Journal: Cell Reports Medicine
Article Title: Chlorotoxin-directed CAR T cell therapy for recurrent glioblastoma: Interim clinical experience demonstrating feasibility and safety
doi: 10.1016/j.xcrm.2025.102302
Figure Lengend Snippet: Study overview (A) Schematic of patient treatment. Days shown are approximate. #, final imaging occurred between days 21 and 35. (B) Schema of the dose schedule, in which optional dosing cycles (four or more) were allowed after the initial three cycles of the DLT period. To be evaluable for dose escalation, disease response, and survival, patients had to receive at least 80% of the intended CLTX-CAR T cell dose in each cycle 1–3. (C) Tumor MMP-2 immunoreactivity on GBM cells as well as on tumor vasculature, and overlap of MMP-2 immunoreactivity with CLTX:biotin binding, for tissue specimens from treated patients. Left, immunohistochemistry (IHC) on archival tissue used for enrollment, and surgical tissue taken at time of catheter placement (pre-treatment). Right, immunofluorescence (IF) images at pre-treatment. MMP-2 H-scores as evaluated by a neuropathologist are indicated in the IHC images. Scale bars = 100 μm except for UPN 522 IF images (scale bar = 50 μm). See also . (D) CONSORT diagram of patient enrollment and treatment. ∗, UPN 479 CLTX-CAR T cell product failed the QC transgene copy-number test (woodchuck hepatitis virus posttranscriptional regulatory element [WPRE] analysis by qPCR); ∧, ineligibility due to complications from surgery. CAR, chimeric antigen receptor; CLTX, chlorotoxin; DLT, dose-limiting toxicity; ICT, intracavity/intratumoral; MRI, magnetic resonance imaging; PB, peripheral blood; PET, fluorodeoxyglucose-positron emission tomography; QC, quality control; TCF, tumor cavity fluid; UPN, unique patient number.
Article Snippet: Chlorotoxin (CLTX) peptide , Alomone , Cat#RTC-450; CAS: 163515-35-3.
Techniques: Imaging, Binding Assay, Immunohistochemistry, Immunofluorescence, Virus, Magnetic Resonance Imaging, Positron Emission Tomography, Control