TREATMENT OF CANCER USING ANTI-CD19 CHIMERIC ANTIGEN RECEPTOR
First Claim
1. A method of treating a mammal having a disease associated with expression of CD19 comprising administering to the mammal an effective amount of a population of cells that expresses a CAR molecule that binds CD19 (a CAR19-expressing cell), in combination with one or more kinase inhibitors chosen from a Bruton'"'"'s tyrosine kinase (BTK) inhibitor, a cyclin dependent kinase 4 (CDK4) inhibitor, an mTOR inhibitor, or a mitogen activated protein kinase interacting kinase (MNK) inhibitor.
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Abstract
The invention provides compositions and methods for treating diseases associated with expression of CD19, e.g., by administering a recombinant T cell comprising the CD19 CAR as described herein, in combination with a kinase inhibitor, e.g., a kinase inhibitor described herein. The invention also provides kits and compositions described herein.
94 Citations
47 Claims
- 1. A method of treating a mammal having a disease associated with expression of CD19 comprising administering to the mammal an effective amount of a population of cells that expresses a CAR molecule that binds CD19 (a CAR19-expressing cell), in combination with one or more kinase inhibitors chosen from a Bruton'"'"'s tyrosine kinase (BTK) inhibitor, a cyclin dependent kinase 4 (CDK4) inhibitor, an mTOR inhibitor, or a mitogen activated protein kinase interacting kinase (MNK) inhibitor.
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42. A method of making a CAR-expressing immune effector population of cells, comprising:
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contacting the population of cells with a BTK inhibitor; and introducing a nucleic acid encoding a CAR molecule into the population of cells under conditions such that the CAR molecule is expressed. - View Dependent Claims (43, 44, 45)
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46. A reaction mixture comprising a population of immune effector cells, a BTK inhibitor, and a CAR molecule or a nucleic acid encoding a CAR molecule, wherein the BTK inhibitor is chosen from ibrutinib, GDC-0834, RN-486, CGI-560, CGI-1764, HM-71224, CC-292, ONO-4059, CNX-774, or LFM-A13.
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47. A composition comprising a population of cells that expresses a CAR molecule that binds CD19, and one or more kinase inhibitors, wherein the kinase inhibitor is chosen from a Bruton'"'"'s tyrosine kinase (BTK) inhibitor, a cyclin dependent kinase 4 (CDK4) inhibitor, an mTOR inhibitor, or a mitogen activated protein kinase interacting kinase (MNK) inhibitor, wherein the CAR19-expressing cell and the one or more kinase inhibitors are present in a single dose form, or as two or more dose forms.
Specification