WO2018075820A2 - Cereblon-based heterodimerizable chimeric antigen receptors - Google Patents

Cereblon-based heterodimerizable chimeric antigen receptors Download PDF

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Publication number
WO2018075820A2
WO2018075820A2 PCT/US2017/057474 US2017057474W WO2018075820A2 WO 2018075820 A2 WO2018075820 A2 WO 2018075820A2 US 2017057474 W US2017057474 W US 2017057474W WO 2018075820 A2 WO2018075820 A2 WO 2018075820A2
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cell
domain
polypeptide
cereblon
antigen
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French (fr)
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WO2018075820A3 (en
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Shuichan Xu
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Celgene Corp
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Celgene Corp
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Priority to JP2019521065A priority Critical patent/JP7100028B2/ja
Priority to EP22169696.6A priority patent/EP4092049A1/en
Priority to EP17862754.3A priority patent/EP3528851B1/en
Priority to ES17862754T priority patent/ES2916335T3/es
Priority to US16/343,375 priority patent/US11331380B2/en
Priority to CN201780064485.2A priority patent/CN109983027A/zh
Priority to CA3041284A priority patent/CA3041284A1/en
Application filed by Celgene Corp filed Critical Celgene Corp
Publication of WO2018075820A2 publication Critical patent/WO2018075820A2/en
Anticipated expiration legal-status Critical
Publication of WO2018075820A3 publication Critical patent/WO2018075820A3/en
Priority to JP2022071498A priority patent/JP2022109975A/ja
Priority to US17/738,662 priority patent/US20220370580A1/en
Ceased legal-status Critical Current

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    • A61K31/435—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
    • A61K31/44—Non condensed pyridines; Hydrogenated derivatives thereof
    • A61K31/445—Non condensed piperidines, e.g. piperocaine
    • A61K31/4523—Non condensed piperidines, e.g. piperocaine containing further heterocyclic ring systems
    • A61K31/454—Non condensed piperidines, e.g. piperocaine containing further heterocyclic ring systems containing a five-membered ring with nitrogen as a ring hetero atom, e.g. pimozide, domperidone
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    • C07K16/2878—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans against receptors, cell surface antigens or cell surface determinants against the NGF-receptor/TNF-receptor superfamily, e.g. CD27, CD30, CD40, CD95
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    • A61K40/4274—Prostate associated antigens e.g. Prostate stem cell antigen [PSCA]; Prostate carcinoma tumor antigen [PCTA]; Prostatic acid phosphatase [PAP]; Prostate-specific G-protein-coupled receptor [PSGR]
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    • C07K—PEPTIDES
    • C07K14/00—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof
    • C07K14/435—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans
    • C07K14/46—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans from vertebrates
    • C07K14/47—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans from vertebrates from mammals
    • C07K14/4701—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans from vertebrates from mammals not used
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    • C07K14/435—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans
    • C07K14/705—Receptors; Cell surface antigens; Cell surface determinants
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    • C07K14/705—Receptors; Cell surface antigens; Cell surface determinants
    • C07K14/70503—Immunoglobulin superfamily
    • C07K14/70521—CD28, CD152
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    • C07—ORGANIC CHEMISTRY
    • C07K—PEPTIDES
    • C07K16/00—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies
    • C07K16/18—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans
    • C07K16/28—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans against receptors, cell surface antigens or cell surface determinants
    • C07K16/30—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans against receptors, cell surface antigens or cell surface determinants from tumour cells
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    • C07—ORGANIC CHEMISTRY
    • C07K—PEPTIDES
    • C07K16/00—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies
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    • C07K16/32—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans against translation products of oncogenes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K2239/00—Indexing codes associated with cellular immunotherapy of group A61K40/00
    • A61K2239/46—Indexing codes associated with cellular immunotherapy of group A61K40/00 characterised by the cancer treated
    • A61K2239/48—Blood cells, e.g. leukemia or lymphoma
    • A—HUMAN NECESSITIES
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    • A61K2239/00—Indexing codes associated with cellular immunotherapy of group A61K40/00
    • A61K2239/46—Indexing codes associated with cellular immunotherapy of group A61K40/00 characterised by the cancer treated
    • A61K2239/49—Breast
    • A—HUMAN NECESSITIES
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    • A61K2239/46—Indexing codes associated with cellular immunotherapy of group A61K40/00 characterised by the cancer treated
    • A61K2239/58—Prostate
    • C—CHEMISTRY; METALLURGY
    • C07—ORGANIC CHEMISTRY
    • C07K—PEPTIDES
    • C07K2319/00—Fusion polypeptide
    • C07K2319/01—Fusion polypeptide containing a localisation/targetting motif
    • C07K2319/03—Fusion polypeptide containing a localisation/targetting motif containing a transmembrane segment
    • C—CHEMISTRY; METALLURGY
    • C07—ORGANIC CHEMISTRY
    • C07K—PEPTIDES
    • C07K2319/00—Fusion polypeptide
    • C07K2319/70—Fusion polypeptide containing domain for protein-protein interaction

Definitions

  • the disclosure herein relates to the field of immunology, and more specifically, to the modification of T lymphocytes or other immune cells.
  • T lymphocytes also referred to as T cells
  • T cells recognize and interact with specific antigens through receptors or receptor complexes which, upon recognition or an interaction with such antigens, cause activation of the cell.
  • An example of such a receptor is the antigen-specific T lymphocyte receptor complex (TCR/CD3), a complex of eight proteins.
  • TCR T cell receptor
  • CD3 One component, CD3, which has an invariant structure, is responsible for intracellular signaling following occupancy of the TCR by ligand.
  • the T lymphocyte receptor for antigen-CD3 complex recognizes antigenic peptides that are presented to it by the proteins of the major histocompatibility complex (MHC).
  • MHC major histocompatibility complex
  • TCR/CD3 complexes of MHC and peptide are expressed on the surface of antigen presenting cells and other T lymphocyte targets. Stimulation of the TCR/CD3 complex results in activation of the T lymphocyte and a consequent antigen-specific immune response.
  • the TCR/CD3 complex plays a central role in the effector function and regulation of the immune system.
  • T lymphocytes require a second, costimulatory signal to become fully active. Without such a signal, T lymphocytes are either non-responsive to antigen binding to the TCR, or become anergic.
  • a costimulatory signal for example, is provided by CD28, a T lymphocyte protein, which interacts with CD80 and CD86 on antigen-producing cells.
  • ICOS Inducible
  • CARs Chimeric antigen receptors
  • T lymphocytes bearing such CARs are generally referred to as CAR-T cells or CAR-T
  • CARs can effectively target T lymphocytes to specific tumor- associated or tumor-specific antigens, normal, healthy cells that also express such antigens also can be targeted. Described herein are modified chimeric receptors that overcome this shortcoming of current CAR design.
  • Chimeric Antigen Receptors comprising (a) a first polypeptide comprising cereblon or a functional portion thereof and (b) a second polypeptide comprising a cereblon-associated protein or a functional portion thereof, wherein the first polypeptide or the second polypeptide, or both polypeptides, comprise additional components of CARs, such as an antigen-binding domain, a transmembrane domain, a cell signaling domain, and/or a costimulatory domain.
  • CARs Chimeric Antigen Receptors
  • the cereblon-binding compound e.g., as described herein
  • the cereblon (or functional portion thereof, e.g., as described herein) of the first polypeptide and cereblon-associated protein (or functional portion thereof, e.g., as described herein) of the second polypeptide bind the cereblon- binding compound resulting in formation of a heterodimer with CAR function.
  • activity of the CARs described herein can be selectively controlled by contacting a cell expressing the first and second polypeptides of the CARs (e.g., T lymphocytes engineered to express said CARs) with a cereblon-binding compound.
  • a cell expressing the first and second polypeptides of the CARs e.g., T lymphocytes engineered to express said CARs
  • a cereblon-binding compound e.g., T lymphocytes engineered to express said CARs
  • a CAR comprising (a) a first polypeptide comprising an antigen-binding domain, a transmembrane domain, and cereblon or a functional portion thereof, wherein said cereblon (or functional portion thereof) is capable of binding to a cereblon-binding compound; and (b) a second polypeptide comprising a transmembrane domain, cereblon-associated protein or a functional portion thereof, wherein said cereblon-associated protein (or functional portion thereof) is capable of binding a cereblon-binding compound, and a primary cell signaling domain; wherein in the presence of said cereblon-binding compound, said first polypeptide and said second polypeptide form a heterodimer.
  • the cereblon-associated protein is Aiolos or Ikaros.
  • the first polypeptide comprises a costimulatory domain.
  • the second polypeptide comprises a costimulatory domain.
  • the first polypeptide and the second polypeptide comprise a costimulatory domain.
  • the first polypeptide comprises a costimulatory domain and the second polypeptide does not comprise a costimulatory domain.
  • the second polypeptide comprises a costimulatory domain and the first polypeptide does not comprise a costimulatory domain.
  • said cereblon-binding compound is pomalidomide (4-amino-2-[(3RS)-(2,6-dioxopiperidin-3-yl)-lH-isoindole-l,3(2H)-dione).
  • said cereblon-binding compound is thalidomide ((RS)-2-(2,6- dioxopiperidin-3-yl)-lH-isoindole-l,3(2H)-dione).
  • said cereblon-binding compound is lenalidomide (3-(4-amino-l-oxo-l,3-dihydro-2H-isoindol-2- yl)piperidine-2,6-dione).
  • said cereblon-binding compound is 3- [4-(4-morpholin-4-ylmethyl-benzyloxy)- 1 -oxo- 1 ,3 -dihydro-Isoindol-2-y 1 ]-piperidine-2,6-dione.
  • said cereblon-binding compound is 3-(4-((4-((4-(2,4- difluorophenyl)piperazin-l-yl)methyl)benzyl)oxy)-l-oxoisoindolin-2-yl)piperidine-2,6-dione.
  • a CAR comprising (a) a first polypeptide comprising, in order from N-terminus to C-terminus, an antigen-binding domain, a transmembrane domain, and cereblon or a functional portion thereof, and (b) a second polypeptide comprising, in order from N-terminus to C-terminus, a transmembrane domain, a cereblon-associated protein or a functional portion thereof, and a primary T cell signaling domain.
  • the cereblon-associated protein is Aiolos or Ikaros.
  • the first polypeptide comprises a costimulatory domain.
  • the second polypeptide comprises a costimulatory domain.
  • first polypeptide and the second polypeptide comprise a costimulatory domain. In another specific embodiment, the first polypeptide comprises a costimulatory domain and the second polypeptide does not comprise a costimulatory domain. In another specific embodiment, the second polypeptide comprises a costimulatory domain and the first polypeptide does not comprise a costimulatory domain.
  • said cereblon (or functional portion thereof) and said cereblon-associated protein (or functional portion thereof) are both capable of binding a cereblon-binding compound, wherein said cereblon-binding compound is pomalidomide, thalidomide, lenalidomide, 3-[4-(4-mo holin-4-ylmethyl-benzyloxy)-l-oxo-l,3- dihydro-Isoindol-2-yl]-piperidine-2,6-dione, or 3-(4-((4-((4-(2,4-difluorophenyl)piperazin-l- yl)methyl)benzyl)oxy)-l-oxoisoindolin-2-yl)piperidine-2,6-dione.
  • said cereblon-binding compound is pomalidomide, thalidomide, lenalidomide, 3-[4-(4-mo holin-4-ylmethyl-benzyloxy)-
  • a CAR comprising (a) a first polypeptide comprising, in order from N-terminus to C-terminus, an antigen-binding domain, cereblon or a functional portion thereof, and a transmembrane domain, and (b) a second polypeptide comprising, in order from N-terminus to C-terminus, a cereblon-associated protein or a functional portion thereof, a transmembrane domain, and a primary T cell signaling domain.
  • the cereblon-associated protein is Aiolos or Ikaros.
  • the first polypeptide comprises a costimulatory domain.
  • the second polypeptide comprises a costimulatory domain.
  • first polypeptide and the second polypeptide comprise a costimulatory domain. In another specific embodiment, the first polypeptide comprises a costimulatory domain and the second polypeptide does not comprise a costimulatory domain. In another specific embodiment, the second polypeptide comprises a costimulatory domain and the first polypeptide does not comprise a costimulatory domain. In another embodiment, said cereblon (or functional portion thereof) and said cereblon-associated protein (or functional portion thereof) are both capable of binding a cereblon-binding compound, wherein said cereblon-binding compound is
  • a CAR comprising (a) a first polypeptide comprising an antigen-binding domain, a transmembrane domain, and a cereblon- associated protein or a functional portion thereof, wherein said cereblon-associated protein (or functional portion thereof) is capable of binding to a cereblon-binding compound; and (b) a second polypeptide comprising a transmembrane domain, cereblon or a functional portion thereof, wherein said cereblon (or functional portion thereof) is capable of binding a cereblon- binding compound, and a primary cell signaling domain; wherein in the presence of said cereblon-binding compound, said first polypeptide and said second polypeptide form a heterodimer.
  • the cereblon-associated protein is Aiolos or Ikaros.
  • the first polypeptide comprises a costimulatory domain.
  • the second polypeptide comprises a costimulatory domain.
  • the first polypeptide and the second polypeptide comprise a costimulatory domain.
  • the first polypeptide comprises a costimulatory domain and the second polypeptide does not comprise a costimulatory domain.
  • the second polypeptide comprises a costimulatory domain and the first polypeptide does not comprise a costimulatory domain.
  • said cereblon-binding compound is pomalidomide (4-amino-2-[(3RS)-(2,6-dioxopiperidin-3-yl)-lH-isoindole-l,3(2H)- dione).
  • said cereblon-binding compound is thalidomide ((RS)- 2-(2,6-dioxopiperidin-3-yl)-lH-isoindole-l,3(2H)-dione).
  • said cereblon-binding compound is lenalidomide (3-(4-amino-l-oxo-l,3-dihydro-2H-isoindol-2- yl)piperidine-2,6-dione).
  • said cereblon-binding compound is 3- [4-(4-morpholin-4-ylmethyl-benzyloxy)- 1 -oxo- 1 ,3 -dihydro-Isoindol-2-y 1 ]-piperidine-2,6-dione.
  • said cereblon-binding compound is 3-(4-((4-((4-(2,4- difluorophenyl)piperazin-l-yl)methyl)benzyl)oxy)-l-oxoisoindolin-2-yl)piperidine-2,6-dione.
  • a CAR comprising (a) a first polypeptide comprising, in order from N-terminus to C-terminus, an antigen-binding domain, a transmembrane domain, and cereblon-associated protein or a functional portion thereof, and (b) a second polypeptide comprising, in order from N-terminus to C-terminus, a transmembrane domain, cereblon or a functional portion thereof, and a primary T cell signaling domain.
