IL12 immune therapy clinical trial review: Novel strategies for avoiding CRS-associated cytokines

Interleukin 12 (IL-12) is a naturally occurring cytokine that plays a key role in inducing antitumor immune responses, including induction of antitumor immune memory. Currently, no IL-12-based therapeutic products have been approved for clinical application because of its toxicities. On the basis of...

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Main Authors: Zhiliang Jia, Dristhi Ragoonanan, Kris Michael Mahadeo, Jonathan Gill, Richard Gorlick, Elizabeth Shpal, Shulin Li
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-09-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2022.952231/full
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author Zhiliang Jia
Dristhi Ragoonanan
Kris Michael Mahadeo
Jonathan Gill
Richard Gorlick
Elizabeth Shpal
Shulin Li
author_facet Zhiliang Jia
Dristhi Ragoonanan
Kris Michael Mahadeo
Jonathan Gill
Richard Gorlick
Elizabeth Shpal
Shulin Li
author_sort Zhiliang Jia
collection DOAJ
description Interleukin 12 (IL-12) is a naturally occurring cytokine that plays a key role in inducing antitumor immune responses, including induction of antitumor immune memory. Currently, no IL-12-based therapeutic products have been approved for clinical application because of its toxicities. On the basis of this review of clinical trials using primarily wild-type IL-12 and different delivery methods, we conclude that the safe utilization of IL-12 is highly dependent on the tumor-specific localization of IL-12 post administration. In this regard, we have developed a cell membrane-anchored and tumor-targeted IL-12-T (attIL12-T) cell product for avoiding toxicity from both IL-12 and T cells-induced cytokine release syndrome in peripheral tissues. A phase I trial using this product which seeks to avoid systemic toxicity and boost antitumor efficacy is on the horizon. Of note, this product also boosts the impact of CAR-T or TCR-T cell efficacy against solid tumors, providing an alternative approach to utilize CAR-T to overcome tumor resistance.
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spelling doaj.art-d689a33e15a14aa58d32800f895edb1a2022-12-22T03:17:02ZengFrontiers Media S.A.Frontiers in Immunology1664-32242022-09-011310.3389/fimmu.2022.952231952231IL12 immune therapy clinical trial review: Novel strategies for avoiding CRS-associated cytokinesZhiliang Jia0Dristhi Ragoonanan1Kris Michael Mahadeo2Jonathan Gill3Richard Gorlick4Elizabeth Shpal5Shulin Li6Department of Pediatric Research, University of Texas MD Anderson Cancer Center, Houston, TX, United StatesDepartment of Pediatric Research, University of Texas MD Anderson Cancer Center, Houston, TX, United StatesDepartment of Pediatric Research, University of Texas MD Anderson Cancer Center, Houston, TX, United StatesDepartment of Pediatric Research, University of Texas MD Anderson Cancer Center, Houston, TX, United StatesDepartment of Pediatric Research, University of Texas MD Anderson Cancer Center, Houston, TX, United StatesDepartment of Stem Cell Transplantation and Cellular Therapy, University of Texas MD Anderson Cancer Center, Houston, TX, United StatesDepartment of Pediatric Research, University of Texas MD Anderson Cancer Center, Houston, TX, United StatesInterleukin 12 (IL-12) is a naturally occurring cytokine that plays a key role in inducing antitumor immune responses, including induction of antitumor immune memory. Currently, no IL-12-based therapeutic products have been approved for clinical application because of its toxicities. On the basis of this review of clinical trials using primarily wild-type IL-12 and different delivery methods, we conclude that the safe utilization of IL-12 is highly dependent on the tumor-specific localization of IL-12 post administration. In this regard, we have developed a cell membrane-anchored and tumor-targeted IL-12-T (attIL12-T) cell product for avoiding toxicity from both IL-12 and T cells-induced cytokine release syndrome in peripheral tissues. A phase I trial using this product which seeks to avoid systemic toxicity and boost antitumor efficacy is on the horizon. Of note, this product also boosts the impact of CAR-T or TCR-T cell efficacy against solid tumors, providing an alternative approach to utilize CAR-T to overcome tumor resistance.https://www.frontiersin.org/articles/10.3389/fimmu.2022.952231/fullIL-12clinical trialCRScytokinesT cells
spellingShingle Zhiliang Jia
Dristhi Ragoonanan
Kris Michael Mahadeo
Jonathan Gill
Richard Gorlick
Elizabeth Shpal
Shulin Li
IL12 immune therapy clinical trial review: Novel strategies for avoiding CRS-associated cytokines
Frontiers in Immunology
IL-12
clinical trial
CRS
cytokines
T cells
title IL12 immune therapy clinical trial review: Novel strategies for avoiding CRS-associated cytokines
title_full IL12 immune therapy clinical trial review: Novel strategies for avoiding CRS-associated cytokines
title_fullStr IL12 immune therapy clinical trial review: Novel strategies for avoiding CRS-associated cytokines
title_full_unstemmed IL12 immune therapy clinical trial review: Novel strategies for avoiding CRS-associated cytokines
title_short IL12 immune therapy clinical trial review: Novel strategies for avoiding CRS-associated cytokines
title_sort il12 immune therapy clinical trial review novel strategies for avoiding crs associated cytokines
topic IL-12
clinical trial
CRS
cytokines
T cells
url https://www.frontiersin.org/articles/10.3389/fimmu.2022.952231/full
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AT krismichaelmahadeo il12immunetherapyclinicaltrialreviewnovelstrategiesforavoidingcrsassociatedcytokines
AT jonathangill il12immunetherapyclinicaltrialreviewnovelstrategiesforavoidingcrsassociatedcytokines
AT richardgorlick il12immunetherapyclinicaltrialreviewnovelstrategiesforavoidingcrsassociatedcytokines
AT elizabethshpal il12immunetherapyclinicaltrialreviewnovelstrategiesforavoidingcrsassociatedcytokines
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