Equecabtagene Autoleucel: First Approval

Mol Diagn Ther. 2023 Nov;27(6):781-787. doi: 10.1007/s40291-023-00673-y. Epub 2023 Sep 2.

Abstract

Equecabtagene autoleucel (Fucaso®), an autologous anti-B cell maturation antigen (BCMA)-directed chimeric antigen receptor (CAR)-T cell therapy that uses lentivirus as a gene vector to transfect autologous T cells, is being developed by IASO Biotechnology and Innovent Biologics, Inc. for the treatment of multiple myeloma (MM) and autoimmune diseases of the nervous system, including neuromyelitis optica spectrum disorder (NMOSD). Equecabtagene autoleucel was granted conditional approval in China in June 2023 for the treatment of adults with relapsed or refractory MM (RRMM) who have progressed after ≥ 3 lines of therapy (≥ 1 proteasome inhibitor and an immunomodulator). This article summarizes the milestones in the development of equecabtagene autoleucel leading to this first approval in patients with RRMM who have progressed after multiple lines of therapy.

Trial registration: ClinicalTrials.gov NCT05066646 NCT05698303 NCT05201118 NCT04561557.

Publication types

  • Review

MeSH terms

  • Adult
  • China
  • Humans
  • Immunotherapy, Adoptive
  • Multiple Myeloma* / genetics
  • Multiple Myeloma* / therapy
  • Receptors, Chimeric Antigen* / genetics
  • Receptors, Chimeric Antigen* / metabolism

Substances

  • Receptors, Chimeric Antigen

Associated data

  • ClinicalTrials.gov/NCT05066646
  • ClinicalTrials.gov/NCT05698303
  • ClinicalTrials.gov/NCT05201118
  • ClinicalTrials.gov/NCT04561557