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Activated donor lymphocyte infusion (ADLI) is an investigational cellular immunotherapy developed at the Abramson Cancer Center at Penn Medicine. The therapy involves the ex vivo expansion and activation of donor-derived T lymphocytes using anti-CD3 and anti-CD28 monoclonal antibody-coated beads. This costimulation process is designed to enhance the T cells' proliferative capacity and anti-tumor effector functions. ADLI is administered to patients with high-risk hematologic malignancies, including acute myeloid leukemia (AML), acute lymphoblastic leukemia (ALL), and myelodysplastic syndromes (MDS), typically in a prophylactic setting following non-myeloablative allogeneic stem cell transplantation. The primary therapeutic goal is to augment the graft-versus-leukemia (GVL) effect to eliminate residual disease and prevent relapse while maintaining a manageable safety profile regarding graft-versus-host disease (GVHD).
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