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IL-12 armored CAR T cell therapy targeting EGFRvIII is an investigational fourth-generation chimeric antigen receptor (CAR) T-cell therapy developed by Duke University. It is designed to target epidermal growth factor receptor variant III (EGFRvIII), a tumor-specific antigen frequently overexpressed in glioblastoma (GBM). To overcome the challenges of tumor antigen heterogeneity and the highly immunosuppressive tumor microenvironment (TME) of GBM, these CAR T cells are "armored" to constitutively secrete single-chain interleukin-12 (scIL12). Localized secretion of IL-12 enhances CAR T-cell persistence, reprograms immunosuppressive microglia and macrophages, and recruits endogenous CD8+ T cells to promote antigen spreading, thereby facilitating the clearance of both EGFRvIII-positive and EGFRvIII-negative tumor cells. Preclinical studies in orthotopic GBM mouse models have demonstrated that this therapy can eradicate heterogeneous tumors and eliminate the need for toxic lymphodepletive preconditioning.
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