# Dual-targeting allogeneic CAR T-cells for universal therapy of T-cell malignancies

> **NIH NIH R44** · MARCH BIOSCIENCES INC · 2024 · $1,013,623

## Abstract

Abstract
Relapsed and refractory T-cell acute lymphoblastic leukemia (T-ALL) and T-cell lymphoma (TCL) are aggressive
hematologic malignancies with limited therapeutic options and 3-year survival rates below 20 percent. While the
development of chimeric antigen receptor (CAR)-T cell therapies have shown promise in B-cell cancers, targeting
T-cell malignancies has been hindered by the shared antigen space between healthy and malignant cells leading
to CAR T cell self-targeting and a heightened risk of T- cell aplasia.
CD5 and CD7 are key surface markers for T-ALL/TCL, with about 90% of T-cell malignancies expressing one or
both markers. The autologous CD5.CAR-T and CD7.CAR-T cell therapies developed at Baylor College of
Medicine and licensed to March Biosciences show safety, feasibility, and signs of durable efficacy in Phase 1
clinical trials for T-cell malignancies. However, these trials have faced manufacturing challenges in many patients
and benefits to others have been abrogated by antigenically heterogenous tumors. To overcome these limitations
and enhance anti-tumor activity against T-cell cancers, March Biosciences proposes to develop partially-
matched donor-derived, dual-specific CAR-T cells (CD5/CD7.CAR-T cells). These CD5/CD7.CAR-T cells are
uniquely engineered for fratricide resistance and are produced from haploidentical, CD45RA-depleted donor T-
cells (RAD-T) to minimize the risk of graft versus host disease using a rapid current good manufacturing practice
(cGMP) compliant process. Safety and controllability will be further augmented by integrating a drug-inducible
caspase 9 (iC9) system allowing precise in vivo control of CAR-T cells post-infusion. This project aims to develop
CD5/CD7.CAR.RAD-T cells for highest activity against malignant T-cells with varying antigen expression in both
in vitro and in vivo models, and to demonstrate controlled CAR-T cell elimination by activating the caspase 9-
induced apoptosis. To streamline CAR-T cell production and reduce costs for optimal scalability, March
Biosciences is optimizing cGMP process to accelerate the manufacturing of CD5/CD7.CAR.RAD-T cells. By
transitioning to a rapid, closed-circuit system, March Biosciences seeks to consolidate T-cell stimulation,
transduction, and expansion into a single vessel over 4 days. The target total production timeline is 9 days
inclusive of final release testing thus ensuring a potent and rapidly available product for patients with aggressive
disease. Upon completion of this project, March Biosciences will have selected a lead candidate and finalized a
cGMP-ready process for manufacturing dual-targeting CAR-Ts enabling subsequent clinical testing in Phase 1/2
trials in patients with refractory and relapsed T-cell malignancies.

## Key facts

- **NIH application ID:** 11006944
- **Project number:** 1R44CA295245-01
- **Recipient organization:** MARCH BIOSCIENCES INC
- **Principal Investigator:** Sarah Marie Hein
- **Activity code:** R44 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2024
- **Award amount:** $1,013,623
- **Award type:** 1
- **Project period:** 2024-09-01 → 2026-08-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/11006944

## Citation

> US National Institutes of Health, RePORTER application 11006944, Dual-targeting allogeneic CAR T-cells for universal therapy of T-cell malignancies (1R44CA295245-01). Retrieved via AI Analytics 2026-05-26 from https://api.ai-analytics.org/grant/nih/11006944. Licensed CC0.

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