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HER2Bi-armed activated T cells (HER2 BATs) are an autologous cell-based immunotherapy developed by the Barbara Ann Karmanos Cancer Institute in collaboration with the University of Virginia. The therapy is produced by collecting a patient's peripheral blood mononuclear cells, which are then activated with OKT3 and expanded ex vivo using IL-2. These activated T cells are subsequently "armed" with a bispecific antibody (HER2Bi) that targets both the CD3 receptor on T cells and the Human Epidermal Growth Factor Receptor 2 (HER2) on tumor cells. This mechanism allows the T cells to specifically recognize and eliminate HER2-expressing cancer cells without requiring genetic modification of the T cells. HER2 BATs are currently being investigated in Phase II clinical trials for the treatment of metastatic castration-resistant prostate cancer (mCRPC), frequently in combination with the PD-1 inhibitor pembrolizumab to overcome immune suppression in the tumor microenvironment.
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