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Absence of Replication-Competent Lentivirus in the Clinic: Analysis of Infused T Cell Products
Open accessAbstract
Exposure to replication-competent lentivirus (RCL) is a theoretical safety concern for individuals treated with lentiviral gene therapy. For certain ex vivo gene therapy applications, including cancer immunotherapy trials, RCL detection assays are used to screen the vector product as well as the vector-transduced cells. In this study, we reviewed T cell products screened for RCL using methodology developed in the National Gene Vector Biorepository. All trials utilized third-generation lentiviral vectors produced by transient transfection. Samples from 26 clinical trials totaling 460 transduced cell products from 375 subjects were evaluated. All cell products were negative for RCL. A total of 296 of the clinical trial participants were screened for RCL at least 1 month after infusion of the cell product. No research subject has shown evidence of RCL infection. These findings provide further evidence attesting to the safety of third-generation lentiviral vectors and that testing T cell products for RCL does not provide added value to screening the lentiviral vector product.
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Few studies on third-generation lentiviral vector systems have reported RCL events.
“However, few studies on third-generation LV systems have reported on RCL events as well [16,17].”
From Non-Integrating Lentiviral Vectors in Clinical Applications: A Glance Through (2022) · cites this paper as [17]
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Non-Integrating Lentiviral Vectors in Clinical Applications: A Glance Through
Gurumoorthy, N., Nordin, F., Tye, G. J., Wan Kamarul Zaman, W. S., & Ng, M. H. (2022) · Biomedicines · doi:10.3390/biomedicines10010107 · Cited by 69
“However, few studies on third-generation LV systems have reported on RCL events as well [16,17].”
Background
Metadata
- Authors
- Cornetta, K., Duffy, L., Turtle, C. J., Jensen, M., Forman, S., Binder-Scholl, G., Fry, T., Chew, A., Maloney, D. G., & June, C. H.
- Affiliations
- Indiana University Indianapolis (US)
- Indiana University School of Medicine (US)
- University of Washington (US)
- City Of Hope National Medical Center (US)
- National Institutes of Health (US)
- University of Pennsylvania (US)
- Corresponding author
- Cornetta, Kenneth
- ORCID
- Venue
- Molecular Therapy
- Publisher
- Elsevier BV
- Published
- 2018-01
- Volume
- 26
- Issue
- 1
- Pages
- 280-288
- ISSN
- 1525-0016 (ISSN-L)
- PMC
- PMC5762981
- OpenAlex
- W2756236961
- Cited by
- 98
- References
- 5
- Citations by year
- 2026: 3 · 2025: 9 · 2024: 11 · 2023: 7 · 2022: 14 · 2021: 9 · 2020: 16 · 2019: 15 · 2018: 12
- FWCI
- 8.17
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Molecular Therapy (publishedVersion, cc-by-nc-nd)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- IUScholarWorks (Indiana University) (submittedVersion)
- Funders
- NHLBI (P40HL1162, 4, 2, NCT01865617)
- Intramural Research Program at the NIH
- Juno Therapeutics
- Novartis
- University of Pennsylvania
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Virus-based gene therapy research
- Health Sciences › Medicine › Oncology › CAR-T cell therapy research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › RNA Interference and Gene Delivery
- Keywords
- lentiviral gene therapy, ex vivo gene therapy, transient transfection, cancer immunotherapy
- MeSH terms
- Cell Line, Follow-Up Studies, Genetic Vectors, Humans, T-Lymphocytes, Transduction, Genetic, Virus Replication, Genetic Therapy, Lentivirus, Adoptive Transfer
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