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T-Guard is a combination immunotoxin therapy composed of two murine monoclonal antibodies, each conjugated to ricin toxin A, that specifically target CD3 and CD7 molecules on immune cells. By binding to these targets, T-Guard induces apoptosis in mature T cells (preferentially activated T cells) and natural killer (NK) cells, while also reducing T cell activation by blocking the TCR/CD3 complex. The drug is designed for rapid and transient depletion of pathogenic immune cells with the goal of resetting the immune system in life-threatening, T cell–mediated conditions such as steroid-refractory acute graft-versus-host disease (SR-aGVHD), transplant-related rejection, acute solid-organ rejection, and severe autoimmune diseases. Its short-lived action aims to minimize vulnerability to opportunistic infections compared to other therapies. Developed by Xenikos with involvement from Sanquin and clinical development support from Veloxis Pharmaceuticals, T-Guard has received Orphan Drug Designation in both the EU and US for SR-aGVHD[1][4][5][6][8].
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