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Troculeucel is a novel, patient-specific, *ex vivo* expanded autologous natural killer (NK) cell immunotherapeutic drug candidate developed by NKGen Biotech. It is intended for the treatment of neurodegenerative disorders, including moderate Alzheimer's disease, and a broad range of cancers. Troculeucel uses the patient's own NK cells, which are collected, expanded outside the body without genetic modification to enhance their immunoregulatory and cytotoxic potential, and then reinfused into the same patient. The therapy has demonstrated an ability to cross the blood-brain barrier and improve cerebrospinal fluid biomarkers associated with neurodegeneration (such as amyloid-beta, phosphorylated tau protein, glial fibrillary acidic protein [GFAP], and neurofilament light chain [NfL]). Clinical trials have shown that troculeucel is well tolerated and may stabilize or improve cognitive function in patients with moderate Alzheimer's disease. The drug has received FDA Fast Track designation for this indication.
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