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LGNA-100 (also known as QUAIL-100) is a first-in-class, attenuated live bacterial immunotherapy being developed by Laguna Biotherapeutics. Derived from *Listeria monocytogenes*, the drug is designed to harness the immune system's evolved response to the bacterium to robustly and durably expand and activate endogenous gamma delta (γδ) T cells. These activated γδ T cells can directly kill cancer cells and potentially enhance the efficacy of other immunotherapies. LGNA-100 is primarily being developed for the treatment of high-risk pediatric leukemias and myelodysplastic syndromes (MDS), particularly in patients following hematopoietic stem cell transplantation (HSCT). The FDA cleared the Investigational New Drug (IND) application for LGNA-100 in April 2026 for a Phase 1 study.
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