  • the cereblon-associated protein is Aiolos or Ikaros.
  • the first polypeptide comprises a costimulatory domain.
  • the second polypeptide comprises a costimulatory domain.
  • first polypeptide and the second polypeptide comprise a costimulatory domain. In another specific embodiment, the first polypeptide comprises a costimulatory domain and the second polypeptide does not comprise a costimulatory domain. In another specific embodiment, the second polypeptide comprises a costimulatory domain and the first polypeptide does not comprise a costimulatory domain. In another embodiment, said cereblon (or functional portion thereof) and said cereblon-associated protein (or functional portion thereof) are both capable of binding a cereblon-binding compound, wherein said cereblon-binding compound is
  • a CAR comprising (a) a first polypeptide comprising, in order from N-terminus to C-terminus, an antigen-binding domain, a cereblon-associated protein or a functional portion thereof, and a transmembrane domain, and (b) a second polypeptide comprising, in order from N-terminus to C-terminus, cereblon or a functional portion thereof, a transmembrane domain, and a primary T cell signaling domain.
  • the cereblon-associated protein is Aiolos or Ikaros.
  • the first polypeptide comprises a costimulatory domain.
  • the second polypeptide comprises a costimulatory domain.
  • first polypeptide and the second polypeptide comprise a costimulatory domain. In another specific embodiment, the first polypeptide comprises a costimulatory domain and the second polypeptide does not comprise a costimulatory domain. In another specific embodiment, the second polypeptide comprises a costimulatory domain and the first polypeptide does not comprise a costimulatory domain. In another embodiment, said cereblon (or functional portion thereof) and said cereblon-associated protein (or functional portion thereof) are both capable of binding a cereblon-binding compound, wherein said cereblon-binding compound is
  • a CAR comprising (a) a first polypeptide comprising, in order from N-terminus to C-terminus, an antigen-binding domain, a transmembrane domain, cereblon or a functional portion thereof, and a primary cell signaling domain, and (b) a second polypeptide comprising, in order from N-terminus to C-terminus, a transmembrane domain, a cereblon-associated protein or a functional portion thereof, and a costimulatory domain.
  • the cereblon-associated protein is Aiolos or Ikaros.
  • said cereblon (or functional portion thereof) and said cereblon- associated protein (or functional portion thereof) are both capable of binding a cereblon-binding compound, wherein said cereblon-binding compound is pomalidomide, thalidomide,
  • lenalidomide 3-[4-(4-morpholin-4-ylmethyl-benzyloxy)-l-oxo-l,3-dihydro-Isoindol-2-yl]- piperidine-2,6-dione, or 3-(4-((4-((4-(2,4-difluorophenyl)piperazin-l-yl)methyl)benzyl)oxy)-l- oxoi soindolin-2-yl)piperidine-2, 6-dione .
  • a CAR comprising (a) a first polypeptide comprising, in order from N-terminus to C-terminus, an antigen-binding domain, cereblon or a functional portion thereof, a transmembrane domain, and a polypeptide comprising a primary cell signaling domain, and (b) a second polypeptide comprising, in order from N- terminus to C-terminus, a cereblon-associated protein or a functional portion thereof, a transmembrane domain, and a costimulatory domain.
  • the cereblon- associated protein is Aiolos or Ikaros.
  • said cereblon (or functional portion thereof) and said cereblon-associated protein (or functional portion thereof) are both capable of binding a cereblon-binding compound, wherein said cereblon-binding compound is pomalidomide, thalidomide, lenalidomide, 3-[4-(4-mo holin-4-ylmethyl-benzyloxy)-l-oxo-l,3- dihydro-Isoindol-2-yl]-piperidine-2,6-dione, or 3-(4-((4-((4-(2,4-difluorophenyl)piperazin-l- yl)methyl)benzyl)oxy)-l-oxoisoindolin-2-yl)piperidine-2,6-dione.
  • said cereblon-binding compound is pomalidomide, thalidomide, lenalidomide, 3-[4-(4-mo holin-4-ylmethyl-benzyloxy)-
  • a CAR comprising (a) a first polypeptide comprising, in order from N-terminus to C-terminus, an antigen-binding domain, a transmembrane domain, a cereblon-associated protein or a functional portion thereof, and a primary cell signaling domain, and (b) a second polypeptide comprising, in order from N- terminus to C-terminus, a transmembrane domain, cereblon or a functional portion thereof, and a costimulatory domain.
  • the cereblon-associated protein is Aiolos or Ikaros.
  • said cereblon (or functional portion thereof) and said cereblon- associated protein (or functional portion thereof) are both capable of binding a cereblon-binding compound, wherein said cereblon-binding compound is pomalidomide, thalidomide,
  • lenalidomide 3-[4-(4-morpholin-4-ylmethyl-benzyloxy)-l-oxo-l,3-dihydro-Isoindol-2-yl]- piperidine-2,6-dione, or 3-(4-((4-((4-(2,4-difluorophenyl)piperazin-l-yl)methyl)benzyl)oxy)-l- oxoi soindolin-2-yl)piperidine-2, 6-dione .
  • a CAR comprising (a) a first polypeptide comprising, in order from N-terminus to C-terminus, an antigen-binding domain, a cereblon-associated protein or a functional portion thereof, a transmembrane domain, and a polypeptide comprising a primary cell signaling domain, and (b) a second polypeptide comprising, in order from N-terminus to C-terminus, cereblon or a functional portion thereof, a transmembrane domain, and a costimulatory domain.
  • the cereblon- associated protein is Aiolos or Ikaros.
  • said cereblon (or functional portion thereof) and said cereblon-associated protein (or functional portion thereof) are both capable of binding a cereblon-binding compound, wherein said cereblon-binding compound is pomalidomide, thalidomide, lenalidomide, 3-[4-(4-mo holin-4-ylmethyl-benzyloxy)-l-oxo-l,3- dihydro-Isoindol-2-yl]-piperidine-2,6-dione, or 3-(4-((4-((4-(2,4-difluorophenyl)piperazin-l- yl)methyl)benzyl)oxy)-l-oxoisoindolin-2-yl)piperidine-2,6-dione.
  • said cereblon-binding compound is pomalidomide, thalidomide, lenalidomide, 3-[4-(4-mo holin-4-ylmethyl-benzyloxy)-
  • the first or second polypeptide of a CAR described herein comprises a primary cell signaling domain
  • said polypeptide is CD3 ⁇ .
  • said cell signaling domain is human.
  • said primary cell signaling domain is or comprises an immunoreceptor tyrosine-based activation motif (IT AM) primary cell signaling domain.
  • ITAM is derived from one or more of the following: FcRy, FcRp, ⁇ 3 ⁇ , CD3y, CD35 , CD3s, CD5, CD22, CD20, CD79a, CD79b, CD278 (ICOS), FcsRI, CD66d, DAPIO, and/or DAP12.
  • said cell signaling domain is human.
  • the costimulatory domain is derived from one or more of the following: CD28, 4-1BB (CD137), OX40, an activating K cell receptor, BTLA, a Toll ligand receptor, CD2, CD7, CD27, CD30, CD40, CDS, ICAM-L LFA-1 (CD1 la/CD18), B7-H3, CDS, ICAM-1, ICOS (CD278), GITR, BAFFR, LIGHT, HVEM (LIGHTR), KIRDS2, SLAMF7, Kp80 (KLRF1), Kp44, Kp30, Kp46, CD 19, CD4, CD8a, CD8p, IL2Rp, IL2Ry, IL7Ra, ITGA4, VLAl, CD49a, ITGA4, IA4, CD49D, ITGA6, VLA-6, CD49f, ITGAD, CD28, 4-1BB (CD137), OX40, an activating K cell receptor, BTLA, a Toll ligand receptor, CD2,
  • said costimulatory domain is human.
  • the transmembrane domain of the first polypeptide and/or second polypeptide of the CARs provided herein comprises the transmembrane domain from: the alpha chain of the T-cell receptor, the beta chain of the T-cell receptor, the zeta chain of the T- cell receptor, CD28, CD3s, CD45, CD4, CD5, CD8, CD9, CD16, CD22, CD33, CD37, CD64, CD80, CD86, CD134, CD137, or CD154.
  • said transmembrane domain is human.
  • the antigen-binding domain of a CAR described herein comprises a receptor.
  • the antigen-binding domain of a CAR described herein comprises an antibody, or binding fragment thereof.
  • the binding fragment of said antibody is a single chain Fv fragment (scFv).
  • the antigen bound by an antigen-binding domain of a CAR described herein is an antigen on a tumor cell.
  • said antigen is an antigen of a solid tumor cell.
  • said antigen is an antigen of a blood cancer cell.
  • the antigen bound by an antigen-binding domain of a CAR described herein is a tumor-associated antigen (TAA) or a tumor-specific antigen (TSA).
  • TAA or TSA is one or more of the following, or a fragment thereof: 4-1BB, 5T4, 8H9, B7-H6, adenocarcinoma antigen, a-fetoprotein, B Cell Maturation Antigen (BCMA), BAFF, B-lymphoma cell, C242 antigen, CA9, carcinoembryonic antigen, CA- 125, carbonic anhydrase 9 (CA-IX), CCR4, CD3, CD4, CD19, CD20, CD22, CD23 (IgE receptor), CD28, CD30 (T FRSF8), CD33, CD38, CD40, CD44v6, CD44v7/8, CD51, CD52, CD56, CD74, CD80, CD123, CD152, CD171, CD200,
  • CTAA16.88 VEGF-A, VEGF receptors, VEGFR-1, VEGFR2, TEM1, TEM8, and/or vimentin.
  • nucleic acids encoding the CARs described herein i.e., nucleic acids encoding the first polypeptide and nucleic acids encoding the second polypeptide of the CARs described herein.
  • a first polypeptide of a CAR described herein is encoded by a first nucleic acid (polynucleotide) and the second polypeptide of a CAR described herein is encoded by a second nucleic acid (polynucleotide).
  • a nucleic acid (polynucleotide) that encodes both the first polypeptide and second polypeptide of a CAR described herein.
  • the CAR polypeptide-encoding nucleic acids described herein are comprised within a nucleic acid vector.
  • said vector is a retroviral vector.
  • said vector is a lentiviral vector.
  • the CAR polypeptide-encoding nucleic acids described herein are operably linked to a promoter.
  • said promoter is a T cell-specific promoter, a natural killer (NK) cell-specific promoter, an inducible promoter that functions within T cells or NK cells, or a constitutive promoter.
  • CAR cells comprising the CAR-encoding nucleic acids and/or vectors described herein.
  • Said cells include prokaryotic (e.g., bacterial) cells and eukaryotic (e.g., mammalian) cells.
  • prokaryotic e.g., bacterial
  • eukaryotic e.g., mammalian
  • a T cell e.g., a CD4+, a CD+ T cell, a T effector cell, or a T memory cell, comprising a CAR described herein.
  • a natural killer cell comprising a CAR described herein.
  • the CAR cells provided herein e.g., T cells comprising a CAR-encoding nucleic acid(s) described herein or expressing a CAR described herein (i.e., expressing the first and second polypeptide of a CAR described herein) can be activated when contacted with (i) the antigen to which the CAR is specific (that is, the antigen recognized by the antigen-binding domain of the CAR) and (ii) a cereblon-binding compound.
  • a cell e.g., a T cell or NK cell
  • said methods comprising contacting the cell with an antigen that binds the CAR's antigen-binding domain and further contacting the cell with a cereblon-binding compound.
  • said cell is contacted with said antigen and said cereblon- binding compound in vivo, i.e., contact occurs following administration of the cell to a subject.
  • said cell is administered to a subject and given a specified period of time to locate and come into contact with the antigen to which the CAR is specific, followed by administration of a cereblon-binding compound to the subject.
  • the CAR cells provided herein further comprise an artificial cell death polypeptide comprising an apoptosis-inducing domain and a dimerization domain, wherein the artificial cell death polypeptide is dimerizable using a dimerizing agent, and wherein when the artificial cell death polypeptide is dimerized, the polypeptide generates an apoptosis- inducing signal in said cell.
  • said dimerizing agent is rapamycin or an analog of rapamycin (rapalog).
  • said dimerizing agent is API 903 (rimiducid).
  • said dimerizing agent is not a cereblon- binding compound.
  • said dimerization domain is FK binding domain or an analog thereof.
  • said dimerizing agent is an antibody that binds to said FK binding domain.
  • a cell ⁇ e.g., a T cell or K cell
  • said target cell is a cancer cell, e.g., a blood cancer cell or a solid tumor cell.
  • said target cell expresses one or more the following antigens, or an antigenic fragment thereof: 4-1BB, 5T4, 8H9, B7-H6, adenocarcinoma antigen, a-fetoprotein, B Cell Maturation Antigen (BCMA), BAFF, B-lymphoma cell, C242 antigen, CA9, carcinoembryonic antigen, CA-125, carbonic anhydrase 9 (CA-IX), CCR4, CD3, CD4, CD19, CD20, CD22, CD23 (IgE receptor), CD28, CD30 (TNFRSF8), CD33, CD38, CD40, CD44v6, CD44v7/8, CD51, CD52, CD56, CD74, CD80, CD123, CD152, CD171, CD200, CD221, CE7, CEA, C-MET, CNT0888, CTLA-4, DRS, EpCAM, ErbB2, ErbB3/4, EGFR, EGFRvIII, EphA2, EGP2, EGP40
  • kits for treating cancer comprising (i) administration of a population of CAR cells described herein, e.g., a T cells or NK cells, that comprise/express a CAR described herein (e.g., comprise a CAR-encoding nucleic acid(s) described herein or express a CAR described herein), wherein said CAR comprises an antigen-binding domain specific for a cancer antigen (e.g., TSA or TAA) to a subject (for example, a human subject) and (ii) administering to the subject a composition comprising cereblon-binding compound.
  • a cancer antigen e.g., TSA or TAA
  • said population of cells is administered first to the subject, followed by administration of the composition comprising a cereblon-binding compound at a specified period of time after administration of the cell population, e.g., 30 minutes, 1 hour, 6 hours, 12 hours, 1 day, 2 days, 3 days, 4 days, 5 days, 6 days, or 1 week after administration of the cell population.
