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This experimental combination immunotherapy, developed by Baylor College of Medicine, is designed for the treatment of relapsed or refractory Hodgkin lymphoma (HL) and non-Hodgkin lymphoma (NHL). The therapy consists of autologous cytotoxic T lymphocytes (CTLs) that are ex vivo expanded and trained to recognize five specific tumor-associated antigens (TAAs): NY-ESO-1, MAGEA4, PRAME, Survivin, and SSX. These antigens are frequently overexpressed in lymphoma cells but have restricted expression in normal tissues. The regimen incorporates azacitidine, a hypomethylating agent, which is administered to patients prior to the T-cell infusion. Azacitidine functions as an epigenetic modulator to upregulate the expression of the targeted TAAs on the surface of tumor cells, thereby enhancing the recognition and cytotoxic activity of the infused multi-TAA CTLs. This approach aims to overcome tumor immune evasion and improve clinical outcomes in patients who have failed standard therapies.
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