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DRUG CLASS:

CLDN6-targeted CAR-T immunotherapy

Related drugs:
5ms
Fetal gut cell-like differentiation in esophageal adenocarcinoma defines a rare tumor subtype with therapeutically relevant claudin-6 positivity and SWI/SNF gene alteration. (PubMed, Sci Rep)
Furthermore, claudin-6 positive tumors have shown promising efficacy of CAR T cell therapy in the recently published BNT-211-01 trial (NCT04503278). This represents a personalized therapeutic option for this tumor subtype.
Journal
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CLDN6 (Claudin 6) • GPC3 (Glypican 3) • SALL4 (Spalt Like Transcription Factor 4)
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BNT211
9ms
CARVac: A Clinical Study of the Safety and Effectiveness of an Investigational Cell Therapy Given With and Without an Investigational RNA-based Vaccine in Patients With Organ Tumors (clinicaltrials.gov)
P1, N=145, Recruiting, BioNTech Cell & Gene Therapies GmbH | Phase classification: P1/2 --> P1 | Trial completion date: Sep 2037 --> Jan 2040 | Trial primary completion date: Aug 2024 --> Jan 2027
Phase classification • Trial completion date • Trial primary completion date • Metastases
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AFP (Alpha-fetoprotein) • CLDN6 (Claudin 6)
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CLDN6 expression • CLDN6 positive
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BNT211
11ms
Trial completion date • Trial primary completion date • Metastases
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AFP (Alpha-fetoprotein) • CLDN6 (Claudin 6)
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CLDN6 expression • CLDN6 positive
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BNT211
12ms
CLDN6-specific CAR-T cells plus amplifying RNA vaccine in relapsed or refractory solid tumors: the phase 1 BNT211-01 trial. (PubMed, Nat Med)
A repeat of the dose escalation is ongoing and will identify a RP2D for pivotal trials. ClinicalTrials.gov Identifier: NCT04503278 .
P1 data • Journal • CAR T-Cell Therapy
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CLDN6 (Claudin 6)
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CLDN6 positive
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BNT211
1year
CARVac: A Trial to Evaluate the Safety and Efficacy of CLDN6 CAR-T +/- CLDN6 RNA-LPX (clinicaltrials.gov)
P1/2, N=114, Recruiting, BioNTech Cell & Gene Therapies GmbH | Trial completion date: Sep 2036 --> Sep 2037 | Trial primary completion date: Aug 2023 --> Aug 2024
Trial completion date • Trial primary completion date • Metastases
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AFP (Alpha-fetoprotein) • CLDN6 (Claudin 6)
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CLDN6 expression • CLDN6 positive
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BNT211
1year
The tight junction protein claudin 6 is a potential target for patient-individualized treatment in esophageal and gastric adenocarcinoma and is associated with poor prognosis. (PubMed, J Transl Med)
High expression of CLDN6 mRNA is associated with the dysregulation of distinct biological pathways regulating cell growth, proliferation, and cell-matrix interactions. Clinically, the expression of CLDN6 protein is a valuable adverse prognostic marker in EAC and GAC.
Journal
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CLDN6 (Claudin 6)
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CLDN6 expression • CLDN6 positive
over1year
BNT211-01: Interim results from a repeat dose escalation study of CLDN6 CAR-T cells manufactured with an automated process ± a CLDN6-encoding CAR-T cell-Amplifying RNA Vaccine (CARVac) (ESMO 2023)
The safety profile in terms of CRS, ICANS and DLTs observed is in line with previously reported observations. We intend to present data on up to 42 pts, with a data cut-off of 10.09.2023.
