Is CAR-T cell therapy
currently being used to treat AML?
At this current stage,
we don't have CAR-T cells for patients
with acute myeloid leukemia,
but we are exploring avenues to provide
them with a donor derived
that would be donor derived CAR-T cells
because most patients diagnosed with acute
myeloid leukemia undergo
an allogeneic stem cell transplantation
and therefore
the status of the immune system
and stem cells are donor derived.
Now, currently the co-expression
or the expression of molecules
on the hematopoietic stem cells
are also the ones that are expressed
on the leukemia cells.
And therefore, if we went in with donor
derived CAR-T cells targeting
any of these molecules,
we would not only kill the leukemia cell,
but also eliminate the normal blood
producing hematopoietic stem cell,
which is the current limitation
for the donor derived CAR-T cells.
But we are working on approaches to
to eliminate markers
expressed on the hematopoietic stem cells
so that we can specifically target
leukemia cells in this situation
that is not too far in the future.
We have initial clinical trials
to show the safety
of down-regulating these cells
and can safely provide
a stem cell product for transplant
with the down-regulated stem cells
so that we can post transplantation
specifically target
residual leukemia cells that have that
down-regulated marker still expressed.