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NTLA-5001 is an autologous T cell receptor (TCR)-T cell therapy developed using *ex vivo* CRISPR-Cas9 genome editing. The patient's own T cells are collected, and the endogenous TCR is replaced with a natural, high-avidity TCR (identified from healthy donors) with specificity for the Wilms' Tumor 1 (WT1) antigen, which is overexpressed in acute myeloid leukemia (AML) and other tumor types. The therapy involves CRISPR-Cas9-mediated replacement of the TRAC locus with the WT1 TCR and site-specific knockout of the TRBC locus, further engineered to enhance cell health, safety, and function. CRISPR reagents are delivered via lipid nanoparticles (for gene disruption) and adeno-associated virus vectors (for WT1 TCR transduction). NTLA-5001 is dosed intravenously after lymphodepleting chemotherapy and is being studied for efficacy and safety in AML, particularly in HLA-A*02:01 positive subjects[1][2][3][4][5].
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