2021 Insights on the CAR-T Cell Therapy Global Market - Overview of Clinical Trials

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Dublin, June 04, 2021 (GLOBE NEWSWIRE) -- The "Global CAR-T Cell Therapy Market - Market Size, Forecasts, Trials & Trends, 2021" report has been added to ResearchAndMarkets.com's offering.

CAR-T cell therapy is a remarkably promising treatment for cancer patients. It is a type of immunotherapy where doctors collect immune cells, modify them in a laboratory, and provide them the power to easily recognize and kill cancer cells. When infused into a patient, the cells get multiplied and stay in the body as "living drugs."

T-cells form the backbone of CAR-T cell therapy. T-cells are the workhorses of our immune system and play a key role in directing the immune response and killing cells infected by pathogens. In CAR-T cell therapy, blood is drawn from the patient and the T-cells are separated out. In the laboratory, a disarmed virus is then used to genetically engineer the T-cells to produce chimeric antigen receptors (CARs) on their surface. These receptors are synthetic and do not exist naturally. Once infused into the patient, these CARs enable the T-cells to recognize and get attached to an antigen (specific protein) on the tumor cell leading to the destruction of the tumor.

Since the approval of the first CAR-T cell therapeutic in 2017, widespread research, an exponential increase in clinical trial activity, proliferative M&A activity, and lucrative IPOs have created a robust CAR-T cell market. This billion-dollar market would not have been possible without the remarkable efficacy of Kymriah, Yescarta, Tecartus, and Breyanzi in treating several types of blood cancers.

CAR-T Cell Therapy Market

In 2012, there were only 12 clinical trials investing CAR-T cell therapy products. Today, that number has risen to over 500. Between 2017 and 2021, four CAR-T products reached the market, and this number is projected to reach double digits within five years. The earliest approvals, Kymriah and Yescarta, have been commercially available since 2017 and 2018, respectively, and have been infused into nearly a half million patients worldwide. In July 2020, the U.S. FDA approved a third CAR-T cell therapy, Kite Pharma's brexucabtagene autoleucel (sold as Tecartus). In February 2021, Breyanzi became the fourth CAR-T approval and the first product with RMAT designationto be licensed by the FDA.

All of the approved CAR-T products and nearly 75% of the ongoing clinical trials take an autologous treatment approach. Autologous (self-derived) CAR-T cells are expensive to produce because they are manufactured on a patient-by-patient basis. At times, autologous production can be hampered by a shortage of CAR-T cells or viral vectors. The cost of autologous CAR-T therapy is further escalated by the need for a complex cold chain during transportation. Another key issue is the "vein-to-vein" time or the time that elapses between apheresis and product delivery.

Thus, CAR-T therapies are most often recommended for the end-stage patients who have exhausted all the other treatment options. These challenges drive up the price, making CAR-T therapy unaffordable for a large percentage of patients.

To support the adoption of CAR-T cell therapies, the industry is taking measures to mitigate these challenges. Several CAR-T players have started using efficient gene-transfer tools to impregnate the T cells with CARs. There are numerous examples of partnerships to develop CRISPR and electroporation technologies to modify the T cells. Some companies are also using "on-off" switches that can turn off CAR-T cells to prevent toxicity.

Unfortunately, the goal of achieving CAR-T success against solid tumors remains elusive thus far, with clinical trials demonstrating a severely limited response.

Trends in CAR-T Cell Therapy

CAR-T cell therapy has taken the biotech industry by storm, creating hope that it could usher in a new era of cancer treatment. However, the success stories have come from targeting CD19, which is now considered an antigen that holds the key to a limited range of blood cancers. Presently, this hematological arena is highly competitive and is being targeted by numerous CAR-T cell therapy competitors.

Scientists, investors and developers invariably agree that the key to longer-term success in this sector depends on solving two major problems: identifying antigens other than CD19 that can be targeted with CAR-T therapy with strong efficacy and going beyond liquid cancers into solid tumor indications. CAR-T cell products targeted against solid tumors will undoubtedly offer a larger market potential.

