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NPM1c-specific TCR T-cell therapy is an investigational adoptive cellular immunotherapy targeting the cytoplasmic mutant form of nucleophosmin 1 (NPM1c), a frequent driver mutation in acute myeloid leukemia (AML). The therapy utilizes autologous T cells genetically engineered to express a T-cell receptor (TCR) specific for NPM1c-derived neoantigens, such as the AIQDLCLAV or CLAVEEVSL peptides, presented by the HLA-A*02 MHC class I molecule. This approach allows for the selective recognition and destruction of leukemia blasts while minimizing off-target toxicity to healthy hematopoietic stem cells, which do not express the mutant protein. Clinical development is currently focused on treating patients with relapsed or refractory NPM1-mutated AML, with scalable automated production platforms being developed to support clinical application.
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