IP Library Granted Patent US 12,447,178
Granted Patent B2
US 12,447,178 · App. 18/395,996 · Granted Oct 21, 2025

Method of treatment using anti-CD19 rituximab-resistant chimeric antigen receptors

Inventors: Thomas Charles Pertel (San Mateo, CA); Barbra Johnson Sasu (San Francisco, CA); Mark W. Leonard (Burlingame, CA)
Assignee: Allogene Therapeutics, Inc.
A61K35/17A61K40/11A61K40/31A61K40/4211A61P35/00C07K14/70517C07K14/70596C07K16/2803C12N5/0636A61K2039/505A61K2239/38C07K2317/76C07K2319/33C12N2510/00C12N2740/15043
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Quick Facts
Patent No.
US 12,447,178
App. No.
18/395,996
Granted
Oct 21, 2025
Kind
B2
Abstract

Provided herein are polynucleotides encoding chimeric antigen receptors (CARs) comprising a CD19 antigen binding domain that specifically binds to CD19 and is resistant to rituximab binding; and immune cells comprising these CD19-specific CARs, e.g., CAR-T cells. Also provided are methods of making and using these CD19-specific CARs, and immune cells comprising these CD19-specific CARs.

Claims (21)

1. A method of treating a CD19-expressing cancer or malignancy in a subject in need thereof comprising administering to the subject an engineered immune cell that comprises an isolated polynucleotide encoding a polypeptide comprising an anti-CD19 chimeric antigen receptor (CAR) that comprises the amino acid sequence of SEQ ID NO: 9, wherein the polypeptide does not comprise a rituximab binding site, wherein the polynucleotide comprises a nucleic acid sequence having at least 90% identity to SEQ ID NO: 3 and a short EF1a promoter that is capable of expressing the anti-CD19 chimeric antigen receptor (CAR) in a mammalian T cell, and wherein the short EF1a promoter comprises the nucleic acid sequence of SEQ ID NO:16 and does not comprise the nucleic acid sequence of SEQ ID NO:39.

2. The method of claim 1 , wherein the CD19-expressing cancer or malignancy is Non-Hodgkin lymphoma (NHL).

3. The method of claim 1 or 2 , wherein the subject has been treated or is currently being treated with rituximab.

4. The method of claim 1 , wherein the polypeptide further comprises a safety switch.

5. The method of claim 4 , wherein the safety switch is linked to the CD19 CAR using a linker peptide.

6. The method of claim 4 , wherein the safety switch is linked to the anti-CD19 CAR using a T2A linker.

7. The method of claim 4 , wherein the safety switch comprises an antibody binding site.

8. The method of claim 4 , wherein the safety switch comprises a mutated CD20 rituximab mimotope.

9. The method of claim 4 , wherein the polypeptide comprises a CD34 epitope.

10. The method of claim 9 , wherein the CD34 epitope is a QBEND-10 epitope.

11. The method of claim 1 , wherein the polypeptide further comprises a CD8 hinge/transmembrane domain.

12. The method of claim 1 , wherein the polynucleotide encodes a polypeptide that comprises any one of the amino acid sequences of SEQ ID NOs: 11-14.

13. The method of claim 1 , wherein the polynucleotide comprises a nucleic acid sequence having at least 95% identity to SEQ ID NO: 3.

14. The method of claim 1 , wherein the polynucleotide comprises a nucleic acid sequence having at least 96% identity to SEQ ID NO: 3.

15. The method of claim 1 , wherein the polynucleotide comprises a nucleic acid sequence having at least 98% identity to SEQ ID NO: 3.

16. The method of claim 1 , wherein the polynucleotide comprises a nucleic acid sequence having at least 99% identity to SEQ ID NO: 3.

17. The method of claim 1 , wherein the polynucleotide comprises the nucleic acid sequence shown in SEQ ID NO: 3.

18. The method of claim 1 , wherein the engineered immune cell is a T cell, tumor infiltrating lymphocyte (TIL), NK cell, TCR-expressing cell, dendritic cell, or NK-T cell.

