster I
Session Date & Time: Saturday, December 7, 2024; 5:30 PM – 7:30 PM Pacific Time
Room: San Diego Convention Center, Halls G-H
About CARGO Therapeutics
CARGO Therapeutics, Inc. is a clinical-stage biotechnology company positioned to advance next- generation, potentially curative cell therapies for cancer patients. CARGO’s programs, platform technologies, and manufacturing strategy are designed to directly address the limitations of approved cell therapies, including limited durability of effect, safety concerns and unreliable supply. CARGO is currently evaluating firicabtagene autoleucel (firi-cel), an autologous CD22 chimeric antigen receptor (CAR) T-cell therapy candidate, in a potentially pivotal Phase 2 clinical study in patients with large B-cell lymphoma (LBCL) whose disease relapsed or was refractory (R/R) to CD19 CAR T-cell therapy. CARGO has developed proprietary cell engineering platform technologies which it leverages to develop a pipeline of programs that incorporate multiple transgene therapeutic “cargo” designed to enhance CAR T-cell persistence. This includes the CRG-023 program, which incorporates a novel tri-specific CAR T with CD2 co-stimulation that is designed to provide more durable responses for patients with a broad range of B-cell malignancies by addressing several known causes of relapse, resulting in a potential best-in-class CAR T-cell therapy. CARGO’s leadership and team have significant experience in developing, engineering, manufacturing, and commercializing oncology and cell therapy products. For more information, please visit the CARGO Therapeutics website at https://cargo-tx.com/.
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About CRG-023
CRG-023 is a tri-specific CAR T designed with the goal of providing more patients with a broad range of B-cell malignancies with durable responses by addressing several known causes of relapse associated with existing CAR T-cell therapies such as tumor antigen loss (e.g., CD19), loss of co-stimulation (e.g., CD58) and T cell exhaustion, resulting in a potential best-in-class CAR T-cell therapy.
CRG-023 targets the B-cell lineage antigens (CD19, CD20, CD22) via tri-cistronic expression of 3 distinct CARs from a single lentiviral vector, each with its own co-stimulatory domain – a significant engineering accomplishment that differentiates the product candidate from other CAR T-cell therapies currently in development or in the market. One co-stimulatory domain incorporates CD2 signaling into the tri-specific CAR T cell, the design of which has been informed by immune-evasion and CAR T cell resistance mediated by the loss of CD58 (the ligand of the CD2 co-stimulatory receptor). Importantly, CRG-023 incorporates new, human scFVs binders from an extensive antibody discovery and screening campaign for both CD19 and CD20. The CD22-targeting CAR employs the human scFv m971 used in firicabtagene autoleucel, firi-cel. CARGO is currently advancing the program to IND.
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