Immunodeficient (NCG) mice engrafted with human multiple myeloma cells: dose-dependent anti-tumor activity and survival
“In vivo pharmacology studies showed significant dose-dependent anti-tumor activity and increased survival following administration of LCAR-B38M CAR-T cells in immune-deficient mice engrafted with human MM cells.”
✓ VerifiedFDA pharmacology/toxicology review, p. 2Source ↗
Why that model
BCMA binding domain does not bind mouse or NHP BCMA; no pharmacologically relevant species
“In vitro data indicate that does not significantly bind to recombinant mouse or NHP BCMA expressed on cells. Therefore, animal studies evaluating the safety profile of CARVYKTI™ were limited due to lack of a pharmacologically relevant animal species.”
✓ VerifiedFDA pharmacology/toxicology review, p. 2Source ↗
Reviewer's view of the efficacy data
Xenograft model adequate for in vivo efficacy despite xenogenic response and lack of murine immune interactions
“Despite the known limitations of this model such as the unspecific xenogenic response of the CAR T cells or lacking interactions between the CAR T cells and the murine immune cells, the animal model is considered adequate to assess in vivo efficacy against BCMA expressing tumour cells.”
autologous cultured chondrocytes on porcine collagen membrane · Autologous chondrocytes
Analogous MACI (animal cells on same membrane) in critical-sized knee/stifle cartilage defects in rabbits and horses: improved repair vs membrane alone or empty defect