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Cellular Therapy

Designed to improve your immune system’s ability to protect you against cancer, cellular therapies are evolving for a number of cancers, as well as noncancerous diseases. Most cellular therapies involve a process where samples of your existing blood are modified to attack cancer cells, and then those cells are injected back into your body.

What is cellular therapy?

Cellular therapy is an advanced form of treatment that uses your own immune system to help fight cancer. Described as living therapies, cellular therapies are a type of immunotherapy that can help some patients whose cancer has returned, stopped responding to treatment or requires a highly specialized approach.

Some cellular therapies are FDA-approved, while others are available through clinical trials. New cellular therapies continue to emerge through research and FDA approvals for a growing number of cancers and some noncancerous diseases.

Types of cellular therapies

  • Bispecific T-cell engager therapy is another form of immunotherapy. Rather than modifying your cells, it helps bring your immune cells into direct contact with cancer cells so they can find and attack the cancer more effectively. Research shows promising results, especially for blood cancers such as lymphoma and multiple myeloma, often with milder side effects. More recently, this therapy was approved for lung cancer.

  • Chimeric antigen receptor (CAR) T-cell therapy uses your own immune cells to recognize and attack cancer. These cells, known as T cells, are the backbone of the immune system and normally lead the charge in killing cancer and other harmful cells.

    CAR T-cell therapy separates T cells from your blood and, in a lab, genetically engineers them to include synthetic receptors called chimeric antigen receptors (CARs). These receptors actively search for cancer cells to destroy them.

    Currently, there are 7 FDA-approved CAR T-cell therapies. Advancements in CAR T-cell therapies are taking place thanks to an increase in clinical trials. Through these trials, healthcare researchers and practitioners hope to better identify cancer cells and fight their defenses. Additionally, trials are underway for non-blood-related cancers including prostate, breast, stomach and colon cancers, as well as trials focused on how to increase efficacy while reducing unwanted side effects.

  • We all inherit our genes from our biological (birth) parents. Our genes come with a set of instructions (DNA) that determine physical attributes, such as height and eye color, as well as proteins or the building blocks of organs, immune system and more. Some cellular therapies include a form of gene modification, which updates DNA inside a cell to help it work correctly. Gene therapy is also used to treat certain inherited diseases and is being studied for additional conditions.

  • T-cell receptor (TCR) therapy is a type of cellular therapy that uses your own immune cells to recognize and attack cancer.

    Like CAR T-cell therapy, TCR therapy starts by collecting T cells from your blood. These cells are then modified in a specialized laboratory to better recognize cancer cells before being returned to your body through an infusion.

    Unlike CAR T-cell therapy, which targets markers on the surface of cancer cells, TCR therapy can recognize certain proteins found inside cancer cells. This may allow TCR therapies to treat some solid tumors that have been difficult to target with other cellular therapies.

  • Tecelra® (afamitresgene autoleucel) is the first FDA-approved T-cell receptor (TCR) therapy and the first engineered cell therapy approved for a solid tumor. It is used for certain adults with advanced synovial sarcoma who have received prior chemotherapy and require specialized testing to determine eligibility. The treatment uses a patient's own T cells, modified to recognize cancer cells that express a specific target, and then infused back into the body to seek out and attack the cancer.

  • Tumor-infiltrating lymphocyte (TIL) therapy is a form of cellular therapy that uses immune cells already found inside a patient's tumor. TIL therapy enhances the role of these cells in fighting melanoma. Our experts collect cells from the patient’s tumor and send them off to be engineered and multiplied. They are then infused back into the patient, where they recognize, attack and kill cancer cells in the body. These cells are collected from the tumor, multiplied in a laboratory and infused back into the body, where they can continue targeting cancer cells.

    TIL therapy is a personalized form of immunotherapy like CAR T-cell therapy – both use a patient’s own cells to fight cancer, but they differ in origin and target. CAR T-cell therapy, used primarily for blood cancers, genetically modifies blood T cells to target specific antigens. TIL therapy is currently approved for certain patients with advanced melanoma and is being studied for other solid tumors.

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To make an appointment at The University of Kansas Cancer Center, call 913-588-1227.

Who can have cellular therapy?

Cellular therapies are advanced, first-in-the-world therapies and may be an option for people with certain blood cancers, including lymphoma, leukemia and multiple myeloma, advanced melanoma and certain solid tumors such as synovial sarcoma. Currently, there are 7 FDA-approved CAR T-cell therapies. TIL therapy is approved for advanced melanoma. There are also 2 FDA-approved gene therapies available to treat sickle cell disease. More therapies will become available to the public as active and future clinical trials continue to progress.

How does cellular therapy work?

The premise of cellular therapy is to treat diseases using living cells. These living cells are collected from you or a donor. Some cell therapies work by replacing damaged cells while others redirect your cells to support your immune system.

Stephon Fisher, a young man with glasses, is pictured smiling while holding a child in one arm with his other arm around the shoulder of his daughter.

Gene therapy gives engineer pain-free life

Undergoing gene therapy reprogrammed Stephon’s ability to produce normal red blood cells.

Read Stephon's story

Benefits and risks of cellular therapy

Why choose us

The University of Kansas Cancer Center offers comprehensive cancer treatment, including cellular therapies. Our multidisciplinary care teams are dedicated to ensuring you receive the highest quality care and most personalized treatment options available. These care teams work together to develop individual treatment plans for each person based on their needs and goals with input from a variety of specialists.

  • The University of Kansas Cancer Center is a National Cancer Institute-designated comprehensive cancer center and consistently recognized among the nation’s 50 best cancer centers as ranked by U.S. News & World Report.
  • Interdisciplinary care means you will benefit from a comprehensive team of doctors from different specialties, all working for you. Our interdisciplinary teams include expert medical oncologists, surgical oncologists, cellular therapeutic specialists, nurses and physical and occupational therapists who work side-by-side to provide you with the best care.

  • That means we work with you from the moment you walk through our doors, throughout your diagnosis and treatment and beyond.
  • Because The University of Kansas Cancer Center is part of an academic medical center, we offer innovative treatments and clinical trials – often long before other hospitals can.
  • Our board-certified, fellowship-trained physicians provide some of the most advanced and efficient treatments to alleviate pain.

We are the only National Cancer Institute-designated comprehensive cancer center in Kansas and 1 of fewer than 60 in the United States. Patients treated at NCI-designated comprehensive cancer centers have a 25% greater chance of survival compared to other cancer centers. NCI-designated cancer centers are pioneers in cancer research, recognized for their scientific leadership, resources and depth of research in basic, clinical and population sciences. To maintain our NCI designation, we go through a rigorous, highly competitive process to demonstrate our contributions to reducing the cancer burden in our region and throughout Kansas and western Missouri.