19. The method of claim 18 , wherein the T cell is an autologous T cell.

20. The method of claim 18 , wherein the T cell is an allogeneic T cell.

21. The method of claim 1 , wherein the engineered cell is resistant to rituximab.

Continuity (4)
Division 16857573 · Apr 24, 2020
Provisional Application 63005041 · Apr 3, 2020
Provisional Application 62839455 · Apr 26, 2019
Related Publication 20240277763A1 · Aug 22, 2024
References Cited (58)
US 5830462A · Crabtree et al. · 1998 [cited by applicant]
US 5834266A · Crabtree et al. · 1998 [cited by applicant]
US 5869337A · Crabtree et al. · 1999 [cited by applicant]
US 6165787A · Crabtree et al. · 2000 [cited by applicant]
US 6319494B1 · Capon et al. · 2001 [cited by applicant]
US 7741465B1 · Eshhar et al. · 2010 [cited by applicant]
US 8436183B2 · Holt et al. · 2013 [cited by applicant]
US 8486693B2 · Park et al. · 2013 [cited by applicant]
US 8906682B2 · June et al. · 2014 [cited by applicant]
US 9024028B2 · Li et al. · 2015 [cited by applicant]
US 9944690B2 · Spencer et al. · 2018 [cited by applicant]
US 10428142B2 · Jarjour et al. · 2019 [cited by applicant]
US 10874693B2 · Galetto et al. · 2020 [cited by applicant]
US 10888608B2 · Spencer et al. · 2021 [cited by applicant]
US 20110286980A1 · Brenner · 2011 [cited by applicant]
US 20160046700A1 · Foster et al. · 2016 [cited by applicant]
US 20160068601A1 · Brogdon et al. · 2016 [cited by applicant]
US 20170173124A1 · Thrasher et al. · 2017 [cited by applicant]
US 20180319854A1 · Gummadova · 2018 [cited by applicant]
US 20210213119A1 · Wang et al. · 2021 [cited by applicant]
WO WO2013153391A1 · 2013 [cited by applicant]
WO WO2014127261A1 · 2014 [cited by applicant]
WO WO2014184143A1 · 2014 [cited by applicant]
WO WO2015090229A1 · 2015 [cited by applicant]
WO WO2015120096 · 2015 [cited by applicant]
WO WO2015132604A1 · 2015 [cited by applicant]
WO WO2016036746A1 · 2016 [cited by applicant]
WO WO2016120216A1 · 2016 [cited by applicant]
WO WO2017180587A2 · 2017 [cited by applicant]
WO WO2017156484A1 · 2017 [cited by applicant]
WO WO2018161017A1 · 2018 [cited by applicant]
WO WO2018178377 · 2018 [cited by applicant]
Perosa et al., Two Structurally Dierent Rituximab-Specic CD20 Mimotope Peptides Reveal That Rituximab Recognizes Two Dierent CD20-Associated Epitopes, J. Immuno. 182(1):416-423, 2009. [cited by examiner]
Miller et al., CD19-Targeted CAR T Cells: A New Tool in the Fight against B Cell Malignancies, Oncol. Res. Treat. 38:683-690, 2015. [cited by examiner]
Jensen-Jarolim et al., Small mimotopes are big in identifying B-cell epitopes, Blood, 108(6):1794-1795, 2006. [cited by examiner]
Hofmann et al., Targeting B Cells and Plasma Cells in Autoimmune DiseasesFront. Immunol. 9:835, 17 pages, Apr. 2018. [cited by examiner]
Brenner, Malcom K., et al., “Adoptive T Cell Therapy of Cancer”, Curr Opin Immunol. Apr. 2010 ; 22(2): 251-257. doi:10.1016/j.coi.2010.01.020. [cited by applicant]
Eshhar, Zelig , et al., “Specific activation and targeting of cytotoxic lymphocytes through chimeric single chains consisting of antibody-binding domains and the gamma or zeta subunits of the immunoglobulin and T-cell r… [cited by applicant]
Finney, Helen , et al., “Chimeric Receptors Providing Both Primary and Costimulatory Signaling in T Cells from a Single Gene Product”, J Immunol Sep. 15, 1998, 161 (6) 2791-2797. [cited by applicant]
Gross, Gideon , et al., “Therapeutic Potential of T Cell Chimeric Antigen Receptors (CARs) in Cancer Treatment: Counteracting Off-Tumor Toxicities for Safe Car T Cell Therapy”, Annual Review of Pharmacology and Toxicolo… [cited by applicant]
