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**IL-15 armored anti-CD19 CAR-NK cells** are allogeneic natural killer (NK) cells, typically derived from cord blood units, genetically engineered to express a chimeric antigen receptor (CAR) targeting **CD19** on B-cell malignancies and secreting **interleukin-15 (IL-15)** or IL-15/IL-15Rα to enhance persistence, proliferation, and cytotoxicity. The CAR provides specific tumor recognition and activation via CD19 binding, while IL-15 autocrine signaling promotes NK cell survival, metabolic fitness, and resistance to exhaustion independent of exogenous cytokines. Developed by researchers at **MD Anderson Cancer Center**, this off-the-shelf cell therapy has demonstrated a **73% response rate** in relapsed/refractory B-cell malignancies like chronic lymphocytic leukemia (CLL) and lymphoma in a phase 1/2 trial (NCT03056339), with favorable safety (no cytokine release syndrome or neurotoxicity) and superior antitumor activity in preclinical models compared to non-armored CAR-NK cells[3][10].
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