  • said antigen bound by said CAR is 4- IBB, 5T4, 8H9, B7-H6, adenocarcinoma antigen, a-fetoprotein, B Cell Maturation Antigen (BCMA), BAFF, B-lymphoma cell, C242 antigen, CA9, carcinoembryonic antigen, CA-125, carbonic anhydrase 9 (CA-IX), CCR4, CD3, CD4, CD 19, CD20, CD22, CD23 (IgE receptor), CD28, CD30 (TNFRSF8), CD33, CD38, CD40, CD44v6, CD44v7/8, CD51, CD52, CD56, CD74, CD80, CD123, CD152, CD171, CD200, CD221, CE7, CEA, C-MET, CNT0888, CTLA- 4, DRS, EpCAM, ErbB2, ErbB3/4, EGFR, EGFRvIII, EphA2, EGP2, EGP40, FAP, Fetal AchR,
  • CTAA16.88 VEGF-A, VEGF receptors, VEGFR-1, VEGFR2, TEM1, TEM8, and/or vimentin.
  • the cereblon-binding compound administered to a subject in accordance with the methods of treating cancer described herein is pomalidomide, thalidomide, lenalidomide, 3-[4-(4-morpholin-4-ylmethyl-benzyloxy)-l-oxo-l,3-dihydro-Isoindol-2-yl]- piperidine-2,6-dione, or 3-(4-((4-((4-(2,4-difluorophenyl)piperazin-l-yl)methyl)benzyl)oxy)-l- oxoi soindolin-2-yl)piperidine-2, 6-dione .
  • a non-limiting list of cancers that can be treated in accordance with the methods of treatment described herein includes lymphoma, leukemia, lung cancer, breast cancer, prostate cancer, adrenocortical carcinoma, thyroid carcinoma, nasopharyngeal carcinoma, melanoma, skin carcinoma, colorectal carcinoma, desmoid tumor, aesmoplastic small round cell tumor, endocrine tumor, Ewing sarcoma, peripheral primitive neuroectodermal tumor, solid germ cell tumor, hepatoblastoma, neuroblastoma, non-rhabdomyosarcoma soft tissue sarcoma,
  • lymphomas and leukemias include, without limitation, chronic lymphocytic leukemia (small lymphocytic lymphoma), B-cell prolymphocytic leukemia, lymphoplasmacytic lymphoma, Waldenstrom macroglobulinemia, splenic marginal zone lymphoma, plasma cell myeloma, plasmacytoma, extranodal marginal zone B cell lymphoma, MALT lymphoma, nodal marginal zone B cell lymphoma, follicular lymphoma, mantle cell lymphoma, diffuse large B cell lymphoma, mediastinal (thymic) large B cell lymphoma, intravascular large B cell lymphoma, primary effusion lymphoma, Burkitt's
  • a dimerizable artificial cell death receptor comprising (a) a first polypeptide comprising an apoptosis-inducing domain (or functional portion thereof) and cereblon (or functional portion thereof) and (b) a second polypeptide comprising an apoptosis-inducing domain (or functional portion thereof) and Aiolos (or a functional portion thereof), wherein said cereblon (or functional portion thereof) and said Aiolos (or functional portion thereof) are both capable of binding a cereblon-binding compound, and wherein said first polypeptide and said second polypeptide dimerize in the presence of said cereblon-binding compound to generate an apoptosis-inducing signal.
  • said cereblon-binding compound is pomalidomide, thalidomide, lenalidomide, 3-[4-(4- morpholin-4-ylmethyl-benzyloxy)- 1 -oxo- 1 ,3 -dihydro-Isoindol-2-y 1 ]-piperidine-2,6-dione, or 3 - (4-((4-((4-(2,4-difluorophenyl)piperazin-l-yl)methyl)benzyl)oxy)-l-oxoisoindolin-2- yl)piperidine-2,6-dione.
  • a dimerizable artificial cell death receptor comprising (a) a first polypeptide comprising a transmembrane protein that comprises a transmembrane domain and an intracellular domain comprising an apoptosis-inducing domain (or functional portion thereof) and cereblon (or functional portion thereof); and (b) a second polypeptide comprising an apoptosis-inducing domain (or functional portion thereof) and a cereblon-associated protein (or functional portion thereof).
  • said second polypeptide comprises a transmembrane protein comprising a transmembrane domain and an intracellular domain comprising an apoptosis-inducing domain (or functional portion thereof) and a cereblon-associated protein (or functional portion thereof).
  • said cereblon-associated protein is Aiolos or Ikaros.
  • a dimerizable artificial cell death receptor comprising (a) a first polypeptide comprising a transmembrane protein that comprises an extracellular domain comprising cereblon (or functional portion thereof), a transmembrane domain, and an intracellular domain comprising an apoptosis-inducing domain (or functional portion thereof); and (b) a second polypeptide comprising an apoptosis-inducing domain (or functional portion thereof) and a cereblon-associated protein (or functional portion thereof).
  • said second polypeptide comprises a transmembrane protein comprising a transmembrane domain and an intracellular domain comprising an apoptosis- inducing domain (or functional portion thereof) and a cereblon-associated protein (or functional portion thereof).
  • said second polypeptide comprises a transmembrane protein that comprises an extracellular domain comprising a cereblon-associated protein (or functional portion thereof), a transmembrane domain, and an intracellular domain comprising an apoptosis-inducing domain (or functional portion thereof).
  • the cereblon-associated protein is Aiolos or Ikaros.
  • a dimerizable artificial cell death receptor comprising (a) a first polypeptide comprising a transmembrane protein that comprises an apoptosis-inducing domain (or functional portion thereof) and cereblon (or functional portion thereof); and (b) a second polypeptide comprising a transmembrane protein that comprises a transmembrane domain and an intracellular domain comprising an apoptosis-inducing domain (or functional portion thereof) and a cereblon-associated protein (or functional portion thereof).
  • the cereblon-associated protein is Aiolos or Ikaros.
  • a dimerizable artificial cell death receptor comprising (a) a first polypeptide comprising a transmembrane protein that comprises an apoptosis-inducing domain (or functional portion thereof) and cereblon (or functional portion thereof); and (b) a second polypeptide comprising a transmembrane protein that comprises an extracellular domain comprising a cereblon-associated protein (or functional portion thereof), a transmembrane domain, and an intracellular domain comprising an apoptosis-inducing domain (or functional portion thereof).
  • the cereblon-associated protein is Aiolos or Ikaros.
  • the apoptosis-inducing domain of the dimerizable artificial cell death receptors provided herein is a caspase.
  • said caspase is caspase 9, caspase 8, or caspase 3.
  • nucleic acids encoding the dimerizable artificial cell death receptors described herein i.e., nucleic acids encoding the first polypeptide and nucleic acids encoding the second polypeptide of the dimerizable artificial cell death receptors described herein.
  • a first polypeptide of a dimerizable artificial cell death receptors described herein is encoded by a first nucleic acid (polynucleotide) and the second polypeptide of a dimerizable artificial cell death receptors described herein is encoded by a second nucleic acid (polynucleotide).
  • a nucleic acid (polynucleotide) that encodes both the first polypeptide and second polypeptide of a dimerizable artificial cell death receptor described herein.
  • the dimerizable artificial cell death receptor-encoding nucleic acids described herein are comprised within a nucleic acid vector.
  • said vector is a retroviral vector.
  • said vector is a lentivirial vector.
  • the dimerizable artificial cell death receptor-encoding nucleic acids described herein are operably linked to a promoter.
  • said promoter is a T cell-specific promoter, a natural killer (NK) cell-specific promoter, an inducible promoter that functions within T cells or NK cells, or a constitutive promoter.
  • cells comprising the dimerizable artificial cell death receptor-encoding nucleic acids described herein and/or vectors described herein.
  • Said cells include prokaryotic ⁇ e.g., bacterial) cells and eukaryotic ⁇ e.g., mammalian) cells.
  • a T cell e.g., a CD4+, a CD8+ T cell, a T effector cell, or a T memory cell, comprising a dimerizable artificial cell death receptor described herein.
  • a natural killer cell comprising a dimerizable artificial cell death receptor described herein.
  • the cell death receptor cells provided herein e.g., T cells or K cells comprising a dimerizable artificial cell death receptor-encoding nucleic acid(s) described herein or expressing a dimerizable artificial cell death receptor described herein (i.e., expressing the first and second polypeptide of a dimerizable artificial cell death receptor described herein) can be induced to undergo apoptosis when contacted with a cereblon-binding compound, e.g., when contacted with pomalidomide, thalidomide, lenalidomide, 3-[4-(4-mo holin-4-ylmethyl-benzyloxy)-l-oxo-l,3- dihydro-Isoindol-2-yl]-piperidine-2,6-dione, or 3-(4-((4-((4-(2,4-difluorophenyl)piperazin-l- yl)methyl)benzyl)oxy)
  • the cell death receptor cells provided herein further comprise a CAR, for example, a first-generation CAR, a second-generation CAR, or a third-generation CAR.
  • said CAR comprises two or more extracellular antigen-targeting domains.
  • said CAR comprises an extracellular domain that binds to an interleukin that is a negative regulator of T cell activity, and an intracellular domain from an interleukin receptor that is a positive regulator of T cell activity.
  • apoptosis is induced in a cell comprising an artificial cell death receptor and a CAR by contacting the cell with a cereblon-binding compound, e.g., pomalidomide, thalidomide, lenalidomide, 3-[4-(4-morpholin-4-ylmethyl-benzyloxy)-l-oxo-l,3-dihydro-Isoindol-2-yl]- piperidine-2,6-dione, or 3-(4-((4-((4-(2,4-difluorophenyl)piperazin-l-yl)methyl)benzyl)oxy)-l- oxoi soindolin-2-yl)piperidine-2, 6-dione .
  • a cereblon-binding compound e.g., pomalidomide, thalidomide, lenalidomide, 3-[4-(4-morpholin-4-ylmethyl-benzyloxy)-l-
  • FIG. 1 Use of a cereblon-binding compound (e.g., pomalidomide) to regulate CAR T cell activity.
  • a cereblon-binding compound e.g., pomalidomide
  • CRBN cereblon
  • POM pomalidomide
  • Costim. Domain costimulatory Domain.
  • CARs comprising two artificial polypeptides, wherein (i) the first polypeptide comprises cereblon (or functional portion thereof) and the second polypeptide comprises a cereblon-associated protein (or functional portion thereof), (ii) the components of the CAR required for activation are divided across the two polypeptides, and (iii) the CAR is activated in the presence of a cereblon-binding compound that binds cereblon and the cereblon-associated protein.
  • CAR-mediated on-target, off-tumor effects also can be reduced or eliminated by the use dimerizable artificial cell death receptors, which allow for on demand killing of cells expressing such receptors.
  • dimerizable artificial cell death receptors as described herein, comprise a first polypeptide comprising an apoptosis-inducing domain and a dimerization domain, e.g., cereblon (or functional portion thereof) and a second polypeptide comprising an apoptosis- inducing domain and a complementary dimerization domain, e.g., a cereblon-associated protein (or functional portion thereof).
  • Cells expressing such dimerizable artificial cell death receptors can be induced to undergo apoptosis by contacting them with a cereblon-binding compound capable of dimerizing the first and second polypeptides and thus activating the apoptosis- inducing domain.
  • Chimeric Antigen Receptors comprising (a) a first polypeptide comprising cereblon or a functional portion thereof and (b) a second polypeptide comprising a cereblon-associated protein or a functional portion thereof, wherein the first polypeptide or the second polypeptide, or both polypeptides, comprise remaining components of CARs, such as an antigen-binding domain, a transmembrane domain, a cell signaling domain, and/or a costimulatory domain.
  • CARs Chimeric Antigen Receptors
  • first and second polypeptides of the CARs When the first and second polypeptides of the CARs are expressed together in an immune cell (e.g., in a T lymphocyte or natural killer cell) in the presence of a cereblon-binding compound, cereblon (or functional portion thereof) of the first polypeptide and said cereblon-associated protein (or functional portion thereof) of the second polypeptide bind the cereblon-binding compound resulting in formation of a heterodimer with CAR function.
  • activity of the CARs described herein e.g., in vivo activity
  • transmembrane domain includes pass-through transmembrane domains in which the protein comprising the transmembrane domain comprises both intracellular and extracellular domains, and membrane-anchoring domains in which the protein comprising the transmembrane domain comprises an intracellular domain but not an extracellular domain.
  • a CAR comprising (a) a first polypeptide comprising an antigen-binding domain, a transmembrane domain, and cereblon or a functional portion thereof, wherein said cereblon (or functional portion thereof) is capable of binding to a cereblon-binding compound; and (b) a second polypeptide comprising a transmembrane domain, a cereblon-associated protein or a functional portion thereof, wherein said cereblon-associated protein (or functional portion thereof) is capable of binding a cereblon-binding compound, and a primary cell signaling domain; wherein in the presence of said cereblon-binding compound, said first polypeptide and said second polypeptide form a heterodimer.
  • the cereblon-associated protein is Aiolos or Ikaros.
  • a CAR comprising (a) a first polypeptide comprising, in order from N-terminus to C-terminus, an antigen-binding domain, a transmembrane domain, and cereblon or a functional portion thereof, and (b) a second polypeptide comprising, in order from N-terminus to C-terminus, a transmembrane domain, a cereblon-associated protein or a functional portion thereof, and a primary T cell signaling domain.
  • the cereblon-associated protein is Aiolos or Ikaros.
  • the first polypeptide comprises a costimulatory domain.
  • the second polypeptide comprises a costimulatory domain.
  • first polypeptide and the second polypeptide comprise a costimulatory domain. In another specific embodiment, the first polypeptide comprises a costimulatory domain and the second polypeptide does not comprise a costimulatory domain. In another specific embodiment, the second polypeptide comprises a costimulatory domain and the first polypeptide does not comprise a costimulatory domain.
  • said cereblon (or functional portion thereof) and said cereblon-associated protein (or functional portion thereof) are both capable of binding a cereblon-binding compound, wherein said cereblon-binding compound is pomalidomide, thalidomide, lenalidomide, 3-[4-(4-mo holin-4-ylmethyl-benzyloxy)-l-oxo-l,3- dihydro-Isoindol-2-yl]-piperidine-2,6-dione, or 3-(4-((4-((4-(2,4-difluorophenyl)piperazin-l- yl)methyl)benzyl)oxy)-l-oxoisoindolin-2-yl)piperidine-2,6-dione.
  • said cereblon-binding compound is pomalidomide, thalidomide, lenalidomide, 3-[4-(4-mo holin-4-ylmethyl-benzyloxy)-
  • a CAR comprising (a) a first polypeptide comprising, in order from N-terminus to C-terminus, an antigen-binding domain, cereblon or a functional portion thereof, and a transmembrane domain, and (b) a second polypeptide comprising, in order from N-terminus to C-terminus, a cereblon-associated protein or a functional portion thereof, a transmembrane domain, and a primary T cell signaling domain.