Late-breaking abstract • CAR T-Cell Therapy
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CLDN6 (Claudin 6)
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CLDN6 positive
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BNT211
over1year
Advances of Claudin6-targeting drugs in cancer therapy (PubMed, Sheng Wu Gong Cheng Xue Bao)
Many types of anticancer drugs targeting CLDN6 have been developed, including antibody-conjugated drugs (ADC), monoclonal antibodies, bispecific antibodies, and chimeric antigen receptor T-cell immunotherapy (CAR-T). This paper briefly summarizes the structure, expression and function of CLDN6 in tumors, and reviews the current status and ideas of developing targeted CLDN6 anticancer drugs.
Journal • IO biomarker
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CLDN6 (Claudin 6)
over1year
CLDN6 CAR-T cell therapy of relapsed/refractory solid tumors ± a CLDN6-encoding mRNA vaccine: Dose escalation data from the BNT211-01 phase 1 trial using an automated product. (ASCO 2023)
We intend to submit efficacy, safety and CAR T-cell pharmacokinetics data from 5 cohorts treated with 1x106, 1x107 or 1x108 CLDN6 CAR-T cells ± CARVac with a data cut-off of March 14th, 2023 from ≥17 treated patients as a late-breaking abstract. Clinical trial information: NCT04503278.
P1 data • CAR T-Cell Therapy • IO biomarker
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CLDN6 (Claudin 6)
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CLDN6 expression
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BNT211
2years
BNT211-01: A Trial to Evaluate the Safety and Efficacy of CLDN6 CAR-T +/- CLDN6 RNA-LPX (clinicaltrials.gov)
P1/2, N=96, Recruiting, BioNTech Cell & Gene Therapies GmbH | Trial primary completion date: Sep 2022 --> Aug 2023
Trial primary completion date • Metastases
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AFP (Alpha-fetoprotein) • CLDN6 (Claudin 6) • IL2 (Interleukin 2)
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CLDN6 expression • CLDN6 positive
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BNT211
2years
Research advance in lipid nanoparticle-mRNA delivery system and its application in CAR-T cell therapy. (PubMed, Zhejiang Da Xue Xue Bao Yi Xue Ban)
The LNP-mRNA delivery system has advantages including having no integration in host genome, inexpensiveness, low toxicity and modifiability; on the other hand, it has certain disadvantages such as limited cell persistence caused by transient protein expression and limitations in preparation techniques. This article reviews the research advance in LNP-mRNA in vivo delivery system and its application in CAR-T cell therapy.
Review • Journal • CAR T-Cell Therapy • IO biomarker
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CLDN6 (Claudin 6) • FAP (Fibroblast activation protein, alpha)
2years
Targeting claudin 6 with CAR T cell therapy for atypical teratoid/rhabdoid tumor (SNO 2022)
Patient-derived xenograft models were also created through intracranial injection of multiple ATRT patient cell lines, and ongoing work will evaluate locoregional administration of CLDN6-directed CAR T cells in orthotopic xenograft models to test in vivo efficacy. This work highlights the potential for targeting CLDN6 via CAR T cell therapy in patients with ATRT as a novel therapeutic strategy for these devastating tumors.
CAR T-Cell Therapy • IO biomarker
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CD19 (CD19 Molecule) • CLDN6 (Claudin 6)
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CLDN6 expression
over2years
Late-breaking abstract • CAR T-Cell Therapy • IO biomarker
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CLDN6 (Claudin 6)
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CLDN6 expression
over2years
Enrollment change
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IFNG (Interferon, gamma) • AFP (Alpha-fetoprotein) • CLDN6 (Claudin 6) • IL2RA (Interleukin 2 receptor, alpha) • IFNA1 (Interferon Alpha 1)
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CLDN6 expression • CLDN6 positive
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BNT211
over2years
A novel anti-CLDN6-CD137 bispecific antibody (NBL-028) for treating Claudin 6 positive solid tumors (AACR 2022)
Furthermore, NBL-028 is designed upon a proprietary molecular scaffold with superior developability features, demonstrated by stability, yield and ease to purify. NBL-028 is currently at the stage of IND-enabling activities with the aim to enter clinical studies for treating Claudin 6 positive solid tumors in 1Q 2023.
