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Functional Laboratory Studies of Resistance

Symposia: Scientific Workshop on Understanding and Overcoming Tumor-intrinsic Resistance to CAR-T Therapies for Lymphoid Malignancies Program: Scientific Workshops
Friday, December 6, 2024: 3:42 PM-4:18 PM
Room 28 A-D (San Diego Convention Center)
Moderator:
and Frederick Locke, MD, Moffitt Cancer Center
Disclosures:
Locke: Aptitude Health: Honoraria; American Society of Hematology: Honoraria, Other: travel, accomodation, expenses; BioPharma Communications CARE Education: Honoraria; A2: Consultancy; Allogene: Consultancy, Research Funding; Amgen: Consultancy; Bluebird Bio: Consultancy; Bristol-Myers Squibb: Consultancy, Research Funding; Calibr: Consultancy; Caribou: Consultancy; Kite, a Gilead Company: Consultancy, Other: institutional, travel, accomodation, expenses, Research Funding; Allogene: Other: Institutional, Research Funding; CERo Therapeutics: Research Funding; Moffitt Cancer Center: Patents & Royalties; Communications CARE Education: Honoraria; Clinical Care Options Oncology: Honoraria; Imedex: Honoraria; Society for Immunotherapy of Cancer: Honoraria; Cowen: Consultancy; EcoR1: Consultancy; Gerson Lehrman Group (GLG): Consultancy; Iovance: Consultancy; Janssen: Consultancy; Legend Biotech: Consultancy; Novartis: Consultancy, Research Funding; Sana: Consultancy; Umoja: Consultancy; Pfizer: Consultancy; 2SeventyBio: Other: Institutional, Research Funding; National Cancer Institute: Other: Institutional, Research Funding; Leukemia and Lymphoma Society Scholar in Clinical Research: Other: Institutional, Research Funding.

Lost cell-surface expression of the specific antigen targeted by CAR-T cells is a common finding in resistant tumors but varying across the types of tumors where these therapies are used. In CAR-resistant lymphomas, genomic alterations that impact CD19 are less common than other genomic alterations, but associated resistance mechanisms remain unclear. In multiple myeloma, loss of the CAR-target BCMA from the cell surface commonly occurs without alteration of its encoding gene. The subject of this session is functional laboratory systems than can be employed to evaluate CAR-T resistance, including non-CD19 single-gene alterations in lymphoma and the discovery of targetable BCMA cleavage in myeloma.

Frederick Locke, MD

Moffitt Cancer Center, Tampa, FL

Jonathan H. Schatz, MD

University of Miami, Miami, FL

Damian Green, MD

University of Miami, Miami, FL