  • the cereblon-associated protein is Aiolos or Ikaros.
  • the first polypeptide comprises a costimulatory domain.
  • the second polypeptide comprises a costimulatory domain.
  • first polypeptide and the second polypeptide comprise a costimulatory domain. In another specific embodiment, the first polypeptide comprises a costimulatory domain and the second polypeptide does not comprise a costimulatory domain. In another specific embodiment, the second polypeptide comprises a costimulatory domain and the first polypeptide does not comprise a costimulatory domain. In another embodiment, said cereblon (or functional portion thereof) and said cereblon-associated protein (or functional portion thereof) are both capable of binding a cereblon-binding compound, wherein said cereblon-binding compound is
  • a CAR comprising (a) a first polypeptide comprising an antigen-binding domain, a transmembrane domain, and a cereblon- associated protein or a functional portion thereof, wherein said cereblon-associated protein (or functional portion thereof) is capable of binding to a cereblon-binding compound; and (b) a second polypeptide comprising a transmembrane domain, cereblon or a functional portion thereof, wherein said cereblon (or functional portion thereof) is capable of binding a cereblon- binding compound, and a primary cell signaling domain; wherein in the presence of said cereblon-binding compound, said first polypeptide and said second polypeptide form a heterodimer.
  • the cereblon-associated protein is Aiolos or Ikaros.
  • said cereblon-binding compound is pomalidomide (4-amino-2-[(3RS)- (2,6-dioxopiperidin-3-yl)-lH-isoindole-l,3(2H)-dione).
  • said cereblon-binding compound is thalidomide ((RS)-2-(2,6-dioxopiperidin-3-yl)-lH-isoindole- l,3(2H)-dione).
  • said cereblon-binding compound is lenalidomide (3-(4-amino-l-oxo-l,3-dihydro-2H-isoindol-2-yl)piperidine-2,6-dione). In another specific embodiment, said cereblon-binding compound is lenalidomide (3-(4-amino-l-oxo-l,3-dihydro-2H-isoindol-2-yl)piperidine-2,6-dione). In another specific embodiment, said cereblon-binding compound is lenalidomide (3-(4-amino-l-oxo-l,3-dihydro-2H-isoindol-2-yl)piperidine-2,6-dione). In another specific embodiment, said cereblon-binding compound is
  • said cereblon-binding compound is 3-(4-((4-((4-(2,4-difluorophenyl)piperazin-l- yl)methyl)benzyl)oxy)-l-oxoisoindolin-2-yl)piperidine-2,6-dione.
  • a CAR comprising (a) a first polypeptide comprising, in order from N-terminus to C-terminus, an antigen-binding domain, a transmembrane domain, and cereblon-associated protein or a functional portion thereof, and (b) a second polypeptide comprising, in order from N-terminus to C-terminus, a transmembrane domain, cereblon or a functional portion thereof, and a primary T cell signaling domain.
  • the cereblon-associated protein is Aiolos or Ikaros.
  • the first polypeptide comprises a costimulatory domain.
  • the second polypeptide comprises a costimulatory domain.
  • first polypeptide and the second polypeptide comprise a costimulatory domain. In another specific embodiment, the first polypeptide comprises a costimulatory domain and the second polypeptide does not comprise a costimulatory domain. In another specific embodiment, the second polypeptide comprises a costimulatory domain and the first polypeptide does not comprise a costimulatory domain. In another embodiment, said cereblon (or functional portion thereof) and said cereblon-associated protein (or functional portion thereof) are both capable of binding a cereblon-binding compound, wherein said cereblon-binding compound is
  • a CAR comprising (a) a first polypeptide comprising, in order from N-terminus to C-terminus, an antigen-binding domain, a cereblon-associated protein or a functional portion thereof, and a transmembrane domain, and (b) a second polypeptide comprising, in order from N-terminus to C-terminus, cereblon or a functional portion thereof, a transmembrane domain, and a primary T cell signaling domain.
  • the cereblon-associated protein is Aiolos or Ikaros.
  • the first polypeptide comprises a costimulatory domain.
  • the second polypeptide comprises a costimulatory domain.
  • first polypeptide and the second polypeptide comprise a costimulatory domain. In another specific embodiment, the first polypeptide comprises a costimulatory domain and the second polypeptide does not comprise a costimulatory domain. In another specific embodiment, the second polypeptide comprises a costimulatory domain and the first polypeptide does not comprise a costimulatory domain. In another embodiment, said cereblon (or functional portion thereof) and said cereblon-associated protein (or functional portion thereof) are both capable of binding a cereblon-binding compound, wherein said cereblon-binding compound is
  • a CAR comprising (a) a first polypeptide comprising, in order from N-terminus to C-terminus, an antigen-binding domain, a transmembrane domain, cereblon or a functional portion thereof, and a primary cell signaling domain, and (b) a second polypeptide comprising, in order from N-terminus to C-terminus, a transmembrane domain, a cereblon-associated protein or a functional portion thereof, and a costimulatory domain.
  • the cereblon-associated protein is Aiolos or Ikaros.
  • said cereblon (or functional portion thereof) and said cereblon- associated protein (or functional portion thereof) are both capable of binding a cereblon-binding compound, wherein said cereblon-binding compound is pomalidomide, thalidomide,
  • lenalidomide 3-[4-(4-morpholin-4-ylmethyl-benzyloxy)-l-oxo-l,3-dihydro-Isoindol-2-yl]- piperidine-2,6-dione, or 3-(4-((4-((4-(2,4-difluorophenyl)piperazin-l-yl)methyl)benzyl)oxy)-l- oxoi soindolin-2-yl)piperidine-2, 6-dione .
  • a CAR comprising (a) a first polypeptide comprising, in order from N-terminus to C-terminus, an antigen-binding domain, cereblon or a functional portion thereof, a transmembrane domain, and a polypeptide comprising a primary cell signaling domain, and (b) a second polypeptide comprising, in order from N- terminus to C-terminus, a cereblon-associated protein or a functional portion thereof, a transmembrane domain, and a costimulatory domain.
  • the cereblon- associated protein is Aiolos or Ikaros.
  • said cereblon (or functional portion thereof) and said cereblon-associated protein (or functional portion thereof) are both capable of binding a cereblon-binding compound, wherein said cereblon-binding compound is pomalidomide, thalidomide, lenalidomide, 3-[4-(4-mo holin-4-ylmethyl-benzyloxy)-l-oxo-l,3- dihydro-Isoindol-2-yl]-piperidine-2,6-dione, or 3-(4-((4-((4-(2,4-difluorophenyl)piperazin-l- yl)methyl)benzyl)oxy)-l-oxoisoindolin-2-yl)piperidine-2,6-dione.
  • said cereblon-binding compound is pomalidomide, thalidomide, lenalidomide, 3-[4-(4-mo holin-4-ylmethyl-benzyloxy)-
  • a CAR comprising (a) a first polypeptide comprising, in order from N-terminus to C-terminus, an antigen-binding domain, a transmembrane domain, a cereblon-associated protein or a functional portion thereof, and a primary cell signaling domain, and (b) a second polypeptide comprising, in order from N- terminus to C-terminus, a transmembrane domain, cereblon or a functional portion thereof, and a costimulatory domain.
  • the cereblon-associated protein is Aiolos or Ikaros.
  • said cereblon (or functional portion thereof) and said cereblon- associated protein (or functional portion thereof) are both capable of binding a cereblon-binding compound, wherein said cereblon-binding compound is pomalidomide, thalidomide,
  • lenalidomide 3-[4-(4-morpholin-4-ylmethyl-benzyloxy)-l-oxo-l,3-dihydro-Isoindol-2-yl]- piperidine-2,6-dione, or 3-(4-((4-((4-(2,4-difluorophenyl)piperazin-l-yl)methyl)benzyl)oxy)-l- oxoi soindolin-2-yl)piperidine-2, 6-dione .
  • a CAR comprising (a) a first polypeptide comprising, in order from N-terminus to C-terminus, an antigen-binding domain, a cereblon-associated protein or a functional portion thereof, a transmembrane domain, and a polypeptide comprising a primary cell signaling domain, and (b) a second polypeptide comprising, in order from N-terminus to C-terminus, cereblon or a functional portion thereof, a transmembrane domain, and a costimulatory domain.
  • the cereblon- associated protein is Aiolos or Ikaros.
  • said cereblon (or functional portion thereof) and said cereblon-associated protein (or functional portion thereof) are both capable of binding a cereblon-binding compound, wherein said cereblon-binding compound is pomalidomide, thalidomide, lenalidomide, 3-[4-(4-mo holin-4-ylmethyl-benzyloxy)-l-oxo-l,3- dihydro-Isoindol-2-yl]-piperidine-2,6-dione, or 3-(4-((4-((4-(2,4-difluorophenyl)piperazin-l- yl)methyl)benzyl)oxy)-l-oxoisoindolin-2-yl)piperidine-2,6-dione.
  • said cereblon-binding compound is pomalidomide, thalidomide, lenalidomide, 3-[4-(4-mo holin-4-ylmethyl-benzyloxy)-
  • the CARs provided herein comprise polypeptides comprising cereblon or a functional portion thereof or a cereblon-associated protein (e.g., Aiolos or Ikaros), or a functional portion of either thereof.
  • a functional portion of cereblon or a cereblon-associated protein is defined as a portion of cereblon or a cereblon-associated protein that is capable of binding a cereblon-binding compound.
  • a functional portion of cereblon or a cereblon-associated protein comprises the full polypeptide coding sequence of said cereblon or said cereblon-associated protein.
  • a functional portion of cereblon or a cereblon-associated protein comprises a truncation of said cereblon or said cereblon-associated protein, respectively.
  • a functional portion of cereblon or a cereblon-associated protein comprises a peptide sequence derived from said cereblon or said cereblon-associated protein, respectively.
  • One of skill in the art will recognize the components of each protein required to maintain function and/or to ensure binding of each protein to a cereblon-binding compound.
  • a CAR provided herein comprises a polypeptide comprising cereblon or a functional portion thereof, which is capable of binding a cereblon-binding compound.
  • a CAR provided herein comprises a polypeptide comprising a cereblon-associated protein (e.g., Aiolos or Ikaros) or a functional portion thereof, which is capable of binding a cereblon-binding compound.
  • a CAR provided herein comprises a polypeptide comprising Aiolos or a functional portion thereof, which is capable of binding a cereblon-binding compound.
  • a CAR provided herein comprises: (i) a first polypeptide comprising cereblon or a functional portion thereof, which is capable of binding a cereblon-binding compound, and (ii) a second polypeptide comprising cereblon-associated protein (e.g., Aiolos or Ikaros) or a functional portion thereof, which is capable of binding a cereblon-binding compound.
  • a first polypeptide comprising cereblon or a functional portion thereof which is capable of binding a cereblon-binding compound
  • a second polypeptide comprising cereblon-associated protein (e.g., Aiolos or Ikaros) or a functional portion thereof, which is capable of binding a cereblon-binding compound.
  • Cereblon is also known as the protein "mental retardation, non-syndromic, autosomal recessive, 2 A," CRBN, MRT2, MRT2A, and AD-006.
  • An exemplary nucleic acid encoding cereblon is provided, e.g., under Genbank Gene ID: 51185.
  • An exemplary cereblon amino acid sequence is provided, e.g., under Uniprot ID: Q96SW2-1.
  • One of skill in the art will readily appreciate how to make and use cereblon-containing polypeptides using recombinant engineering.
  • cereblon refers to a naturally occurring cereblon protein or portions thereof, as well as polypeptides comprising at least 80%, 85%>, 90%, 95%, 96%, 97%, 98%), or 99%) homology or sequence identity to a naturally occurring cereblon protein or a portion thereof, wherein the sequence can bind a cereblon-associated protein, e.g., in the presence of a cereblon binding compound described herein.
  • Cereblon-associated proteins refer to proteins (or portions thereof) that serve as substrates of cereblon, e.g., can bind to and/or associate with cereblon, e.g. , in the presence of a cereblon binding compound. See, e.g., Vogel et al., 2014, Br. J. Haematol.
  • the cereblon-associated protein used in the CARs described herein is Aiolos.
  • Aiolos is also known as "IKAROS family zinc finger 3," “zinc finger protein, subfamily 1A, 3,” and ZNFNl A3.
  • An exemplary nucleic acid encoding Aiolos is provided under Genbank Gene ID: 22806.
  • An exemplary Aiolos amino acid sequence is provided, e.g., under Uniprot ID: Q9UKT9-1.
  • Aiolos refers to a naturally occurring Aiolos protein or portions thereof, as well as
  • polypeptides comprising at least 80%, 85%, 90%, 95%, 96%, 97%, 98%, or 99% homology or sequence identity to a naturally occurring Aiolos protein or a portion thereof.
  • the cereblon-associated protein used in the CARs described herein is Ikaros.
  • Ikaros is also known as "IKAROS family zinc finger 1," IKZFl, IKl, LYFl, LyF-1, CVID13, PPP1R92, PRO0758, ZNFNl Al and Hs.54452.
  • An exemplary nucleic acid encoding Ikaros is provided, e.g., under Genbank Gene ID: 10320.
  • An exemplary Ikaros amino acid sequence is provided, e.g., under Uniprot ID: Q03267-1.
  • One of skill in the art will readily appreciate how to make and use Ikaros-containing polypeptides using recombinant engineering.
  • Ikaros refers to a naturally occurring Ikaros protein or portions thereof, as well as polypeptides comprising at least 80%, 85%, 90%, 95%, 96%, 97%, 98%), or 99%) homology or sequence identity to a naturally occurring Ikaros protein or a portion thereof.
  • Antigen-Binding Domain As used herein, the term “Ikaros” refers to a naturally occurring Ikaros protein or portions thereof, as well as polypeptides comprising at least 80%, 85%, 90%, 95%, 96%, 97%, 98%), or 99%) homology or sequence identity to a naturally occurring Ikaros protein or a portion thereof.
  • the antigen binding domains of the CARs provided herein can be any polypeptide domain, motif or sequence that binds to an antigen.
  • the antigen binding domain of the CARs described herein is an antigen binding portion of a receptor.
  • the antigen binding domain of the CARs described herein is a receptor for a ligand produced by a tumor cell.
  • the antigen binding domain of the CARs described herein is an antigen-binding portion of an antibody.
  • the antigen binding domain of the CARs described herein is an antibody, an antibody chain, a single chain antibody, or an antigen binding portion thereof, an Fc domain, a glycophosphatidylinositol anchor domain, or scFv antibody fragment.
  • the antigen binding domain of the CARs described herein is a peptide-based macromolecular antigen binding agent, e.g., a phage display protein.