IO biomarker
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CD8 (cluster of differentiation 8) • CLDN6 (Claudin 6) • PTPRC (Protein Tyrosine Phosphatase Receptor Type C) • TNFRSF9 (TNF Receptor Superfamily Member 9)
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CLDN6 expression • CLDN6 positive
over2years
BNT211: A Phase I trial to evaluate safety and efficacy of CLDN6 CAR-T cells and CARVac-mediated in vivo expansion in patients with CLDN6-positive advanced solid tumors (AACR 2022)
CLDN6 CAR-T cells ± CARVac show an acceptable safety profile at doses tested and encouraging signs of clinical activity. Data from the completed dose escalation phase will be presented. Acknowledgements: BNT211-01 is funded by BioNTech Cell & Gene Therapies GmbH.Trial registration: Clinicaltrials.gov: NCT04503278.Ethics approval: Ethics & Institutional Review Board approvals were obtained from the respective participating countries prior to initiation of the trial.
P1 data • Preclinical • CAR T-Cell Therapy
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CLDN6 (Claudin 6)
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CLDN6 positive
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BNT211
almost3years
CRISPR/Cas9-mediated TGFβRII disruption enhances anti-tumor efficacy of human chimeric antigen receptor T cells in vitro. (PubMed, J Transl Med)
The TGFβRII KO approach may become an indispensable tool in immunotherapy of solid tumors, as it may surmount one of the key negative regulatory signaling pathways in T-cells.
Preclinical • Journal • CAR T-Cell Therapy • IO biomarker
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MSLN (Mesothelin) • CLDN6 (Claudin 6) • IL10 (Interleukin 10) • TGFB1 (Transforming Growth Factor Beta 1)
3years
P1/2 data • Preclinical • Late-breaking abstract • CAR T-Cell Therapy
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IL6 (Interleukin 6) • CLDN6 (Claudin 6)
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IL6 elevation • CLDN6 positive
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BNT211
3years
BNT211: A phase I/II trial to evaluate safety and efficacy of CLDN6 CAR-T cells and vaccine-mediated in vivo expansion in patients with CLDN6-positive advanced solid tumors (SITC 2021)
Manageable cytokine release syndrome (CRS, grade 1-2, the latter managed with Tocilizumab) without any signs of neurotoxicity have been observed in both patients of part 1 DL2. Updated data from open cohorts and especially for combination with CARVac will be presented. Clinicaltrials gov: NCT04503278
P1/2 data • Preclinical • Late-breaking abstract • CAR T-Cell Therapy
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IL6 (Interleukin 6) • CLDN6 (Claudin 6)
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IL6 elevation • CLDN6 positive
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Actemra IV (tocilizumab) • BNT211
over3years
[VIRTUAL] BNT211: A phase I/IIa trial to evaluate safety and efficacy of CLDN6 CAR-T and CARVac-based in vivo expansion to improve treatment of patients with CLDN6-positive advanced solid tumors. (CIMT 2021)
"Robust engraftment of CLDN6 CAR-T cells and first signs of efficacy could already be observed in initial dose cohort. Enrollment into higher dose levels and cohorts for combination with CARVac is currently ongoing."
P1/2 data • Preclinical
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IL6 (Interleukin 6)
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IL6 elevation
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BNT211
over4years
A Trial to Evaluate the Safety and Efficacy of CLDN6 CAR-T +/- CLDN6 RNA-LPX (clinicaltrials.gov)
P1/2; N=36; Not yet recruiting; Sponsor:BioNTech Cell & Gene Therapies GmbH
New P1/2 trial • Clinical
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IFNG (Interferon, gamma) • AFP (Alpha-fetoprotein) • CLDN6 (Claudin 6) • IL2RA (Interleukin 2 receptor, alpha) • IFNA1 (Interferon Alpha 1)
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CLDN6 positive