Compositions and methods for treatment of cancer
The present invention provides compositions and methods for treating cancer in a human. The invention includes relates to administering a genetically modified T cell to express a CAR wherein the CAR comprises an antigen binding domain, a transmembrane domain, a costimulatory signaling region, and a CD3 zeta signaling domain.
1. A pharmaceutical composition comprising an anti-tumor effective amount of a population of human T cells, wherein the T cells comprise a nucleic acid sequence encoding a chimeric antigen receptor (CAR), wherein the CAR comprises a CD19 antigen binding domain comprising, from the amino to the carboxy terminus, a light chain variable region and a heavy chain variable region of SEQ ID NO:20, wherein the CAR further comprises a transmembrane domain, a 4-1BB costimulatory signaling region, and a CD3 zeta signaling domain, wherein the T cells are from a human having cancer.
2. The composition of claim 1 , wherein the anti-tumor effective amount of T cells is 10 4 to 10 9 cells per kg body weight of a human in need of such cells.
3. The composition of claim 1 , wherein the anti-tumor effective amount of T cells is 10 5 to 10 6 cells per kg body weight of a human in need of such cells.
4. The composition of claim 1 , wherein said antigen binding fragment is a scFv.
5. The composition of claim 4 , wherein the scFv comprises the amino acid sequence of SEQ ID NO:20.
6. The composition of claim 1 , wherein the transmembrane domain is CD8α transmembrane domain.
7. The composition of claim 6 , wherein the CD8α transmembrane domain comprises the amino acid sequence of SEQ ID NO: 22.
8. The composition of claim 1 , wherein the CAR further comprises a hinge domain.
9. The composition of claim 8 , wherein the hinge domain is a CD8α hinge domain.
10. The composition of claim 9 , wherein the CD8α hinge domain comprises the amino acid sequence of SEQ ID NO:21.
11. The composition of claim 1 , wherein the 4-1BB costimulatory signaling region comprises the amino acid sequence of SEQ ID NO:23.
12. The composition of claim 1 , wherein the CD3 zeta signaling domain comprises the amino acid sequence of SEQ ID NO: 24.
13. The composition of claim 1 , wherein the CD19 antigen binding domain is encoded by a nucleic acid sequence comprising SEQ ID NO: 14.
14. The composition of claim 6 , wherein the CD8α transmembrane domain is encoded by a nucleic acid sequence comprising SEQ ID NO: 16.
15. The composition of claim 10 , wherein the CD8α hinge domain is encoded by a nucleic acid sequence comprising SEQ ID NO: 15.
16. The composition of claim 11 , wherein the 4-1BB costimulatory signaling region is encoded by a nucleic acid sequence comprising SEQ ID NO: 17.
17. The composition of claim 12 , wherein the CD3 zeta signaling domain is encoded by a nucleic acid sequence comprising SEQ ID NO: 18.
18. The composition of claim 1 , wherein the CAR comprises the amino acid sequence of SEQ ID NO:12.
19. The composition of claim 18 , wherein the CAR is encoded by a nucleic acid sequence comprising SEQ ID NO:8.
20. The composition of claim 1 , wherein the CAR further comprises a CD28 costimulatory signaling region.
21. The composition of claim 1 , wherein the T cells are T cells of a human having a cancer.
22. The composition of claim 21 , wherein the cancer is a hematological cancer.
23. The composition of claim 1 , wherein the T cells comprise a vector that comprises the nucleic acid sequence.
24. The composition of claim 23 , wherein the vector is a lentiviral vector.
25. The composition of claim 23 , wherein the vector further comprises a promoter.
26. The composition of claim 25 , wherein the promoter is an EF-1α promoter.
27. The composition of claim 1 , wherein the pharmaceutical composition further comprises a pharmaceutically acceptable carrier, diluent or excipient.
28. The composition of claim 1 , wherein the pharmaceutical composition comprises a buffer.
29. The composition of claim 28 , wherein the buffer is neutral buffer saline or phosphate buffered saline.
30. The composition of claim 1 , wherein the pharmaceutical composition further comprises a carbohydrate.