CASE REPORT article

Front. Immunol.

Sec. Cancer Immunity and Immunotherapy

Volume 16 - 2025 | doi: 10.3389/fimmu.2025.1567149

This article is part of the Research TopicInnovative Immunotherapy Strategies for Enhanced Treatment of Hodgkin and Non-Hodgkin LymphomasView all 11 articles

Case Report: Bispecific CD20/CD30-targeted Chimeric Antigen Receptor T-cell Therapy for Non-Hodgkin's Lymphoma

Provisionally accepted
Yuejiao  HuangYuejiao Huang1Yiming  GongYiming Gong2Xiang  LiuXiang Liu2Huaying  RuanHuaying Ruan3Jinhua  LuJinhua Lu2Hosein  Kouros- MehrHosein Kouros- Mehr4Hong  LiuHong Liu1*Han  WangHan Wang5*
  • 1Department of Hematology, Affiliated Hospital of Nantong University, Nantong, China
  • 2TriArm Therapeutics (Shanhai), Shanghai, China
  • 3Shanghai First Song Therapeutics, Shanghai, China
  • 4TriArm Inc., California, United States
  • 5Department of General Surgery, Affiliated Hospital of Nantong University, Nantong, China

The final, formatted version of the article will be published soon.

CD19-directed CAR T-cell therapy is a breakthrough immunotherapy for B-cell malignancies. However, CD19 loss-mediated relapsed/refractory disease continues to pose a significant challenge, highlighting the urgent need for CAR T cells targeting alternative antigens. To address this issue, we developed a CD20-directed CAR T incorporated with an additional CD30-directed binder to enhance cytotoxicity toward cancer cells. Here, we report that a patient with bulky transformed follicular lymphoma was successfully treated with CD20/CD30-directed CAR-T cells. The patient received two doses of anti-CD20/CD30-CAR-T therapy administered one month apart. Complete metabolic remission was achieved 1 month after the first infusion without evidence of cytokine release syndrome (CRS) or immune effector cell-associated neurotoxicity syndrome (ICANS). The second dose was given as a consolidation therapy with sustained disease-free survival exceeding 12 months to date. The report underscores the promising therapeutic potential and safety profile of CD20/CD30directed CAR T-cell therapy.

Keywords: CAR T-cell therapy, Transformed follicular lymphoma, CD20, CD30, Bispecific

Received: 26 Jan 2025; Accepted: 14 Apr 2025.

Copyright: © 2025 Huang, Gong, Liu, Ruan, Lu, Kouros- Mehr, Liu and Wang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence:
Hong Liu, Department of Hematology, Affiliated Hospital of Nantong University, Nantong, China
Han Wang, Department of General Surgery, Affiliated Hospital of Nantong University, Nantong, China

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