Kalos, Michael , et al., “T Cells with Chimeric Antigen Receptors Have Potent Antitumor Effects and Can Establish Memory in Patients with Advanced Leukemia”, Science Transnational Medicine, vol. 3 Issue 95 95ra73, 2011. [cited by applicant]
Krause, Anja , et al., “Antigen-dependent CD28 Signaling Selectively Enhances Survival and Proliferation in Genetically Modified Activated Human Primary T Lymphocytes”, The Journal of experimental medicine vol. 188,4 (1… [cited by applicant]
Milone, Michael C., et al., “Chimeric Receptors Containing CD137 Signal Transduction Domains Mediate Enhanced Survival of T Cells and Increased Antileukemic Efficacy In Vivo”, Molecular Therapy vol. 17 No. 8, 1453-1464 … [cited by applicant]
Montiel-Equiha, Claudia A., et al., “The β-globin locus control region in combination with the EF1α short promoter allows enhanced lentiviral vector-mediated erythroid gene expression with conserved multilineage activit… [cited by applicant]
Porter, David L., et al., “Chimeric Antigen Receptor-Modified T Cells in Chronic Lymphoid Leukemia”, N Engl J Med 2011;365:725-33. [cited by applicant]
Roddie, Claire , et al., “Manufacturing chimeric antigen receptor T cells: issues and challenges”, Cytotherapy; 2019 21(3):327-340; DOI: 10.1016/j.jcyt.2018.11.009. [cited by applicant]
Rosenberg, Steven A., et al., “Adoptive cell transfer: a clinical path to effective cancer immunotherapy”, Nat Rev Cancer. Apr. 2008 ; 8(4): 299-308. doi:10.1038/nrc2355. [cited by applicant]
Sadelain, Michel , et al., “The promise and potential pitfalls of chimeric antigen receptors”, Current Opinion in Immunology 2009, 21:215-223. [cited by applicant]
Sanber, Khaled S., et al., “Construction of stable packaging cell lines for clinical lentiviral vector production”, Sci Rep 5, 9021 (2015). https://doi.org/10.1038/srep09. [cited by applicant]
Song, De-Gang , et al., “CD27 costimulation augments the survival and antitumor activity of redirected human T cells in vivo”, Blood (2012) 119 (3): 696-706. [cited by applicant]
Wakabayashi-Ito, Noriko , et al., “Characterization of the regulatory elements in the promoter of the human elongation factor-1 alpha gene”, J Biol Chem . Nov. 25, 1994;269(47):29831-7. [cited by applicant]
Ying, Zhitao , et al., “A safe and potent anti-CD19 CAR T cell therapy”, Nat Med 25, 947-953 (2019). https://doi.org/10.1038/s41591-019-0421-7. [cited by applicant]
Ying, Zhitao , et al., “A safe and potent anti-CD19 CAR T cell therapy (Supplementary Information)”, A safe and potent anti-CD19 CAR T cell therapy, Nat. Med. 25, 947-953 (2019). [cited by applicant]
EPO, International Search Report & Written Opinion mailed on Jun. 30, 2020 for International Application No. PCT/US2020/029775. [cited by applicant]
Bai et al., Enhancement of the in vivo persistence and antitumor efficacy of CD19 chimeric antigen receptor T cells through the delivery of modified TERT mRNA; Cell Discov. 1, 15040; doi:10.1038/celldisc.2015.40, 15 pag… [cited by applicant]
G&P Biosciences. Product ID: CD19-CART-2G40, Retrieved online: <URL: https://www.gnpbio.com/index.php/products/1567/15/ lentiviral-expression-system/anti-cd19-chimeric-antigen-receptor-t-cell-car-t-lentivinus-2nd-genera… [cited by applicant]
Cao Y. et al., Design of Switchable Chimeric Antigen Receptor T Cells Targeting Breast Cancer. May 4, 2016, Angew Chem Int Ed Engl, vol. 55, No. 26, pp. 7520-7524. [cited by applicant]
Dong Jie et al., Optimizing CAR structure to improve safety and efficiency of CAR-T cell therapy. Dec. 25, 2018Chinese Journal of Cancer Biotherapy, vol. 25, No. 12, pp. 1209-1217 (English abstract). [cited by applicant]