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Armored CAR-T Therapy Shows Promise in Advanced Liver Cancer Trial

A first-in-human clinical study published in Nature reveals that C-CAR031, an armored CAR-T cell therapy, achieved tumor regression in nearly 90% of patients with heavily pretreated advanced hepatocellular carcinoma. The findings validate a novel approach to overcoming the immunosuppressive barriers typically found in solid tumors.

Armored CAR-T Therapy Shows Promise in Advanced Liver Cancer Trial
Photo: Bio & News

The trial, led by Dr. Tingbo Liang and Dr. Qi Zhang at The First Affiliated Hospital of Zhejiang University, evaluated 36 patients who had undergone a median of four prior lines of treatment. The therapy, now designated as AZD7003, utilizes a dominant-negative transforming growth factor-beta receptor II (dnTGFβRII) armoring platform. This mechanism is engineered to shield immune cells from the restrictive tumor microenvironment, allowing them to remain active against glypican-3 (GPC3) targets.

Clinical results showed an objective response rate of 44.4%, with a median overall survival of 14.2 months. While 32 of the 36 participants experienced tumor reduction, the study noted a manageable safety profile, with only two instances of grade 3 cytokine release syndrome. Following a series of development agreements, AstraZeneca has assumed sole responsibility for the global commercialization of the therapy. AbelZeta Pharma, which co-developed the initial candidate, maintains that the data represent a significant milestone for cell-based treatments in solid tumor oncology.

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