  • antigen binding by an antigen binding domain of a CAR described herein is restricted to antigen presentation in association with major histocompatibility complexes (MHC).
  • MHC major histocompatibility complexes
  • antigen binding by an antigen binding domain of a CAR described herein is MHC -unrestricted.
  • the antigen bound/recognized by the antigen binding domain of the CARs described herein can be any antigen of interest.
  • the antigen is an antigen that is expressed on the surface of a cell (e.g., a tumor cell, such as a solid tumor cell or a blood cancer tumor cell).
  • the antigen bound/recognized by the antigen binding domain of the CARs described herein is an antigen on a tumor cell, for example, the antigen is a TSA or a TAA.
  • Exemplary tumor cell antigens that can be recognized by the CARs described herein (i.e., bound by the antigen-binding domain of the CARs) include, without limitation, 4-1BB, 5T4, 8H9, B7-H6, adenocarcinoma antigen, a-fetoprotein, B Cell Maturation Antigen (BCMA), BAFF, B-lymphoma cell, C242 antigen, CA9, carcinoembryonic antigen, CA-125, carbonic anhydrase 9 (CA-IX), CCR4, CD3, CD4, CD 19, CD20, CD22, CD23 (IgE receptor), CD28, CD30 (TNFRSF8), CD33, CD38, CD40, CD44v6, CD44v7/8, CD51,
  • BCMA Cell Matur
  • CTAA16.88 VEGF-A, VEGF receptors, VEGFR-1, VEGFR2, TEM1, TEM8, and vimentin.
  • the antigen bound/recognized by the antigen binding domain of the CARs described herein is an antigen expressed on or associated with a tumor cell of a lymphoma/leukemia, a lung cancer, a breast cancer, a prostate cancer, an adrenocortical carcinoma, a thyroid carcinoma, a nasopharyngeal carcinoma, a melanoma, e.g., a malignant melanoma, a skin carcinoma, a colorectal carcinoma, a desmoid tumor, a desmoplastic small round cell tumor, an endocrine tumor, an Ewing sarcoma, a peripheral primitive neuroectodermal tumor, a solid germ cell tumor, a hepatoblastoma, a neuroblastoma, a non-rhabdomyosarcoma soft tissue sarcoma, an osteosarcoma, a retinoblastoma, a rhab
  • the antigen bound/recognized by the antigen binding domain of the CARs described herein is an antigen expressed on or associated with a tumor cell of chronic lymphocytic leukemia (small lymphocytic lymphoma), B-cell prolymphocytic leukemia, lymphoplasmacytic lymphoma, Waldenstrom macroglobulinemia, splenic marginal zone lymphoma, plasma cell myeloma, plasmacytoma, extranodal marginal zone B cell lymphoma, MALT lymphoma, nodal marginal zone B cell lymphoma, follicular lymphoma, mantle cell lymphoma, diffuse large B cell lymphoma, mediastinal (thymic) large B cell lymphoma, intravascular large B cell lymphoma, primary effusion lymphoma, Burkitt's lymphoma, T lymphocyte prolymphocytic leukemia, T lymphocyte large granular lymphocytic
  • hepatosplenic T lymphocyte lymphoma blastic NK cell lymphoma, mycosis fungoides, Sezary syndrome, primary cutaneous anaplastic large cell lymphoma, lymphomatoid papulosis, angioimmunoblastic T lymphocyte lymphoma, peripheral T lymphocyte lymphoma (unspecified), anaplastic large cell lymphoma, Hodgkin lymphoma, or a non-Hodgkin lymphoma.
  • the antigen bound/recognized by the antigen binding domain of the CARs described herein is a non-tumor-associated antigen or a non-tumor-specific antigen.
  • the antigen is related to an aspect of a tumor, e.g., the tumor environment.
  • a tumor can induce an inflammatory state in tissue surrounding the tumor, and can release angiogenic growth factors, interleukins, and/or cytokines that promote angiogenesis into and at the periphery of the tumor.
  • the antigen is a growth factor, a cytokine, or an interleukin (e.g., a growth factor, cytokine, or interleukin associated with angiogenesis or vasculogenesis).
  • an interleukin e.g., a growth factor, cytokine, or interleukin associated with angiogenesis or vasculogenesis.
  • interleukins can include, without limitation, vascular endothelial growth factor (VEGF), basic fibroblast growth factor (bFGF), platelet-derived growth factor (PDGF), hepatocyte growth factor (HGF), insulin-like growth factor (IGF), and interleukin-8 (IL-8).
  • VEGF vascular endothelial growth factor
  • bFGF basic fibroblast growth factor
  • PDGF platelet-derived growth factor
  • HGF hepatocyte growth factor
  • IGF insulin-like growth factor
  • IL-8 interleukin-8
  • the antigen bound/recognized by the antigen binding domain of the CARs described herein is a damage associated molecular pattern molecule
  • DAMP also known as an alarmin
  • exemplary DAMPs to which the antigen-binding domain of the CARs described herein can bind include, without limitation, heat shock protein, chromatin-associated protein high mobility group box 1 (HMGBl), S100A8 (MRP8, calgranulin A), S100A9 (MRP 14, calgranulin B), serum amyloid A (SAA), deoxyribonucleic acid, adenosine triphosphate, uric acid, and heparin sulfate.
  • HMGBl chromatin-associated protein high mobility group box 1
  • S100A8 MRP8, calgranulin A
  • S100A9 MRP 14, calgranulin B
  • SAA serum amyloid A
  • deoxyribonucleic acid adenosine triphosphate
  • uric acid uric acid
  • heparin sulfate heparin sulfate
  • the transmembrane domains of the CARs described herein can comprise any molecule known in the art to function as a transmembrane domain, e.g. , known by one of skill in the art to function in the CAR context.
  • the transmembrane domains of the CARs described herein can be obtained or derived from the transmembrane domain of any transmembrane protein, and can include all or a portion of such transmembrane domain.
  • the transmembrane domain of the first and/or second polypeptide of the CARs described herein is obtained or derived from a T-cell receptor, e.g., the transmembrane domain of the first and/or second polypeptide of the CARs described herein is obtained or derived from the alpha chain of a T-cell receptor, the beta chain of a T-cell receptor, the zeta chain of a T-cell receptor.
  • the transmembrane domain of the first and/or second polypeptide of the CARs described herein is obtained or derived from CD28, CD3s, CD45, CD4, CD5, CD8, CD9, CD16, CD22, CD33, CD37, CD64, CD80, CD86, CD134, CD137 or CD154, a cytokine receptor, an interleukin receptor, or a growth factor receptor.
  • the primary cell signaling domain of the CARs described herein can comprise any molecule known in the art to function as a cell signaling domain, e.g. , known by one of skill in the art to function in the CAR context.
  • the cell signaling domain of the CARs described herein comprises a primary T cell signaling domain.
  • the primary cell signaling domain of the CARs described herein is or comprises ZAP-70, or a signal-transducing variant thereof.
  • the primary cell signaling domain of the CARs described herein is or comprises an IT AM.
  • said IT AM is the IT AM of FcRy, FcRp, CD3C, CD3y, CD35, CD3s, CD5, CD22, 20 CD79a, CD79b, CD278 (ICOS), FcERI, CD66d, DAP10, or DAP12. Costimulatory Domain
  • the first and/or second polypeptides of the CARs described herein comprise a costimulatory domain.
  • the costimulatory domain(s) of the CARs described herein can comprise any molecule known in the art to function as a costimulatory domain, e.g. , known by one of skill in the art to function in the CAR context.
  • the costimulatory domain of the first and/or second polypeptide of the CARs described herein is obtained or derived from a costimulatory CD27 polypeptide sequence, a costimulatory CD28 polypeptide sequence, a costimulatory OX40 (CD134) polypeptide sequence, a costimulatory 4-1BB (CD137) polypeptide sequence, or a costimulatory inducible T-cell costimulatory (ICOS) polypeptide sequence.
  • a costimulatory CD27 polypeptide sequence a costimulatory CD28 polypeptide sequence
  • a costimulatory OX40 (CD134) polypeptide sequence a costimulatory 4-1BB (CD137) polypeptide sequence
  • CD137 costimulatory 4-1BB
  • ICOS costimulatory inducible T-cell costimulatory
  • the costimulatory domain of the first and/or second polypeptide of the CARs described herein is or comprises CD28, 4-1BB (CD137), OX40, an activating NK cell receptor, BTLA, a Toll ligand receptor, CD2, CD7, CD27, CD30, CD40, CDS, ICAM-L LFA-1 (CD1 la/CD18), B7-H3, CDS, ICAM-1, ICOS (CD278), GITR, BAFFR, LIGHT, HVEM (LIGHTR), KIRDS2, SLAMF7, NKp80 (KLRF1), NKp44, NKp30, NKp46, CD 19, CD4, CD8a, CD8p, IL2Rp, IL2Ry, IL7Ra, ITGA4, VLAl, CD49a, ITGA4, IA4, CD49D, ITGA6, VLA-6, CD49f, ITGAD, CD l id, ITGAE, CD
  • the first and/or second polypeptide of the CARs described herein further comprise a dimerization domain that is responsive to a modulating agent (i.e., an agent other than a cereblon-binding compound).
  • a modulating agent i.e., an agent other than a cereblon-binding compound.
  • the first and/or second polypeptide of the CARs described herein further comprise a T cell survival motif.
  • the T cell survival motif can be any polypeptide sequence or motif that facilitates the survival of a T lymphocyte after stimulation by an antigen.
  • the T cell survival motif is, or is derived from, CD3, CD28, an intracellular signaling domain of IL-7 receptor (IL-7R), an intracellular signaling domain of IL- 12 receptor, an intracellular signaling domain of IL-15 receptor, an intracellular signaling domain of IL-21 receptor, or an intracellular signaling domain of transforming growth factor ⁇ (TGFB) receptor.
  • IL-7R intracellular signaling domain of IL-7 receptor
  • IL-15 receptor an intracellular signaling domain of IL-15 receptor
  • TGFB transforming growth factor ⁇
  • the first and/or second polypeptides of the CARs provided herein are modified by, e.g., acylation, amidation, glycosylation, methylation, phosphorylation, sulfation, sumoylation, and/or ubiquitylation (or other protein modifications).
  • the first and/or second polypeptides of the CARs provided herein are labeled with a label capable of providing a detectable signal, e.g., a radioisotope or fluorescent compound.
  • one or more side chains of the first and/or second polypeptides of the CARs provided herein are derivatized, e.g., derivatization of lysinyl and amino terminal residues with succinic or other carboxylic acid anhydrides, or derivatization with, e.g., imidoesters such as methyl picolinimidate; pyridoxal phosphate; pyridoxal; chloroborohydride; trinitrobenzenesulfonic acid; O-methylisourea; 2,4 pentanedione; and transaminase-catalyzed reaction with glyoxylate.
  • imidoesters such as methyl picolinimidate
  • pyridoxal phosphate pyridoxal
  • chloroborohydride trinitrobenzenesulfonic acid
  • O-methylisourea 2,4 pentanedione
  • transaminase-catalyzed reaction with glyoxylate e.g
  • carboxyl side groups aspartyl or glutamyl
  • nucleic acids encoding the CARs described herein i.e., nucleic acids encoding the first polypeptide and nucleic acids encoding the second polypeptide of the CARs described herein.
  • a first polypeptide of a CAR described herein is encoded by a first nucleic acid (polynucleotide) and the second polypeptide of a CAR described herein is encoded by a second nucleic acid (polynucleotide).
  • a nucleic acid (polynucleotide) that encodes both the first polypeptide and second polypeptide of a CAR described herein.
  • Nucleic acids useful in the production of the CARs described herein include DNA, RNA, and nucleic acid analogs. Nucleic acid analogs can be modified at the base moiety, sugar moiety, or phosphate backbone, and can include deoxyuridine substitution for deoxythymidine, 5-methyl-2'-deoxycytidine or 5-bromo-2'-deoxycytidine substitution for deoxycytidine.
  • Modifications of the sugar moiety can include modification of the 2' hydroxyl of the ribose sugar to form 2'-0-methyl or 2'-0-allyl sugars.
  • the deoxyribose phosphate backbone can be modified to produce morpholino nucleic acids, in which each base moiety is linked to a six membered, morpholino ring, or peptide nucleic acids, in which the deoxyphosphate backbone is replaced by a pseudopeptide backbone and the four bases are retained. See, for example, Summerton and Weller (1997) Antisense Nucleic Acid Drug Dev. 7: 187-195; and Hyrup et al. (1996) Bioorgan. Med. Chain. 4:5-23.
  • the deoxyphosphate backbone can be replaced with, for example, a phosphorothioate or phosphorodithioate backbone, a phosphoroamidite, or an alkyl phosphotriester backbone.
  • the CAR polypeptide-encoding nucleic acids described herein are comprised within a nucleic acid vector.
  • cells of interest e.g., T lymphocytes
  • cells of interest can be transformed using synthetic vectors, lentiviral or retroviral vectors, autonomously replicating plasmids, a virus ⁇ e.g., a retrovirus, lentivirus, adenovirus, or herpes virus), or the like, containing nucleic acid (polynucleotides) encoding the first and/or second polypeptides of the CARs described herein.
  • the vector comprising the first and/or second polypeptides of the CARs described herein is a retroviral vector.
  • the vector comprising the first and/or second polypeptides of the CARs described herein is a lentiviral vector.
  • Lentiviral vectors suitable for transformation of cells, e.g., T lymphocytes include, but are not limited to the lentiviral vectors described in U.S. Patent Nos. 5,994, 136;
  • HIV vectors suitable for transformation of cells include, but are not limited to the vectors described in U.S. Patent No. 5,665,577.
  • the CAR polypeptide-encoding nucleic acids described herein are operably linked to a promoter.
  • said promoter is a T cell-specific promoter, a natural killer (NK) cell-specific promoter, an inducible promoter that functions within T cells or NK cells, or a constitutive promoter.
  • the CARs provided herein can be expressed in cells for which CAR expression is useful, i.e., cells are engineered to comprise a CAR-encoding nucleic acid provided herein, such that, upon expression of the nucleic acid in the cell, the cell expresses a CAR described herein.
  • the CARs described herein can be expressed in T lymphocytes or natural killer cells.
  • Cells provided herein that express the CARs described herein are referred to as "CAR cells.”
  • a cell e.g., a T lymphocyte or a natural killer cell
  • a CAR that comprises: (i) a first polypeptide comprising cereblon or a functional portion thereof, which is capable of binding a cereblon- binding compound, and (ii) a second polypeptide comprising a cereblon-associated protein (e.g., Aiolos or Ikaros) or a functional portion thereof, which is capable of binding a cereblon-binding compound.
