Tim Fugmann’s Post

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Chief Scientific Officer and Co-Founder

#immunotherapy targeting peptide-#HLA complexes encompass soluble T cell receptors #TCR and #antibodies, such as Immunocore's recently approved tebentafusp, but also #Tcells engineered to express a #TCR, through adoptive cell therapy #act. This recent review guides us through the clinical experience with #TCR therapy, which (even though limited) performs better in solid tumors as compared to CAR therapy. Only a couple of #targets have been evaluated essentially consisting of: - #melanoma-specific antigens like MART1, gp100, tyrosinase and other cell type-specific antigens like CEA, mesothelin and AFP - Cancer-germline antigens such as NY-ESO-1, MAGEA1, MAGEA3, MAGEA4, PRAME and more recently KK-LC-1/CT83 - over-expressed WT1, usually in AML - #virus epitopes - #neoantigen (again more recently) mostly against RAS and TP53 While new generation #Tcell engineering offers hope for improved efficacy, most of the targets are not ideal and difficult to study. The cancer-testis antigens, e.g. are widely expressed in many cancers, but at variable degree and trial design is complicated by the lack of effective ways to quantitate target expression on cancer cells. In my opinion, innovative #precisionmedicine is essential for improved #clinical #efficacy.

T cell receptor therapeutics: immunological targeting of the intracellular cancer proteome - Nature Reviews Drug Discovery

T cell receptor therapeutics: immunological targeting of the intracellular cancer proteome - Nature Reviews Drug Discovery

nature.com

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