Lentiviral In Vivo CD19 CAR T-Cell Therapy in Neurologic Autoimmune Disorders 2026 Cheng et al



“B-cell depletion, rebooting the immune system, is emerging as potentially curative for some refractory autoimmune diseases.
But that has mainly relied on complicated, time-consuming, laborious ex vivo (outside the body) methods.
Today @NEJM all 16 patients with refractory autoimmune neurologic conditions, including 7 with progressive multiple sclerosis, had clinical and biologic improvement with single dose in vivo (inside the body, off-the shelf lentivirus vector) B cell depletion.”

Hard to see the clinical outcome measures.
 
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A video shows a patient with progressive multiple sclerosis attempting to walk before and after treatment with JY231, an off-the-shelf lentiviral vector designed for the direct in vivo engineering of CD19-targeted CAR T cells. Learn more in the preliminary results of a phase 1 trial: nej.md/4zPPwbD
 
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