Processes for generating TIL products enriched for tumor antigen-specific T-cells
The present invention provides improved and/or shortened processes and methods for reprogramming TILs in order to prepare therapeutic populations of TILs with increased therapeutic efficacy. Such reprogrammed TILs find use in therapeutic treatment regimens.
1. A method for expanding tumor infiltrating lymphocytes (TILs) into a therapeutic population of TILs comprising:
(a) obtaining a first population of TILs from a tumor resected from a patient;
(b) performing a first expansion by culturing the first population of TILs in a cell culture medium comprising IL-2 for a period of about 3-14 days to produce a second population of TILs;
(c) performing a second expansion by supplementing the cell culture medium of the second population of TILs with additional IL-2, OKT-3 and antigen presenting cells (APCs), to produce a third population of TILs, wherein the second expansion is performed for about 7-14 days in order to obtain the third population of TILs, wherein the third population of TILs is a therapeutic population of TILs; and
(d) harvesting the therapeutic population of TILs;
wherein the first population of TILs is modified to effect transient alteration of expression of one or more proteins before or during the first expansion in step (b), the second population of TILs is modified to effect transient alteration of expression of one or more proteins before or during the second expansion in step (c), or the third population of TILs is modified to effect transient alteration of expression of one or more proteins after the second expansion in step (c) and before step (d).
2. The method of claim 1 , wherein the transient alteration of expression increases expression of the one or more proteins.
3. The method of claim 1 , wherein the transient alteration of expression includes insertion of one or more nucleic acid molecules into the first, second or third population of TILs for alteration of the expression of the one or more proteins.
4. The method of claim 3 , wherein the nucleic acid insertion is effected by electroporation.
5. The method of claim 3 , wherein the one or more nucleic acid molecules comprises one or more RNA molecules.
6. The method of claim 5 , wherein the one or more RNA molecules comprises one or more mRNA molecules, one or more siRNA molecules, or both.
7. The method of claim 6 , wherein the nucleic acid insertion is effected by microfluidic membrane disruption.
8. The method of claim 6 , wherein the nucleic acid insertion is effected by vector-free microfluidic membrane disruption mediating the transfer of the one or more mRNA molecules, the one or more siRNA molecules, or both, into the TILs.
9. The method of claim 8 , wherein the vector-free microfluidic membrane disruption deforms the TILs.
10. The method of claim 8 , wherein the one or more mRNA molecules encode a membrane-bound form of IL-2 and a membrane-bound form of IL-12.
11. The method of claim 1 , wherein the one or more proteins comprise one or more of IL-2, IL-7, IL-10, IL-12, IL-15 and IL-21.
12. The method of claim 11 , wherein the one or more proteins comprise one or more of IL-2, IL-15 and IL-21.
13. The method of claim 12 , wherein the one or more proteins comprise one or both of IL-15 and IL-21.
14. The method of claim 12 , wherein the one or more proteins comprise one or more of a membrane-bound form of IL-2, a membrane-bound form of IL-15, and a membrane-bound from of IL-21.
15. The method of claim 14 , wherein the one or more proteins comprise a membrane-bound form of IL-15.
16. The method of claim 11 , wherein the one or more proteins comprise one or both of IL-2 and IL-12.
17. The method of claim 16 , wherein the one or more proteins comprise IL-2.
18. The method of claim 16 , wherein the one or more proteins comprise IL-12.
19. The method of claim 16 , wherein the one or more proteins comprise one or both of a membrane-bound form of IL-2 and a membrane-bound form of IL-12.
20. The method of claim 1 , wherein the first expansion is performed for about 3-11 days.
21. The method of claim 20 , further comprising the step of:
(e) transferring the harvested TIL population from step (d) to an infusion bag.
22. The method of claim 1 , wherein the second expansion is performed within a period of about 11 days.
23. The method of claim 1 , wherein the first expansion and the second expansion are each individually performed within a period of about 11 days.
24. The method of claim 1 , wherein steps (b) through (d) are performed within about 22 days.
25. The method of claim 21 , further comprising the step of:
(f) cryopreserving the infusion bag from step (e).
26. The method of claim 1 , wherein steps (b), (c) and (d) are performed in a closed system.