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11-1F4-CAR phagocyte (also referred to as 11-1F4-CAR macrophage) is a first-in-class, preclinical-stage chimeric antigen receptor (CAR) cell therapy being developed by Columbia University Irving Medical Center for the treatment of immunoglobulin light chain (AL) amyloidosis. The therapy consists of human CD34+ hematopoietic stem cell-derived phagocytes genetically engineered via lentiviral transduction to express a CAR construct containing an extracellular single-chain variable fragment (scFv) derived from the amyloid-fibril-specific monoclonal antibody 11-1F4 (anselamimab) and an intracellular Fc receptor gamma (FcRγ) signaling domain. By directly targeting amyloid deposits, 11-1F4-CAR phagocytes bypass serum IgG Fc receptor competition (which can impair antibody-dependent phagocytosis in patients receiving anti-CD38 therapies) to enhance and accelerate the clearance of λ6 Wil and κ4 Len amyloid fibrils.
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