  • the first polypeptide further comprises an antigen-binding domain and a transmembrane domain (and, optionally, a costimulatory domain).
  • the second polypeptide further comprises a transmembrane domain and a primary cell signaling domain (and, optionally, a costimulatory domain).
  • the CARs provided herein are expressed in T lymphocytes.
  • the T lymphocytes can be naive T lymphocytes or MHC -restricted T lymphocytes.
  • the T lymphocytes are tumor infiltrating lymphocytes (TILs).
  • TILs tumor infiltrating lymphocytes
  • the T lymphocytes have been isolated from a tumor biopsy, or have been expanded from T lymphocytes isolated from a tumor biopsy.
  • the T lymphocytes have been isolated from, or are expanded from T lymphocytes expanded from, peripheral blood, cord blood, or lymph.
  • the cells e.g., T lymphocytes
  • the cells engineered to
  • the cells (e.g., T lymphocytes) engineered to comprise/express a CAR described herein are allogeneic to an individual to whom the cells (e.g., T lymphocytes) are to be administered.
  • allogeneic cells e.g., T lymphocytes
  • virus-specific T lymphocytes are selected for preparation of CAR T lymphocytes; such lymphocytes will be expected to have a greatly reduced native capacity to bind to, and thus become activated by, any recipient antigens.
  • recipient-mediated rejection of allogeneic cells e.g., T lymphocytes
  • immunosuppressive agents e.g., cyclosporine, tacrolimus, sirolimus, cyclophosphamide, or the like.
  • T lymphocytes are obtained from an individual, optionally then expanded, and then transformed with a first vector encoding the first polypeptide of a CAR described herein and a second vector encoding the second polypeptide of a CAR described herein, and optionally then expanded. Double transformants may be selected using, e.g., a selectable marker unique to each of the vectors.
  • T lymphocytes are obtained from an individual, optionally then expanded, and then transformed with a vector encoding the first polypeptide and the second polypeptide of a CAR described herein, and optionally then expanding. Cells containing the vector can be obtained using a selectable marker.
  • the T lymphocytes used to generate CAR cells provided herein comprise native TCR proteins, e.g., TCR-a and TCR- ⁇ that are capable of forming native TCR complexes, in addition to an artificial costimulatory polypeptide (in embodiments in which a costimulatory polypeptide is used), or in addition to the first polypeptide and second polypeptide (in embodiments in which the CAR cells comprise polypeptides separating the antigen binding signaling and costimulatory signaling).
  • either or both of the native genes encoding TCR-a and TCR- ⁇ in the T lymphocytes are modified to be non-functional, e.g., a portion or all are deleted or a mutation is inserted.
  • the signaling domain(s) of a CAR described herein can be used to promote proliferation and expansion of cells (e.g., T lymphocytes) comprising/expressing the CAR.
  • cells e.g., T lymphocytes
  • unmodified T lymphocytes, and T lymphocytes comprising a polypeptide comprising a CD3 ⁇ signaling domain and a CD28 costimulatory domain can be expanded using antibodies to CD3 and CD28, e.g., antibodies attached to beads; see, e.g., U.S. Patent Nos. 5,948,893; 6,534,055; 6,352,694; 6,692,964; 6,887,466; and 6,905,681.
  • antibodies to a signaling motif can be used to stimulate proliferation of cell (e.g., T lymphocytes) comprising a CAR described herein.
  • the CAR cells described herein comprise a "suicide gene” or “safety switch” that enables killing of substantially all of the CAR cells when desired.
  • CAR cells described herein in certain embodiments, comprise an HSV thymidine kinase gene (HSV-TK), which causes cell death upon contact with gancyclovir.
  • HSV-TK HSV thymidine kinase gene
  • the CAR cells comprise an inducible caspase, e.g., an inducible caspase 9
  • the CAR cells provided herein further comprise an artificial cell death polypeptide comprising an apoptosis-inducing domain and a dimerization domain, wherein the artificial cell death polypeptide is dimerizable using a dimerizing agent, and wherein when the artificial cell death polypeptide is dimerized, the polypeptide generates an apoptosis- inducing signal in said cell.
  • said dimerizing agent is rapamycin or an analog of rapamycin (rapalog). In another specific embodiment, said dimerizing agent is API 903 (rimiducid). In another specific embodiment, said dimerizing agent is not a cereblon- binding compound. In a specific embodiment, said dimerization domain is FK binding domain or an analog thereof. In another specific embodiment, said dimerizing agent is an antibody that binds to said FK binding domain.
  • the CAR cells provided herein e.g., T lymphocytes modified to comprise/express a CAR described herein, can be used to treat an individual having one or more types of cells desired to be targeted by the cells, e.g., to be killed.
  • a cell e.g., a T cell or K cell
  • said methods comprise (i) contacting said target cells with a cell (e.g., a T cell or K cell) comprising/expressing a CAR described herein and (ii) contacting said CAR-expressing cell with a cereblon-binding compound, wherein in the presence of said antigen and said cereblon-binding compound the CAR-expressing cell becomes activated.
  • said target cell is a cancer cell, e.g., a blood cancer cell or a solid tumor cell.
  • said target cell expresses one or more the following antigens, or a fragment thereof: 4- IBB, 5T4, 8H9, B7-H6, adenocarcinoma antigen, a-fetoprotein, B Cell Maturation Antigen (BCMA), BAFF, B-lymphoma cell, C242 antigen, CA9, carcinoembryonic antigen, CA-125, carbonic anhydrase 9 (CA-IX), CCR4, CD3, CD4, CD 19, CD20, CD22, CD23 (IgE receptor), CD28, CD30 (T FRSF8), CD33, CD38, CD40, CD44v6, CD44v7/8, CD51, CD52, CD56, CD74, CD80, CD123, CD152, CD171, CD200, CD221, CE7, CEA, C-MET, CNT0888, CTLA- 4, DRS, EpCAM, ErbB2, ErbB3/4, EGFR, EGFRvIII, EphA2, EGP2, EGP40,
  • CTAA16.88 VEGF-A, VEGF receptors, VEGFR-1, VEGFR2, TEM1, TEM8, and/or vimentin.
  • kits for treating cancer comprising (i) administration of a population of CAR cells described herein, e.g., a T cells or NK cells, that comprise/express a CAR described herein (e.g., comprise a CAR-encoding nucleic acid(s) described herein or express a CAR described herein), wherein said CAR comprises an antigen-binding domain specific for a cancer antigen (e.g., TSA or TAA) to a subject (for example, a human subject) and (ii) administering to the subject a composition comprising cereblon-binding compound.
  • a cancer antigen e.g., TSA or TAA
  • said population of cells is administered first to the subject, followed by administration of the composition comprising a cereblon-binding compound at a specified period of time after administration of the cell population, e.g., 30 minutes, 1 hour, 6 hours, 12 hours, 1 day, 2 days, 3 days, 4 days, 5 days, 6 days, or 1 week after administration of the cell population.
  • said antigen bound by said CAR is 4- IBB, 5T4, 8H9, B7-H6, adenocarcinoma antigen, a-fetoprotein, B Cell Maturation Antigen (BCMA), BAFF, B-lymphoma cell, C242 antigen, CA9,
  • carcinoembryonic antigen CA-125, carbonic anhydrase 9 (CA-IX), CCR4, CD3, CD4, CD19, CD20, CD22, CD23 (IgE receptor), CD28, CD30 (TNFRSF8), CD33, CD38, CD40, CD44v6, CD44v7/8, CD51, CD52, CD56, CD74, CD80, CD123, CD152, CD171, CD200, CD221, CE7, CEA, C-MET, CNT0888, CTLA-4, DRS, EpCAM, ErbB2, ErbB3/4, EGFR, EGFRvIII, EphA2, EGP2, EGP40, FAP, Fetal AchR, fibronectin extra domain-B, folate receptor-a, folate receptor 1, G250/CAIX, GD2, GD3, glycoprotein 75, GPNMB, HER2/neu, HGF, HLA-AI MAGE Al, HLA-A2 NY-ESO-1, HMW-MAA, human scatter factor receptor kinas
  • the cereblon-binding compound administered to a subject in accordance with the methods of treating cancer described herein is pomalidomide, thalidomide, lenalidomide, 3-[4-(4-morpholin-4-ylmethyl-benzyloxy)-l-oxo-l,3-dihydro-Isoindol-2-yl]- piperidine-2,6-dione, or 3-(4-((4-((4-(2,4-difluorophenyl)piperazin-l-yl)methyl)benzyl)oxy)-l- oxoi soindolin-2-yl)piperidine-2, 6-dione .
  • a non-limiting list of cancers that can be treated in accordance with the methods of treatment described herein includes lymphoma, leukemia, lung cancer, breast cancer, prostate cancer, adrenocortical carcinoma, thyroid carcinoma, nasopharyngeal carcinoma, melanoma, skin carcinoma, colorectal carcinoma, desmoid tumor, aesmoplastic small round cell tumor, endocrine tumor, Ewing sarcoma, peripheral primitive neuroectodermal tumor, solid germ cell tumor, hepatoblastoma, neuroblastoma, non-rhabdomyosarcoma soft tissue sarcoma,
  • lymphomas and leukemias include, without limitation, chronic lymphocytic leukemia (small lymphocytic lymphoma), B-cell prolymphocytic leukemia, lymphoplasmacytic lymphoma, Waldenstrom macroglobulinemia, splenic marginal zone lymphoma, plasma cell myeloma, plasmacytoma, extranodal marginal zone B cell lymphoma, MALT lymphoma, nodal marginal zone B cell lymphoma, follicular lymphoma, mantle cell lymphoma, diffuse large B cell lymphoma, mediastinal (thymic) large B cell lymphoma, intravascular large B cell lymphoma, primary effusion lymphoma, Burkitt's
  • hepatosplenic T lymphocyte lymphoma blastic NK cell lymphoma, mycosis fungoides, Sezary syndrome, primary cutaneous anaplastic large cell lymphoma, lymphomatoid papulosis, angioimmunoblastic T lymphocyte lymphoma, peripheral T lymphocyte lymphoma (unspecified), anaplastic large cell lymphoma, Hodgkin lymphoma, or a non-Hodgkin lymphoma.
  • Efficacy of the CAR cells described herein in treatment of a disease or disorder can be assessed by one or more criteria specific to the particular disease or disorder, known to those of ordinary skill in the art, to be indicative of progress of the disease or disorder.
  • administration of CAR cells e.g., CAR T lymphocytes
  • an individual having a disease/disorder e.g., cancer
  • one or more of said criteria detectably, e.g., significantly, moves from a disease state value or range to, or towards, a normal value or range.
  • the CAR cells described herein can be formulated in any pharmaceutically-acceptable solution, preferably a solution suitable for the delivery of living cells, e.g., saline solution (such as Ringer's solution), gelatins, carbohydrates (e.g., lactose, amylose, starch, or the like), fatty acid esters, hydroxymethylcellulose, polyvinyl pyrolidine, etc.
  • saline solution such as Ringer's solution
  • Such preparations are preferably sterilized prior to addition of the CAR cells, and may be mixed with auxiliary agents such as lubricants, preservatives, stabilizers, emulsifiers, salts for influencing osmotic pressure, buffers, and coloring.
  • Pharmaceutical carriers suitable for use in formulating the CAR cells described herein are known in the art and are described, for example, in WO 96/05309.
  • the CAR cells e.g., CAR T lymphocytes
  • the CAR cells are formulated into individual doses, wherein said individual doses comprise at least, at most, or about l xlO 4 , 5xl0 4 , l x lO 5 , 5x l0 5 , l x lO 6 , 5x l0 6 , l x lO 7 , 5xl0 7 , l xlO 8 , 5xl0 8 , l xlO 9 , 5xl0 9 , l x lO 10 , 5x l0 10 , or l x lO 11 CAR cells.
  • the CAR cells e.g., CAR T lymphocytes
  • the CAR cells are formulated for intravenous, intraarterial, parenteral, intramuscular, subcutaneous, intrathecal, or intraocular administration, or administration within a particular organ or tissue.
  • Cereblon-binding compound refers to a molecule (e.g., a small molecule or protein/polypeptide (e.g., an antibody)) capable of binding cereblon (or functional portion thereof) and capable of binding a cereblon-associated protein (or functional portion thereof), e.g., Aiolos, (or functional portion thereof) or Ikaros (or functional portion thereof).
  • a cereblon-binding compound is capable of binding both cereblon (or functional portion thereof) and Aiolos (or functional portion thereof), resulting in an association between cereblon (or functional portion thereof) and Aiolos (or functional portion thereof), e.g.
  • a cereblon- binding compound is capable of binding both cereblon (or functional portion thereof) and Ikaros (or functional portion thereof), resulting in an association between cereblon (or functional portion thereof) and Ikaros (or functional portion thereof), e.g. , the formation of a heterodimer.
  • the cereblon-binding compound used in accordance with the methods described herein is pomalidomide (4-amino-2-[(3RS)-(2,6-dioxopiperidin-3-yl)-lH- isoindole-l,3(2H)-dione).
  • the cereblon-binding compound used in accordance with the methods described herein is thalidomide ((RS)-2-(2,6-dioxopiperidin-3- yl)-lH-isoindole-l,3(2H)-dione).
  • the cereblon-binding compound used in accordance with the methods described herein is lenalidomide (3-(4-amino-l- oxo-l,3-dihydro-2H-isoindol-2-yl)piperidine-2,6-dione).
  • the cereblon-binding compound used in accordance with the methods described herein is 3-[4-(4- morpholin-4-ylmethyl-benzyloxy)- 1 -oxo- 1 ,3 -dihydro-Isoindol-2-y 1 ]-piperidine-2,6-dione.
  • the cereblon-binding compound used in accordance with the methods described herein is 3-(4-((4-((4-(2,4-difluorophenyl)piperazin-l-yl)methyl)benzyl)oxy)- l-oxoisoindolin-2-yl)piperidine-2,6-dione. See, e.g., U.S. Patent Application Publication No. 2014/0162282 for disclosure related to these compounds, which is incorporated by reference herein in its entirety.
  • a cereblon-binding compound used in accordance with the methods described herein, or an enantiomer or a mixture of enantiomers thereof; or a pharmaceutically acceptable salt, solvate, hydrate, co-crystal, clathrate, or polymorph thereof, can be delivered as a single dose such as, e.g., a single bolus injection, or oral tablets or pills; or over time, such as, e.g., continuous infusion over time or divided bolus doses over time.
