Bioanalytical Methods for Characterization of CAR-T Cellular Kinetics: Comparison of PCR Assays and Matrices. 2023

Madhan Masilamani, and Vibha Jawa, and Yanshan Dai, and Romita Das, and Alice Park, and Manisha Lamba, and Fan Wu, and Xirong Zheng, and Edwin Lu, and Carol Gleason, and Tim Mack, and Johanna Mora, and Sekhar Surapaneni
Department of Clinical Pharmacology, Pharmacometrics, Disposition, and Bioanalysis, Bristol Myers Squibb, Lawrenceville, New Jersey, USA.

Recently, multiple chimeric antigen receptor T-cell (CAR-T)-based therapies have been approved for treating hematological malignancies, targeting CD19 and B-cell maturation antigen. Unlike protein or antibody therapies, CAR-T therapies are "living cell" therapies whose pharmacokinetics are characterized by expansion, distribution, contraction, and persistence. Therefore, this unique modality requires a different approach for quantitation compared with conventional ligand binding assays implemented for most biologics. Cellular (flow cytometry) or molecular assays (polymerase chain reaction (PCR)) can be deployed with each having unique advantages and disadvantages. In this article, we describe the molecular assays utilized: quantitative PCR (qPCR), which was the initial platform used to estimate transgene copy numbers and more recently droplet digital PCR (ddPCR) which quantitates the absolute copy numbers of CAR transgene. The comparability of the two methods in patient samples and of each method across different matrices (isolated CD3+ T-cells or whole blood) was also performed. The results show a good correlation between qPCR and ddPCR for the amplification of same gene in clinical samples from a CAR-T therapy trial. In addition, our studies show that the qPCR-based amplification of transgene levels was well-correlated, independent of DNA sources (either CD3+ T-cells or whole blood). Our results also highlight that ddPCR can be a better platform for monitoring samples at the early phase of CAR-T dosing prior to expansion and during long-term monitoring as they can detect samples with very low copy numbers with high sensitivity, in addition to easier implementation and sample logistics.

UI MeSH Term Description Entries
D007700 Kinetics The rate dynamics in chemical or physical systems.
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000076962 Receptors, Chimeric Antigen Synthetic cellular receptors that reprogram T-LYMPHOCYTES to selectively bind antigens. Chimeric Antigen Receptor,Chimeric T-Cell Receptor,Artificial T-Cell Receptors,Chimeric Antigen Receptors,Chimeric Immunoreceptors,Chimeric T-Cell Receptors,Antigen Receptor, Chimeric,Antigen Receptors, Chimeric,Artificial T Cell Receptors,Chimeric T Cell Receptor,Chimeric T Cell Receptors,Immunoreceptors, Chimeric,Receptor, Chimeric Antigen,Receptor, Chimeric T-Cell,Receptors, Artificial T-Cell,Receptors, Chimeric T-Cell,T-Cell Receptor, Chimeric,T-Cell Receptors, Artificial,T-Cell Receptors, Chimeric
D013601 T-Lymphocytes Lymphocytes responsible for cell-mediated immunity. Two types have been identified - cytotoxic (T-LYMPHOCYTES, CYTOTOXIC) and helper T-lymphocytes (T-LYMPHOCYTES, HELPER-INDUCER). They are formed when lymphocytes circulate through the THYMUS GLAND and differentiate to thymocytes. When exposed to an antigen, they divide rapidly and produce large numbers of new T cells sensitized to that antigen. T Cell,T Lymphocyte,T-Cells,Thymus-Dependent Lymphocytes,Cell, T,Cells, T,Lymphocyte, T,Lymphocyte, Thymus-Dependent,Lymphocytes, T,Lymphocytes, Thymus-Dependent,T Cells,T Lymphocytes,T-Cell,T-Lymphocyte,Thymus Dependent Lymphocytes,Thymus-Dependent Lymphocyte
D016133 Polymerase Chain Reaction In vitro method for producing large amounts of specific DNA or RNA fragments of defined length and sequence from small amounts of short oligonucleotide flanking sequences (primers). The essential steps include thermal denaturation of the double-stranded target molecules, annealing of the primers to their complementary sequences, and extension of the annealed primers by enzymatic synthesis with DNA polymerase. The reaction is efficient, specific, and extremely sensitive. Uses for the reaction include disease diagnosis, detection of difficult-to-isolate pathogens, mutation analysis, genetic testing, DNA sequencing, and analyzing evolutionary relationships. Anchored PCR,Inverse PCR,Nested PCR,PCR,Anchored Polymerase Chain Reaction,Inverse Polymerase Chain Reaction,Nested Polymerase Chain Reaction,PCR, Anchored,PCR, Inverse,PCR, Nested,Polymerase Chain Reactions,Reaction, Polymerase Chain,Reactions, Polymerase Chain
D016219 Immunotherapy, Adoptive Form of adoptive transfer where cells with antitumor activity are transferred to the tumor-bearing host in order to mediate tumor regression. The lymphoid cells commonly used are lymphokine-activated killer (LAK) cells and tumor-infiltrating lymphocytes (TIL). This is usually considered a form of passive immunotherapy. (From DeVita, et al., Cancer, 1993, pp.305-7, 314) Adoptive Cellular Immunotherapy,Adoptive Immunotherapy,CAR T-Cell Therapy,Cellular Immunotherapy, Adoptive,Chimeric Antigen Receptor Therapy,Immunotherapy, Adoptive Cellular,Adoptive Cellular Immunotherapies,Adoptive Immunotherapies,CAR T Cell Therapy,CAR T-Cell Therapies,Cellular Immunotherapies, Adoptive,Immunotherapies, Adoptive,Immunotherapies, Adoptive Cellular,T-Cell Therapies, CAR,T-Cell Therapy, CAR,Therapies, CAR T-Cell,Therapy, CAR T-Cell

