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PACE CART19 is an investigational, universal allogeneic CAR-T cell therapy developed by the University of Pennsylvania. It consists of pre-manufactured T cells from healthy donors that are genetically engineered using CRISPR to eliminate endogenous T-cell receptor (TCR), HLA class I and II molecules, and to express a chimeric antigen receptor (CAR) targeting CD19. The gene edits include knockout of beta-2 microglobulin (B2M), CIITA, and the TCR alpha chain to reduce immunogenicity and prevent graft-versus-host disease. Upon administration, these edited CAR-T cells recognize and bind to CD19-expressing tumor cells, leading to targeted cytotoxicity against malignant B-cells. The primary indications explored were relapsed or refractory CD19+ leukemias and lymphomas[1][2][4].
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