  • cereblon-binding compounds used in accordance with the methods described herein can be formulated for intravenous, intraarterial, parenteral, intramuscular, subcutaneous, intrathecal, or intraocular administration, or administration within a particular organ or tissue.
  • dimerizable artificial cell death receptors comprising a first polypeptide comprising cereblon or a functional portion thereof and a second polypeptide comprising a cereblon-associated protein or a functional portion thereof that, when expressed in a cell, e.g., a T lymphocyte or NK cell, can lead to death of the cell in the presence of a cereblon- binding compound.
  • a cell e.g., a T lymphocyte or NK cell
  • Cereblon, cereblon-associated proteins, and cereblon-binding compound are described in detail in Section 4.1, above.
  • a dimerizable artificial cell death receptor comprising (a) a first polypeptide comprising an apoptosis-inducing domain (or functional portion thereof) and cereblon (or functional portion thereof) and (b) a second polypeptide comprising an apoptosis-inducing domain (or functional portion thereof) and Aiolos (or a functional portion thereof), wherein said cereblon (or functional portion thereof) and said Aiolos (or functional portion thereof) are both capable of binding a cereblon-binding compound, and wherein said first polypeptide and said second polypeptide dimerize in the presence of said cereblon-binding compound to generate an apoptosis-inducing signal.
  • said cereblon-binding compound is pomalidomide, thalidomide, lenalidomide, 3-[4-(4- morpholin-4-ylmethyl-benzyloxy)- 1 -oxo- 1 ,3 -dihydro-Isoindol-2-y 1 ]-piperidine-2,6-dione, or 3 - (4-((4-((4-(2,4-difluorophenyl)piperazin-l-yl)methyl)benzyl)oxy)-l-oxoisoindolin-2- yl)piperidine-2,6-dione.
  • a dimerizable artificial cell death receptor comprising (a) a first polypeptide comprising a transmembrane protein that comprises a transmembrane domain and an intracellular domain comprising an apoptosis-inducing domain (or functional portion thereof) and cereblon (or functional portion thereof); and (b) a second polypeptide comprising an apoptosis-inducing domain (or functional portion thereof) and a cereblon-associated protein (or functional portion thereof).
  • said second polypeptide comprises a transmembrane protein comprising a transmembrane domain and an intracellular domain comprising an apoptosis-inducing domain (or functional portion thereof) and a cereblon-associated protein (or functional portion thereof).
  • said cereblon-associated protein is Aiolos or Ikaros.
  • a dimerizable artificial cell death receptor comprising (a) a first polypeptide comprising a transmembrane protein that comprises an extracellular domain comprising cereblon (or functional portion thereof), a transmembrane domain, and an intracellular domain comprising an apoptosis-inducing domain (or functional portion thereof); and (b) a second polypeptide comprising an apoptosis-inducing domain (or functional portion thereof) and a cereblon-associated protein (or functional portion thereof).
  • said second polypeptide comprises a transmembrane protein comprising a transmembrane domain and an intracellular domain comprising an apoptosis- inducing domain (or functional portion thereof) and a cereblon-associated protein (or functional portion thereof).
  • said second polypeptide comprises a transmembrane protein that comprises an extracellular domain comprising a cereblon-associated protein (or functional portion thereof), a transmembrane domain, and an intracellular domain comprising an apoptosis-inducing domain (or functional portion thereof).
  • the cereblon-associated protein is Aiolos or Ikaros.
  • a dimerizable artificial cell death receptor comprising (a) a first polypeptide comprising a transmembrane protein that comprises an apoptosis-inducing domain (or functional portion thereof) and cereblon (or functional portion thereof); and (b) a second polypeptide comprising a transmembrane protein that comprises a transmembrane domain and an intracellular domain comprising an apoptosis-inducing domain (or functional portion thereof) and a cereblon-associated protein (or functional portion thereof).
  • the cereblon-associated protein is Aiolos or Ikaros.
  • a dimerizable artificial cell death receptor comprising (a) a first polypeptide comprising a transmembrane protein that comprises an apoptosis-inducing domain (or functional portion thereof) and cereblon (or functional portion thereof); and (b) a second polypeptide comprising a transmembrane protein that comprises an extracellular domain comprising a cereblon-associated protein (or functional portion thereof), a transmembrane domain, and an intracellular domain comprising an apoptosis-inducing domain (or functional portion thereof).
  • the cereblon-associated protein is Aiolos or Ikaros.
  • the apoptosis-inducing domain of the cell death polypeptide can be, for example, any protein or portion thereof that when dimerized initiates an apoptosis-inducing signal in the cell.
  • the apoptosis-inducing domain is any caspase that homodimerizes.
  • the apoptosis-inducing domain is or comprises a caspase, e.g., caspase 9, caspase 8, or caspase 3 (e.g., human caspase 9, caspase 8, or caspase 3).
  • the amino acid sequences of human caspases, including human caspase 9, human caspase 8, and human caspase 3 are well known in the art.
  • human caspase 3 has been assigned NCBI Gene ID: 836; human caspase 8 has been assigned NCBI Gene ID: 841; and human caspase 9 has been assigned NCBI Gene ID: 842.
  • the intracellular domain that is, or comprises, a caspase domain, and the extracellular domain are joined by a CD8a stalk or CD8P stalk, at least part of which can function as a transmembrane domain. 4.2.2. Nucleic Acids
  • nucleic acids encoding the dimerizable artificial cell death receptors described herein i.e., nucleic acids encoding the first polypeptide and nucleic acids encoding the second polypeptide of the dimerizable artificial cell death receptors described herein.
  • a first polypeptide of a dimerizable artificial cell death receptors described herein is encoded by a first nucleic acid (polynucleotide) and the second polypeptide of a dimerizable artificial cell death receptors described herein is encoded by a second nucleic acid (polynucleotide).
  • a nucleic acid polynucleotide
  • polynucleotide that encodes both the first polypeptide and second polypeptide of a dimerizable artificial cell death receptor described herein.
  • Nucleic acids useful in the production of the artificial cell death receptors described herein include DNA, RNA, and nucleic acid analogs.
  • Nucleic acid analogs can be modified at the base moiety, sugar moiety, or phosphate backbone, and can include deoxyuridine substitution for deoxythymidine, 5-methyl-2'-deoxycytidine or 5-bromo-2'-deoxycytidine substitution for deoxycytidine.
  • Modifications of the sugar moiety can include modification of the 2' hydroxyl of the ribose sugar to form 2'-0-methyl or 2'-0-allyl sugars.
  • the deoxyribose phosphate backbone can be modified to produce morpholino nucleic acids, in which each base moiety is linked to a six membered, morpholino ring, or peptide nucleic acids, in which the deoxyphosphate backbone is replaced by a pseudopeptide backbone and the four bases are retained. See, for example, Summerton and Weller (1997) Antisense Nucleic Acid Drug Dev. 7: 187-195; and Hyrup et al. (1996) Bioorgan. Med. Chain. 4:5-23.
  • the deoxyphosphate backbone can be replaced with, for example, a phosphorothioate or phosphorodithioate backbone, a
  • the artificial cell death receptors-encoding nucleic acids described herein are comprised within a nucleic acid vector.
  • cells of interest e.g., T lymphocytes
  • cells of interest can be transformed using synthetic vectors, lentiviral or retroviral vectors, autonomously replicating plasmids, a virus ⁇ e.g., a retrovirus, lentivirus, adenovirus, or herpes virus), or the like, containing nucleic acid (polynucleotides) encoding the first and/or second polypeptides of the artificial cell death receptors described herein.
  • the vector comprising the first and/or second polypeptides of the artificial cell death receptors described herein is a retroviral vector.
  • the vector comprising the first and/or second polypeptides of the artificial cell death receptors described herein is a lentiviral vector.
  • Lentiviral vectors suitable for transformation of cells, e.g., T lymphocytes include, but are not limited to the lentiviral vectors described in U.S. Patent Nos. 5,994, 136; 6, 165,782; 6,428,953; 7,083,981; and 7,250,299.
  • HIV vectors suitable for transformation of cells, e.g., T lymphocytes include, but are not limited to the vectors described in U.S. Patent No. 5,665,577.
  • the artificial cell death receptor-encoding nucleic acids described herein are operably linked to a promoter.
  • said promoter is a T cell-specific promoter, a natural killer (NK) cell-specific promoter, an inducible promoter that functions within T cells or NK cells, or a constitutive promoter.
  • the artificial cell death receptors provided herein can be expressed in cells for which expression is useful, i.e., cells are engineered to comprise a artificial cell death receptor-encoding nucleic acid provided herein, such that, upon expression of the nucleic acid in the cell, the cell expresses an artificial cell death receptor described herein.
  • the artificial cell death receptors described herein can be expressed in T lymphocytes or natural killer cells.
  • Cells provided herein that express the artificial cell death receptors described herein are referred to as "cell death receptor cells.”
  • the artificial cell death receptors provided herein are expressed in T lymphocytes.
  • the T lymphocytes can be naive T lymphocytes or MHC-restricted T lymphocytes.
  • the T lymphocytes are tumor infiltrating lymphocytes (TILs).
  • TILs tumor infiltrating lymphocytes
  • the T lymphocytes have been isolated from a tumor biopsy, or have been expanded from T lymphocytes isolated from a tumor biopsy.
  • the T lymphocytes have been isolated from, or are expanded from T lymphocytes expanded from, peripheral blood, cord blood, or lymph.
  • the cell death receptor cells described herein are autologous to an individual to whom the cells (e.g., T lymphocytes) are to be administered as part of a method of treatment described herein.
  • the cell death receptor cells described herein are allogeneic to an individual to whom the cells (e.g., T lymphocytes) are to be administered. Where allogeneic cells (e.g., T lymphocytes) are used to prepare cells
  • graft-versus-host disease graft-versus-host disease
  • T lymphocytes are obtained from an individual, optionally then expanded, and then transformed with a first vector encoding the first polypeptide of an artificial cell death receptor described herein and a second vector encoding the second polypeptide of an artificial cell death receptor described herein, and optionally then expanded. Double
  • transformants may be selected using, e.g., a selectable marker unique to each of the vectors.
  • T lymphocytes are obtained from an individual, optionally then expanded, and then transformed with a vector encoding the first polypeptide and the second polypeptide of an artificial cell death receptor described herein, and optionally then expanding.
  • Cells containing the vector can be obtained using a selectable marker.
  • the T lymphocytes used to generate cell death receptor cells provided herein comprise native TCR proteins, e.g., TCR-a and TCR- ⁇ that are capable of forming native TCR complexes, in addition to an artificial costimulatory polypeptide (in embodiments in which a costimulatory polypeptide is used), or in addition to the first polypeptide and second polypeptide (in embodiments in which the cells comprise polypeptides separating the antigen binding signaling and costimulatory signaling).
  • either or both of the native genes encoding TCR-a and TCR- ⁇ in the T lymphocytes are modified to be non-functional, e.g., a portion or all are deleted or a mutation is inserted.
  • the cell death receptor cells provided herein e.g., T cells or K cells comprising a dimerizable artificial cell death receptor-encoding nucleic acid(s) described herein or expressing a dimerizable artificial cell death receptor described herein (i.e., expressing the first and second polypeptide of a dimerizable artificial cell death receptor described herein) can be induced to undergo apoptosis when contacted with a cereblon-binding compound, e.g., when contacted with pomalidomide, thalidomide, lenalidomide, 3-[4-(4-mo holin-4-ylmethyl-benzyloxy)-l-oxo-l,3- dihydro-Isoindol-2-yl]-piperidine-2,6-dione, or 3-(4-((4-((4-(2,4-difluorophenyl)piperazin-l- yl)methyl)benzyl)oxy)
  • the cell death receptor cells provided herein can further be engineered to express a CAR, e.g., a CAR comprising a tumor-specific antigen binding domain.
  • the CARs can be selected from, for example, first-generation CARs (in which the only signaling domain is CD3 ⁇ ), second-generation CARs (which comprise signaling domains from CD3 ⁇ and costimulatory domains from CD28), and third-generation CARs (which comprise signaling domains from CD3 ⁇ and costimulatory domains from CD28 and another protein such as 4-1BB).
  • the CAR of the cell death receptor cells provided herein comprises two or more extracellular antigen-targeting domains.
  • said CAR of the cell death receptor cells provided herein comprises an extracellular domain that binds to an
  • apoptosis is induced in a cell comprising an artificial cell death receptor and a CAR by
  • a cereblon-binding compound e.g., pomalidomide, thalidomide, lenalidomide, 3-[4-(4-morpholin-4-ylmethyl-benzyloxy)-l-oxo-l,3-dihydro-Isoindol-2-yl]- piperidine-2,6-dione, or 3-(4-((4-((4-(2,4-difluorophenyl)piperazin-l-yl)methyl)benzyl)oxy)-l- oxoi soindolin-2-yl)piperidine-2, 6-dione .
  • pomalidomide e.g., pomalidomide, thalidomide, lenalidomide, 3-[4-(4-morpholin-4-ylmethyl-benzyloxy)-l-oxo-l,3-dihydro-Isoindol-2-yl]- piperidine-2,6-dione
  • the cells e.g., T lymphocytes, provided herein that comprise an artificial cell death receptor provided herein and a CAR, can be used to treat an individual having one or more types of cells desired to be targeted by the cells described herein, e.g., one or more types of cells to be killed, wherein activity of the cell death receptor cells can be controlled by administration of a cereblon-binding compound.
  • the cell death receptor cells can be used in treatment as a result of their CAR component, and can be killed when desired as a result of their cell death receptor component, wherein the killing is accomplished by contacting the cell death receptor cells with a cereblon-binding compound.
  • a method for controlled killing of target cells comprising (i) contacting said target cells with a cell death receptor cell (e.g., a T cell or K cell) comprising an artificial cell death receptor provided herein and a CAR and, when warranted, (ii) contacting said cell death receptor cell with a cereblon-binding compound, wherein in the presence of said cereblon-binding compound kills the cell death receptor cell, e.g., the cell death receptor cell undergoes apoptosis.
  • a cell death receptor cell e.g., a T cell or K cell
  • said target cell is a cancer cell, e.g., a blood cancer cell or a solid tumor cell.
  • said target cell expresses one or more the following antigens, or a fragment thereof: 4- IBB, 5T4, 8H9, B7-H6, adenocarcinoma antigen, a-fetoprotein, B Cell Maturation Antigen (BCMA), BAFF, B-lymphoma cell, C242 antigen, CA9, carcinoembryonic antigen, CA-125, carbonic anhydrase 9 (CA-IX), CCR4, CD3, CD4, CD 19, CD20, CD22, CD23 (IgE receptor), CD28, CD30 (T FRSF8), CD33, CD38, CD40, CD44v6, CD44v7/8, CD51, CD52, CD56, CD74, CD80, CD123, CD152, CD171, CD200, CD221, CE7, CEA, C-MET, CNT0888, CTLA- 4, DRS, EpCAM, ErbB2, ErbB3/4, EGFR, EGFRvIII, EphA2, EGP2, E
  • CTAA16.88 VEGF-A, VEGF receptors, VEGFR-1, VEGFR2, TEM1, TEM8, and/or vimentin.