Related Publications

Madhan Masilamani, and Vibha Jawa, and Yanshan Dai, and Romita Das, and Alice Park, and Manisha Lamba, and Fan Wu, and Xirong Zheng, and Edwin Lu, and Carol Gleason, and Tim Mack, and Johanna Mora, and Sekhar Surapaneni
March 2021, The AAPS journal,
Madhan Masilamani, and Vibha Jawa, and Yanshan Dai, and Romita Das, and Alice Park, and Manisha Lamba, and Fan Wu, and Xirong Zheng, and Edwin Lu, and Carol Gleason, and Tim Mack, and Johanna Mora, and Sekhar Surapaneni
March 2021, The AAPS journal,
Madhan Masilamani, and Vibha Jawa, and Yanshan Dai, and Romita Das, and Alice Park, and Manisha Lamba, and Fan Wu, and Xirong Zheng, and Edwin Lu, and Carol Gleason, and Tim Mack, and Johanna Mora, and Sekhar Surapaneni
December 2022, International journal of molecular sciences,
Madhan Masilamani, and Vibha Jawa, and Yanshan Dai, and Romita Das, and Alice Park, and Manisha Lamba, and Fan Wu, and Xirong Zheng, and Edwin Lu, and Carol Gleason, and Tim Mack, and Johanna Mora, and Sekhar Surapaneni
January 2022, International journal of molecular sciences,
Madhan Masilamani, and Vibha Jawa, and Yanshan Dai, and Romita Das, and Alice Park, and Manisha Lamba, and Fan Wu, and Xirong Zheng, and Edwin Lu, and Carol Gleason, and Tim Mack, and Johanna Mora, and Sekhar Surapaneni
January 2023, Advances in experimental medicine and biology,
Madhan Masilamani, and Vibha Jawa, and Yanshan Dai, and Romita Das, and Alice Park, and Manisha Lamba, and Fan Wu, and Xirong Zheng, and Edwin Lu, and Carol Gleason, and Tim Mack, and Johanna Mora, and Sekhar Surapaneni
August 2017, Bioanalysis,
Madhan Masilamani, and Vibha Jawa, and Yanshan Dai, and Romita Das, and Alice Park, and Manisha Lamba, and Fan Wu, and Xirong Zheng, and Edwin Lu, and Carol Gleason, and Tim Mack, and Johanna Mora, and Sekhar Surapaneni
April 2014, Bioanalysis,
Madhan Masilamani, and Vibha Jawa, and Yanshan Dai, and Romita Das, and Alice Park, and Manisha Lamba, and Fan Wu, and Xirong Zheng, and Edwin Lu, and Carol Gleason, and Tim Mack, and Johanna Mora, and Sekhar Surapaneni
September 2022, Advanced drug delivery reviews,
Madhan Masilamani, and Vibha Jawa, and Yanshan Dai, and Romita Das, and Alice Park, and Manisha Lamba, and Fan Wu, and Xirong Zheng, and Edwin Lu, and Carol Gleason, and Tim Mack, and Johanna Mora, and Sekhar Surapaneni
February 2024, Clinical pharmacology and therapeutics,
Madhan Masilamani, and Vibha Jawa, and Yanshan Dai, and Romita Das, and Alice Park, and Manisha Lamba, and Fan Wu, and Xirong Zheng, and Edwin Lu, and Carol Gleason, and Tim Mack, and Johanna Mora, and Sekhar Surapaneni
January 2013, Bioanalysis,
Copied contents to your clipboard!