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CD22 CAR-T (humanized m791 4-1BB) is an investigational chimeric antigen receptor (CAR) T-cell therapy designed to target the CD22 antigen, which is highly expressed on B-cell malignancies. The construct utilizes a humanized m791 single-chain variable fragment (scFv) for antigen recognition, coupled with a 4-1BB (CD137) costimulatory domain and a CD3-zeta signaling domain. This specific architecture is intended to enhance T-cell persistence and metabolic fitness compared to CD28-based CARs. Developed through collaboration between the National Cancer Institute and Stanford University, it is currently being evaluated in Phase I clinical trials for patients with relapsed or refractory B-cell acute lymphoblastic leukemia (B-ALL), often as part of a sequential infusion regimen following CD19-targeted CAR-T therapy to mitigate the risk of relapse due to CD19 antigen loss.
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