However, it is not an easy task to identify the antigens found on the cells of solid tumors. There are reasons why CD19 is the most common target. It is seen solely on B cells, whose destruction via CAR-T therapy offers a straightforward route for treating B-cell leukemias and lymphomas. At the same time, loss of the body's B cells is not particularly problematic, because their antibody-producing function can be reinstated by injecting intravenous immunoglobulin (IVIG) to patients.

Driving Forces Impacting the CAR-T Cell Therapy Market

2017 was the first year that the U.S. FDA approved a CAR-T cell therapy, approving Kymriah in August 2017 and Yescarta in October 2017. Novartis produced Kymriah, a CAR-T therapy used to treat leukemia, while Gilead/Kite Pharma produced Yescarta, a CAR-T therapy designed for patients with lymphoma. Approvals for these products spread like wildfire, with the EU, Canada, Australia, Japan, and other nations following suit. In July 2020, the U.S. FDA approved the third CAR-T cell therapy, approving Kite Pharma's brexucabtagene autoleucel, sold as Tecartus. It is the first CAR-T therapeutic to treat relapsed or refractory mantle cell lymphoma (MCL).

By February 2021, the U.S. FDA granted approval of Breyanzi (lisocabtagene maraleucel) to Juno Therapeutics, a Bristol-Myers Squibb company. Breyanzi is approved for the treatment of adults with relapsed or refractory large-B-cell lymphoma who have not responded to, or who have relapsed after, at least two other types of systemic treatment. The approval of these early CAR-T cell therapies has opened the gates for many other types of cell and gene therapies to claim respect, from regulators, as well as the scientific and medical community at large.

Key Topics Covered:

