RE: 'Wondrous' new leukemia drug.25 Nov 2025 12:23
Bella, was that person given Autolus's obe-cel (obecabtagene autoleucel, Aucatzyl)? Autolus is designed theirs to minimise CRS by using a rapid binding and release within seconds.
https://www.google.com/search?q=how+does+the+obe-cel+"fast-off"+work%3F
The "fast-off" mechanism in obe-cel is a modification of the CAR T-cell's design that allows it to bind and release target cancer cells more quickly, mimicking natural T-cell interactions. This rapid on/off binding cycle prevents over-stimulation of the T-cells, which reduces T-cell exhaustion, minimizes the risk of severe cytokine release syndrome (CRS) and neurotoxicity, and increases T-cell persistence, leading to potentially deeper and more durable remissions.
How it works
• Rapid binding and unbinding: The chimeric antigen receptor (CAR) on the obe-cel therapy is engineered to have a fast off-rate. This means that after it binds to and kills a target cancer cell, the T-cell quickly detaches and moves on to the next cell.
• Reduced over-stimulation: Unlike traditional CAR T-cells with slower off-rates that can keep the T-cells over-activated for longer periods, the fast-off mechanism limits excessive and prolonged activation.
• Prevention of exhaustion: By preventing over-stimulation, the T-cells are less likely to become "exhausted," a state where they lose their effectiveness over time.
• Lowered toxicity: The reduced over-activation and over-stimulation lead to a decrease in the release of inflammatory cytokines, which in turn results in lower rates of severe cytokine release syndrome (CRS) and immune effector cell-associated neurotoxicity syndrome (ICANS).
• Improved persistence and durability: The "fast-off" kinetic allows the T-cells to remain active and persistent in the body for a longer period, which is associated with a higher chance of achieving durable, long-term remissions.
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"According to the researchers, 74.7% of patients enjoyed a remission after the treatment. They estimated nearly half would be alive and disease free after a year.
"Just 2.4% of patients suffered severe cytokine release syndrome. This compares favourably to the approved UK treatment brexu-cel, with around 24% of patients experiencing severe cytokine release syndrome.
"Researcher Dr Claire Roddie, from the UCL Cancer Institute, said: “While we have a licensed CAR-T therapy to treat r/r B-ALL in the UK, high toxicity is an issue in around a quarter of patients and lack of CAR-T persistence in the blood can lead to relapse and the requirement for more lines of therapy, including stem cell transplant.
“In contrast, our results from the FELIX study demonstrate that obe-cel can induce durable remissions with substantially fewer toxicity issues, which is great news for patients with what has historically been a very difficult cancer to treat.”
https://b-s-h.org.uk/about-us/news/second-generation-car-t-shows-promise-for-all