Immune cell based cancer treatment keeps leukaemia in remission for ten years

Publicly released:
International
Killer T cells surround a cancer cell, Credit NIH
Killer T cells surround a cancer cell, Credit NIH

A cancer treatment, called CAR T cell therapy, which involves collecting and using the patient’s own immune cells to treat their condition, has been shown to help keep leukaemia in remission for ten years. The treatment involves collecting T cells from the cancer patient which are then modified to recognise and attack cancer cells, before being given back to the patient as a blood infusion. Until now the long-term effects of this treatment were largely unknown. Two patients with chronic lymphocytic leukaemia received the CAR T therapy as part of a trial in 2010 and both patients achieved complete remission in that year. Ten years later, the CAR T cells remained detectable and a highly activated population of cells has emerged which continued to demonstrate tumour-cell-killing characteristics. Both patients remain cancer free. 

Media release

From: Springer Nature

1.  Cancer: Ten-year remission of leukaemia associated with CAR T cell therapy *PRESS BRIEFING*

Decade-long remissions of leukaemia in two patients sustained by the persistence of modified immune cells (named CAR T cells) designed to trigger an immune response against cancer cells, are documented in Nature this week. These cases represent long-lasting CAR T cell responses, and provide insights into how long the treatment effects may last.

CAR T cell therapy is a type of immunotherapy that involves collecting and using the patient’s own immune cells to treat their condition. T cells are collected and modified to recognize and attack cancer cells, and the resulting CAR T cells are given back to the patient as a blood infusion. The long-term effects of this treatment have not been extensively studied.

J. Joseph Melenhorst and colleagues describe outcomes in two patients with chronic lymphocytic leukaemia who were enrolled on a phase I trial of CAR T therapy in 2010. Both patients achieved complete remission in that year and the CAR T cells remained detectable for more than 10 years of follow-up. The authors observe an evolution of the CAR T cells over time, with a highly activated population emerging and becoming dominant in both patients. These cells continued to demonstrate tumour-cell-killing characteristics and ongoing proliferation. These findings help us to understand the CAR T cell characteristics associated with anti-cancer response and long-term remission in leukaemia, the authors conclude.

**Please note that an online press briefing for the paper will take place UNDER STRICT EMBARGO on Tuesday 01 February at 1500 London time (GMT) / 1000 US Eastern Time**

Authors J. Joseph Melenhorst, Carl June and David Porter will discuss the research. This will be followed by a Q&A session.

You can sign up to join the briefing here.

Attachments

Note: Not all attachments are visible to the general public. Research URLs will go live after the embargo ends.

Research Springer Nature, Web page Please link to the article in online versions of your report (the URL will go live after the embargo ends).
Journal/
conference:
Nature
Research:Paper
Organisation/s: University of Pennsylvania, USA
Funder: This work was supported by Novartis Institute for Biomedical Research (to J.J.M. and C.H.J.), NIH grant R01-CA-241762-01 (to J.J.M. and F.D.B.); NIH grant CA233285 (to K.T.); CIHR Doctoral Foreign Study Award no. 433117 (to G.M.C.); and NIH Medical Scientist Training Program T32 GM07170 (to S.B.).
Media Contact/s
Contact details are only visible to registered journalists.