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FT538 + enoblituzumab is an investigational combination immunotherapy being evaluated for recurrent ovarian, fallopian tube, and primary peritoneal cancers. **FT538** is an "off-the-shelf" cellular product consisting of natural killer (NK) cells derived from a clonal master induced pluripotent stem cell (iPSC) line. It is genetically engineered with three functional components: a non-cleavable, high-affinity CD16 (hnCD16) receptor to maximize antibody-dependent cellular cytotoxicity (ADCC); a CD38 knockout to enhance metabolic fitness and prevent fratricide; and an IL-15/IL-15 receptor fusion (IL-15RF) to promote activation and persistence without exogenous cytokines. **Enoblituzumab** (MGA271) is an Fc-optimized, humanized monoclonal antibody that targets B7-H3 (CD276), an immune checkpoint molecule frequently overexpressed in solid tumors. In this combination, enoblituzumab binds to B7-H3 on cancer cells, and its optimized Fc region engages the hnCD16 receptor on FT538 cells to trigger potent tumor cell lysis. The combination is currently being studied in a Phase 1 trial (MT2021-27) sponsored by the Masonic Cancer Center, University of Minnesota.
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