Colorectal Cancer Clinical Trial
Official title:
Protocol for Treatment Under Hospital Exemption: T Cell Receptor Based Therapy of Metastatic Colorectal Cancer With mRNA-engineered T Cells Targeting Transforming Growth Factor Beta Receptor Type II (TGFβII)
T Cell Receptor Based Therapy of Metastatic Colorectal Cancer With mRNA-engineered T Cells Targeting Transforming Growth Factor Beta Receptor Type II (TGFβII)
Patients with advanced metastatic colorectal cancer who have no other effective treatment
options will be offered the treatment. These patients have a poor prognosis, and there is a
strong need for improved therapy.
The patients will be given adoptive cell therapy (ACT) with Radium-1 TCR+ T cells transiently
redirected against the TGFβRII frameshift antigen which is expressed in MSI+ colon cancer.
The first report on TCR therapy in colon cancer was targeting carcinoembryonic antigen (CEA)
where some evidence of clinical response was seen, but the T-cell function may have been
inhibited due to the necessity to resolve the severe colitis which occurred due to the
presence of CEA in normal cells in the colon. This demonstrates the feasibility of T-cell
therapy in metastatic colon cancer, but also the limitations of targeting CEA as an antigen.
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