Precision medicine against cancer

Cellular immunotherapy

In the Cellular Immunotherapy lighthouse, new immune cell therapeutics are being developed for clinical use in tumor patients. Particular attention is paid to chimeric antigen receptor (CAR) and T cell receptor (TZR) gene-modified T cells.

Cellular immunotherapies with CAR T cells lead to groundbreaking successes in B-cell neoplasia and are to be transferred to other hematological and solid tumor diseases.


Selection of potential target antigens & effective CAR/TZR constructs; high regulatory effort in the development and clinical implementation of such advanced therapy medicinal products (ATMPs); GMP production of ATMPs; characterization of the mode of action in patients; overcoming primary and secondary therapy resistance; prevention and monitoring of novel side effects.

Added value: Combining the extensive previous experience and expertise of the Bavarian university hospitals in this field of research; division of tasks based on existing strengths, cross-location development and utilization concept.

Division of labor through modules:

Preclinical development (Würzburg University Hospital)

  • Strategic planning for translation and development
  • Carrying out the necessary assays
  • Data preparation and presentation for authorities

Regulatory affairs (Clinical Center TU Munich)

  • Establishment of a regulatory group
  • Networking and exchange with regulatory authorities, politics, the Bavarian Patent Alliance and patient interest groups
  • Exchange with biotech companies

GMP production of cell therapeutics (University Hospital Erlangen)

  • Consulting, establishment and validation of manufacturing methods and quality control methods for ATMPs
  • Applying for and obtaining manufacturing authorization

Toxicity management (LMU Munich Hospital)

  • Interdisciplinary BZKF research network for cell therapy toxicities
  • Central data collection of cell therapy toxicities
  • App-based publication of current therapy recommendations for toxicity management

Immunomonitoring (University Hospital Regensburg)

  • Acceptance, coding, pseudonymization and storage of biosamples
  • Advice, sample analysis, sample evaluation
  • Data storage & transfer

Preclinical development

  • Innovation pipeline: Selection and refinement of two CAR/TZR constructs for joint clinical trials
  • IND package and further development of clinical studies

Regulatory

  • Establishment of a quick reference guide with PEI and regulatory hub
  • Catalyzing a joint ATMP development

GMP manufacturing of cell therapeutics

  • Exchange of documents and implementation of consultations/trainings
  • Joint audits and development of joint SOPs
  • Joint argumentation strategy for common problems

Toxicity management

  • Availability of an eCRF platform for centralized data collection of cell therapy toxicities
  • Shared data collection / SOPs for different CAR/TZRs
  • Patient advocacy program for the implementation of the patient perspective in future CAR/TZR studies

Immunomonitoring

  • Cross-site advanced immunomonitoring for commercial CD19-CART products.
  • Expansion of the method portfolio for liquid samples
  • Establishment of procedures for the analysis of (fresh and frozen) solid tumor tissue

  • Establishment of a unique lighthouse in Germany with comparable effectiveness and impact to the immunotherapy hubs of the major US centers
  • Completed functional lighthouse by 01.07.2024
  • Coordination of CAR/TZR study concepts with the entity-specific study groups of the BZKF
  • Implementation of cross-site studies with CAR/TZR gene-modified T cells in advanced tumor diseases

Speaker: Prof. Wolfgang Herr(Wolfgang.Herr@klinik.uni-regensburg.de, 0941 944-5501 ), University Hospital Regensburg