  • a method of treating cancer comprising (i) administration of a population of cell death receptor cells (e.g., T cells or NK cells) comprising an artificial cell death receptor provided herein and a CAR, wherein said CAR comprises an antigen-binding domain specific for a cancer antigen (e.g., TSA or TAA) to a subject diagnosed with cancer (for example, a human subject) and, when warranted, (ii) contacting said cell death receptor cell with a cereblon-binding compound, wherein in the presence of said cereblon-binding compound the cell death receptor cell undergoes apoptosis.
  • a cancer antigen e.g., TSA or TAA
  • said population of cells is administered first to the subject, followed by administration of the composition comprising a cereblon-binding compound at a specified period of time after administration of the cell population, e.g., 30 minutes, 1 hour, 6 hours, 12 hours, 1 day, 2 days, 3 days, 4 days, 5 days, 6 days, or 1 week after administration of the cell population.
  • said composition comprising a cereblon-binding compound is administered first to the subject, followed by administration of the said population of cells at a specified period of time after administration of the said composition comprising a cereblon- binding compound, e.g., 30 minutes, 1 hour, 6 hours, 12 hours, 1 day, 2 days, 3 days, 4 days, 5 days, 6 days, or 1 week after administration of the said composition comprising a cereblon- binding compound.
  • said antigen bound by said CAR is 4- IBB, 5T4, 8H9, B7- H6, adenocarcinoma antigen, a-fetoprotein, B Cell Maturation Antigen (BCMA), BAFF, B- lymphoma cell, C242 antigen, CA9, carcinoembryonic antigen, CA-125, carbonic anhydrase 9 (CA-IX), CCR4, CD3, CD4, CD 19, CD20, CD22, CD23 (IgE receptor), CD28, CD30
  • TNFRSF8 TNFRSF8
  • CD33 CD38
  • CD40 CD44v6, CD44v7/8, CD51, CD52, CD56, CD74, CD80, CD123, CD152, CD171, CD200, CD221, CE7, CEA, C-MET, CNT0888, CTLA-4, DRS, EpCAM, ErbB2, ErbB3/4, EGFR, EGFRvIII, EphA2, EGP2, EGP40, FAP, Fetal AchR, fibronectin extra domain-B, folate receptor-a, folate receptor 1, G250/CAIX, GD2, GD3, glycoprotein 75, GP MB, HER2/neu, HGF, HLA-AI MAGE Al, HLA-A2 NY-ESO-1, HMW- MAA, human scatter factor receptor kinase, IGF-1 receptor, IGF-I, IgGl, IL-6, IL-13, IL-13 receptor a2, IL-11 receptor a, insulin-like growth factor I receptor, integr
  • CTAA16.88 VEGF-A, VEGF receptors, VEGFR-1, VEGFR2, TEM1, TEM8, and/or vimentin.
  • the cereblon-binding compound administered to a subject in accordance with the methods of treating cancer described herein is pomalidomide, thalidomide, lenalidomide, 3-[4-(4-morpholin-4-ylmethyl-benzyloxy)-l-oxo-l,3-dihydro-Isoindol-2-yl]- piperidine-2,6-dione, or 3-(4-((4-((4-(2,4-difluorophenyl)piperazin-l-yl)methyl)benzyl)oxy)-l- oxoi soindolin-2-yl)piperidine-2, 6-dione .
  • a non-limiting list of cancers that can be treated in accordance with the methods of treatment described herein includes lymphoma, leukemia, lung cancer, breast cancer, prostate cancer, adrenocortical carcinoma, thyroid carcinoma, nasopharyngeal carcinoma, melanoma, skin carcinoma, colorectal carcinoma, desmoid tumor, aesmoplastic small round cell tumor, endocrine tumor, Ewing sarcoma, peripheral primitive neuroectodermal tumor, solid germ cell tumor, hepatoblastoma, neuroblastoma, non-rhabdomyosarcoma soft tissue sarcoma,
  • lymphomas and leukemias include, without limitation, chronic lymphocytic leukemia (small lymphocytic lymphoma), B-cell prolymphocytic leukemia, lymphoplasmacytic lymphoma, Waldenstrom macroglobulinemia, splenic marginal zone lymphoma, plasma cell myeloma, plasmacytoma, extranodal marginal zone B cell lymphoma, MALT lymphoma, nodal marginal zone B cell lymphoma, follicular lymphoma, mantle cell lymphoma, diffuse large B cell lymphoma, mediastinal (thymic) large B cell lymphoma, intravascular large B cell lymphoma, primary effusion lymphoma, Burkitt's
  • hepatosplenic T lymphocyte lymphoma blastic NK cell lymphoma, mycosis fungoides, Sezary syndrome, primary cutaneous anaplastic large cell lymphoma, lymphomatoid papulosis, angioimmunoblastic T lymphocyte lymphoma, peripheral T lymphocyte lymphoma (unspecified), anaplastic large cell lymphoma, Hodgkin lymphoma, or a non-Hodgkin lymphoma.
  • This Example describes the generation and use of modified T lymphocytes comprising a chimeric antigen receptor (CAR), wherein the CAR comprises a first polypeptide comprising an antigen binding domain specific to a tumor-specific antigen, a costimulatory domain, and cereblon, and second polypeptide comprising a cereblon-associated protein (e.g., Aiolos), and a CD3 ⁇ immunoreceptor tyrosine-based activation motif (IT AM) primary cell signaling domain.
  • CAR chimeric antigen receptor
  • a tumor antigen binding protein e.g., anti-HER2 scFv, anti-PSCA scFv or anti-BCMA scFv
  • CRBN cereblon
  • polynucleotide is cloned into a lentivirus vector.
  • a second polynucleotide encoding a second polypeptide, an Aiolos-based-ITAM CAR, i.e., "Second Polypeptide,” containing a CD28 transmembrane (TM) domain, an Aiolos, and a CD3 ⁇ IT AM domain is constructed.
  • the second polynucleotide is cloned into a lentivirus vector. Expression of CAR Constructs in T cells
  • PBMC peripheral blood mononuclear cells
  • healthy donor blood e.g., separating PBMC from whole blood-derived buffy coats using Ficoll-Paque PlusTM density gradient centrifugation (GE Healthcare, Piscataway, NJ)
  • Pan T cells are negatively selected from PBMCs (e.g., by using the Pan T Isolation Kit II (Miltenyi Biotec, Cambridge, MA), according to the manufacturer's instructions).
  • Plasmids comprising the constructs encoding the First Polypeptide and Second Polypeptide CAR are introduced (e.g., by electroporation) into primary T cells, and the electroporated T cells are then cultured in media (e.g., RPMI-10) overnight. Expression of the antigen binding domain of the CAR is detected, confirming stable transfection of T cells by the construct encoding the First Polypeptide. For example, T cells are harvested at 24 hours post electroporation and stained to detect the antigen binding domain of the first polypeptide (e.g., for anti-HER2 detection, stained with HER2-human IgG-Fc chimera protein, followed by staining with an anti-human IgG-Fc antibody conjugated with APC).
  • media e.g., RPMI-10
  • the stained cells are analyzed by flow cytometry. Stable transfection of T cells by the construct encoding the Second Polypeptide is confirmed.
  • the T cells are cultured in media (e.g., RPMI-10) supplemented with pomalidomide or lenalidomide overnight.
  • T cells are harvested at 24 hours post electroporation and lysed followed by immunoprecipitation with an agent that can bind the antigen-binding domain of the First Polypeptide (e.g., for anti-HER2 detection, a HER2 -human IgG-Fc chimera protein).
  • Immunoprecipiates are treated with an agent that can detect and label the Aiolos or CD3 ⁇ domain of the Second Polypeptide (e.g., an anti-human Aiolos antibody or an anti-human CD3 ⁇ antibody).
  • the labeled immunopreciptates are analyzed by ELISA and the Second Polypeptide is detected, confirming stable transfection of T cells by the construct encoding the Second Polypeptide.
  • the First Polypeptide and Second Polypeptide CAR on a T cell is activated upon exposure to pomalidomide or lenalidomide and a tumor antigen. Pomalidomide and lenalidomide are well tolerated in humans.
  • T cells are stably transfected with the First and Second Polypeptides and stimulated with immobilized tumor-antigen-Fc chimera protein in the absence and presence of pomalidomide or lenalidomide.
  • a positive control for CD28 costimulation another construct, which is identical to the CAR construct designated as the First Polypeptide, with the exception of the inclusion of a CD3 ⁇ ITAM intracellular domain and exclusion of the cereblon, is generated.
  • T cell activation markers CD69 and CD71 are examined 48 hours post-stimulation by flow cytometry and/or ELISA.
  • Upregulation of CD69 and CD71 expression indicates stimulation of T cells.
  • T cells that have been transfected with the constructs encoding the First and Second Polypeptides and constructs encoding postive and negative control polypeptides are tested for CD69 and CD71 expression.
  • Upregulation of CD69 and CD71 expression in T cells transfected with the constructs encoding the First and Second Polypeptides relative to CD69 and CD71 expression observed in negative control cells indicates stimulation of the T cells transfected with constructs encoding the First and Second Polypeptides.
  • An individual presents with stage 3 breast cancer that has spread to at least one regional lymph node. After surgery to remove cancerous tissue, the individual is administered between 10 9 and 10 10 modified T lymphocytes that comprise a First and Second Chimeric Receptors (such as the First and Second polypeptides described above), in 200 mL saline solution by intravenous infusion over 30 minutes.
  • the first chimeric receptor comprises an extracellular antigen-binding region that binds to FIER2, a transmembrane domain, an intracellular co-stimulatory domain from CD28, and a cereblon domain.
  • the second chimeric receptor comprises a transmembrane domain, a cereblon-associated protein (e.g., an Aiolos), and a signal transfection domain derived from ⁇ 3 ⁇ .
  • the individual is administered pomalidomide or lenalidomide at a specified period of time after administration of the modified T lymphocytes that comprise the first and second chimeric receptor, e.g. , 30 minutes, 1 hour, 6 hours, 12 hours, 1 day, 2 days, 3 days, 4 days, 5 days, 6 days, or 1 week after administration of the cell population.
  • the individual is administered pomalidomide or lenalidomide first, followed by administration of said modified T lymphocytes that comprise the first and second chimeric receptor at a specified period of time after administration of the pomalidomide or lenalidomide, e.g., 30 minutes, 1 hour, 6 hours, 12 hours, 1 day, 2 days, 3 days, 4 days, 5 days, 6 days, or 1 week after administration of the pomalidomide or lenalidomide.
  • the individual is assessed for breast cancer in remaining breast tissue, and spread to other lymph nodes, 30, 60, 90 and 180 days post-administration.
  • An individual presents with stage T2 prostate cancer, with no spread to regional or other lymph nodes (NO, M0). Histological grade is determined to be G2. Overall, the individual is determined to have Stage II prostate cancer.
  • the individual is administered between 10 9 and 10 10 modified T lymphocytes that comprise the First and Second Chimeric Receptors (such as the First and Second Polypeptides described above), in 200 mL saline solution by intravenous infusion over 30 minutes.
  • the first chimeric receptor comprises an extracellular antigen-binding region that binds to PSCA, a transmembrane domain, intracellular co-stimulatory domains CD28, and a cereblon domain.
  • the second chimeric receptor comprises a transmembrane domain, a cereblon-associated protein (e.g., an Aiolos), and a signal transfection domain derived from CD3C.
  • the individual is administered pomalidomide or lenalidomide at a specified period of time after administration of the modified T lymphocytes that comprise the First and Second Chimeric Receptor, e.g., 30 minutes, 1 hour, 6 hours, 12 hours, 1 day, 2 days, 3 days, 4 days, 5 days, 6 days, or 1 week after administration of the cell population.
  • the individual is administered pomalidomide or lenalidomide first, followed by administration of said modified T lymphocytes that comprise the First and Second Chimeric Receptor at a specified period of time after administration of the pomalidomide or lenalidomide, e.g., 30 minutes, 1 hour, 6 hours, 12 hours, 1 day, 2 days, 3 days, 4 days, 5 days, 6 days, or 1 week after administration of the pomalidomide or lenalidomide.
  • a specified period of time after administration of the pomalidomide or lenalidomide e.g., 30 minutes, 1 hour, 6 hours, 12 hours, 1 day, 2 days, 3 days, 4 days, 5 days, 6 days, or 1 week after administration of the pomalidomide or lenalidomide.
  • the individual is re-assessed for prostate cancer stage and spread to lymph nodes, and histology of biopsied prostate tissue is performed, at 30, 60 and 90 days post-administration.
  • An individual presents with Stage III multiple myeloma (by the International Staging System or Durie-Salmon System) that has been previously treated with at least one course of therapy, e.g., lenalidomide or pomalidomide.
  • the individual is administered between 10 8 and 10 10 modified T lymphocytes that comprise the First and Second Chimeric Receptors (such as the First and Second Polypeptides described above), in 200 mL saline solution by intravenous infusion over 30 minutes.
  • the first chimeric receptor comprises an extracellular antigen-binding region that binds to BCMA, a transmembrane domain, intracellular co-stimulatory domains CD28, and a cereblon domain.
  • the second chimeric receptor comprises a transmembrane domain, a cereblon-associated protein (e.g., an Aiolos), and a signal transduction domain derived from CD3C.
  • the individual is administered pomalidomide or lenalidomide at a specified period of time after administration of the modified T lymphocytes that comprise the First and Second chimeric receptor, e.g., 30 minutes, 1 hour, 6 hours, 12 hours, 1 day, 2 days, 3 days, 4 days, 5 days, 6 days, or 1 week after administration of the cell population.
  • the individual is administered pomalidomide or lenalidomide first, followed by administration of said modified T lymphocytes that comprise the first and second chimeric receptor at a specified period of time after administration of the pomalidomide or lenalidomide, e.g., 30 minutes, 1 hour, 6 hours, 12 hours, 1 day, 2 days, 3 days, 4 days, 5 days, 6 days, or 1 week after administration of the pomalidomide or lenalidomide.
  • the individual is re-assessed for multiple myeloma stage at 30, 60 and 90 days post- administration.

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US20190240304A1 (en) 2019-08-08
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EP3528851A2 (en) 2019-08-28
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