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Table 4 Comparison of CAR T, NK, and macrophages in solid tumors treatment

From: CAR-cell therapy in the era of solid tumor treatment: current challenges and emerging therapeutic advances

Criteria

CAR-T

CAR-NK

CAR-M

Cell sources

-­ PB (autologous/ allogeneic)

-­ Rarely from iPSC and UCB

-­ UCB

­- BM

-­ hESCs

-­ IPSCs

-­ NK92 cell line

­- PB

­- UCB

­- BM

­- hESCs

­- IPSCs

­- HPSCs

­- THP1 cell line

­- PB

Availability

-­ Autologous

-­ MHC-matched allogeneic CAR-T cells

-­ Unlikely “Off-the-shelf” product

-­ Autologous

-­ Off-the-shelf CAR-NK product

-­ Autologous

-­ Off-the-shelf CAR-M product

In vivo safety and persistence

-­ Long-term persistence,

-­ On-target/off-tumor toxicity

-­ GVHD, CRS and Neurotoxicity

-­ Limited lifespan

-­ Reduced on-target/off-tumor toxicity

-­ GVHD, no CRS nor Neurotoxicity.

-­ Limited time in circulation

-­ Less On-target/off-tumor toxicity

-­ No GVHD

-­ CRS and Neurotoxicity

FDA-regulated CAR-cell products

-­ P-MUC1C-ALLO1 CAR-T cells (NCT05239143)

-­ GD2 CAR T cells (NCT04196413)

-­ GD2 CAR T cells (NCT00085930)

-­ ROR1 CAR-T cells (LYL797) (NCT05274451)

-­ ROR1 CAR-T cells (NCT02706392)

-­ HER2 CAR-T cells (NCT03740256)

-­ B7-H3 CAR-T cells (NCT04897321)

-­ B7-H3 CAR-T cells (NCT04483778)

-­ PSCA CAR-T cells (BPX-601) (NCT02744287)

-­ PSCA CAR-T cells (NCT02744287)

-­ MICA/B CAR-NK cells (FT536) (NCT05395052)

-­ HER2 CAR-Macrophage (CT-0508) (NCT04660929)