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This autologous cell-based biologic therapy, developed by the Children's National Research Institute, is a combination product consisting of two distinct T-cell populations administered in a 1:1 ratio: B7-H3-directed chimeric antigen receptor (CAR) T cells and PRAME-specific tumor antigen-specific T cells. The PRAME-specific T cells are engineered to express a dominant-negative TGF-beta receptor II (dTβRII), which is designed to shield the cells from the immunosuppressive effects of TGF-beta within the tumor microenvironment. This dual-targeting approach, referred to as CAR-TA therapy, is currently being investigated in the Phase I SABRE trial for pediatric and young adult patients with relapsed or refractory solid embryonal tumors, including rhabdomyosarcoma, Ewing sarcoma, neuroblastoma, and Wilms tumor.
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