Could making CAR T cells directly inside the patient change how treatment is delivered? Scientific Editor Dr Charles De Bock joins Prof Roch Houot, Dr Jaime Fuentealba, François Vilcot, PharmD, and Carole-Anne Brugère, PharmD, to explore the promise and challenges of in vivo CAR therapy. They compare delivery approaches, examine safety and targeting, and discuss potential gains in access alongside uncertainty over costs. Listen for a multidisciplinary perspective on what comes next.
Read the referenced Review Article here: https://bit.ly/4d1mfjP
Key topics
- How in vivo CAR therapy differs from conventional CAR T manufacturing
- Lentiviral vectors and lipid nanoparticles: targeting, persistence, and safety, including the need for long-term monitoring
- Clinical translation, scalability, and why simpler delivery may not mean lower prices
- Europe’s role in development and lessons from writing a multidisciplinary review
Timestamps
00:00 — Why in vivo CAR is attracting attention now
02:37 — What it means to manufacture CAR T cells inside the patient
05:29 — Three layers of specificity for lentiviral delivery
10:08 — Why modern lentiviral vectors are safer than early gene therapy vectors
14:41 — How lipid nanoparticles can target T cells and avoid the liver
16:26 — Whether transient CAR expression can still be therapeutic
19:10 — Choosing between lentiviral vectors and lipid nanoparticles
22:53 — The hardest unsolved problem: balancing efficacy, safety, and scalability
23:18 — Site-specific gene editing and TRAC locus insertion
26:21 — Industry momentum and whether in vivo CAR can lower cost
28:40 — Europe’s opportunity in clinical translation
31:23 — What to expect from upcoming ASH and other conference data
35:05 — How the multidisciplinary review was scoped and organized
37:09 — Why figures were designed early in the writing process
39:57 — Advice for PhD students writing a review in a fast-moving field