1. REPORT OVERVIEW

2. CHIMERIC ANTIGEN RECEPTOR-T (CAR-T) CELL THERAPY: A BRIEF OVERVIEW

3. A BRIEF HISTORY OF CAR-T CELL THERAPY

4. MANUFACTURE OF CAR-T CELLS

5. CAR-T TARGET ANTIGENS: A BRIEF OVERVIEW

6. CAR-T PATENT LANDSCAPE

7. GLOBAL CAR-T CLINICAL TRIALS: AN OVERVIEW

8. PUBLISHED SCIENTIFIC PAPERS & NIH GRANTS

9. DEAL-MAKING WITHIN THE CAR-T THERAPY SECTOR

10. MARKETED CAR-T PRODUCTS

11. REIMBURSEMENT FOR CAR-T THERAPIES

12. BLOOD CANCERS: AN OVERVIEW

13. MARKET ANALYSIS

14. COMPANY PROFILES

14.1 Aleta BioTherapeutics

14.1.1 Atela's Pipeline

14.2 Allogene Therapeutics

14.2.1 AlloCAR-T Therapy

14.3 Anixa Biosciences, Inc.

14.4 Atara Biotherapeutics

14.4.1 Technology

14.4.2 Next-Generation CAR-T

14.5 Autolus Therapeutics, plc

14.6 Bellicum Pharmaceuticals, Inc.

14.6.1 GoCAR Technology

14.6.2 Bellicum's Pipeline

14.7 BioNTech

14.7.1 Collaborators

14.7.2 Services

14.7.3 Engineered Cell Therapies

14.7.4 CAR-T Programs

14.7.4.1 BNT211

14.7.4.2 BNT212

14.8 bluebird bio

14.8.1 CAR-T Collaborations

14.8.1.1 Collaboration with Celgene

14.8.1.2 Collaboration with Inhibrx

14.8.1.3 Collaboration with TC BioPharm

14.9 Carina Biotech

14.9.1 New CAR-T Cells

14.9.2 CAR-T Access Technologies

14.9.2.1 Chemokine Receptor Mediation

14.9.2.2 Gel Formulation to Deliver CAR-T Cells

14.10 CARsgen Therapeutics

14.11 Cartesian Therapeutics, Inc.

14.11.1 Cartesian's Approach

14.12 CARTherics

14.12.1 Technology

14.13 Celgene Corporation

14.13.1 Lisocabtagene maraleucel (liso-cel)

14.14 Cellectis

14.14.1 Universal Chimeric Antigen Receptor T-Cells (UCARTs)

14.14.1.1 UCART 123

14.14.1.2 UCART22

14.14.1.3 UCARTCS1

14.14.1.4 UCART19

14.14.1.5 ALLO-501

14.14.1.6 ALLO-715

14.15 Celularity, Inc.

14.15.1 P CAR-T

14.16 Celyad Oncology

14.16.1 TIM Technology

14.16.2 shRNA Technology

14.17 Creative Biolabs

14.17.1 CAR Construction and Production Platform

14.18 CRISPR Therapeutics

14.18.1 CRISPR/Cas9 Immuno-Oncology Cell Therapy

14.19 Cytovia Therapeutics

14.20 DiaCarta, Inc.

14.20.1 Personalized CAR-T Immunotherapy Platform

14.21 Empirica Therapeutics

14.21.1 Technology

14.22 Eureka Therapeutics, Inc.

14.23 EXUMA Biotech Corp.

14.23.1 Logic Gate CAR-T Technology

14.23.2 Same-Day CAR-T Therapy

14.24 Fate Therapeutics, Inc.

14.25 Formula Pharmaceuticals, Inc.

14.25.1 Technology

14.26 Gilead Sciences, Inc.

14.26.1 TECARTUS (Brexucabtagene autoleucel)

14.26.2 Yescarta (Axicabtagene ciloleucel)

14.26.3 Cell Therapy

14.27 Gracell Biotechnologies

14.27.1 Dual CAR

14.27.2 FasTCAR

14.27.3 TrUCAR

14.28 iCell Gene Therapeutics

14.28.1 iCell Platforms

14.28.1.1 CARvac

14.28.1.2 Non Gene Edited Universal CARs

14.28.1.3 C-TPS1

14.28.1.4 T-Cell Targeted CARs

14.28.1.5 Compound CARs

14.29 Janssen Biotech, Inc.

14.29.1 JNJ-4528

14.30 Juno Therapeutics

14.31 JW Therapeutics, Co., Ltd.

14.31.1 Relmacabtagene autoleucel (Relma-cel)

14.32 Kite Pharma, Inc.

14.32.1 Kite's Technologies (CAR-T & TCR)

14.32.2 Kite's Therapies

14.32.2.1 Yescarta (Axicabtagene ciloleucel)

14.32.2.2 Tecartus (Brexucabtagene autoleucel)

14.33 MaxCyte, Inc.

14.33.1 CARMA Cell Therapies

14.33.2 Flow Electroporation Technology

14.34 Minerva Biotechnologies Corporation

14.34.1 HuMNC2-CAR44

14.35 Mustang Bio, Inc.

14.36 Nanjing Legend Biotechnology Co., Ltd.

14.36.1 LCAR-B38M/JNJ-4528

14.37 Noile-Immune Biotech

14.38 Novartis International, AG

14.38.1 Kymriah (Tisagenlecleucel)

14.39 Oxford Biomedica plc

14.40 PeproMene Bio, Inc.

14.40.1 BAFF-R CAR-T Cells

14.41 Poseida Therapeutics, Inc.

14.41.1 PiggyBac DNA Modification System

14.41.2 Autologous & Allogeneic Programs

14.41.2.1 P-BCMA-101

14.41.2.2 P-PSMA-101

14.41.2.3 P-BCMA-ALLO1

14.41.2.4 P-MUC1C-ALLO1

14.41.2.5 P-PSMA-ALLO1

14.42 Precigen, Inc.

14.43 Precision Biosciences

14.44 Prescient Therapeutics

14.44.1 OmniCAR Technology

14.45 ProMab Biotechnologies, Inc.

14.45.1 Custom CAR-T Cell Development

14.46 Protheragen

14.46.1 PR-18-01

14.47 Sorrento Therapeutics, Inc.

14.48 TC Biopharm

14.48.1 Co-Stim CAR-T

14.49 T-CURX

14.49.1 CARAMBA

14.50 Tessa Therapeutics, Pvt. Ltd.

14.50.1 CD30 CAR-T Cells

14.50.2 Allogeneic CD30-CAR EBVSTs

14.51 Tmunity Therapeutics, Inc.

14.52 Wugen

14.53 Xyphos Biosciences, Inc.

14.53.1 Xyphos' Strategy

14.54 Ziopharm Oncology, Inc.

14.54.1 Non-Viral CAR-T Therapy

For more information about this report visit https://www.researchandmarkets.com/r/x5n2up



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