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19-1XX CAR T cells (formally 19(T2)28z-1XX) is an autologous CAR T-cell therapy developed by Memorial Sloan Kettering Cancer Center (MSK) targeting CD19. It features a novel 1XX CAR construct designed with calibrated signaling by mutating two of the three immunoreceptor tyrosine-based activation motifs (ITAMs) in the CD3ζ domain, leaving only the proximal ITAM functional. This modification aims to reduce T-cell exhaustion and enhance persistence compared to conventional CD19 CAR T cells. In clinical trials for relapsed or refractory large B-cell lymphoma, it has demonstrated high response rates at significantly lower doses than currently approved CAR T products. The 1XX technology has been licensed to several biopharmaceutical companies, including Atara Biotherapeutics and Takeda.
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