Innovations in Biotechnology and Medical Sciences

NexCAR19: India’s own CAR-T Cell Therapy

car-t cart cell therapy

Central Idea

  • India has achieved a significant milestone in the field of cancer treatment with the approval of NexCAR19, its first indigenous CAR-T Cell Therapy, by the Central Drugs Standard Control Organisation (CDSCO).
  • Developed by ImmunoACT, an incubated company of IIT Bombay, NexCAR19 is set to transform cancer treatment in India and make it more affordable.

What is CAR-T Cell Therapy?

  • Revolutionary Approach: CAR-T cell therapy involves modifying T-cells, a type of white blood cell, into potent cancer-fighting cells.
  • Targeting Cancer: These genetically enhanced cells are reintroduced into the patient’s body, where they identify and eliminate cancer cells, particularly effective against blood cancers like leukemia and lymphomas.
  • Game-Changer: Unlike chemotherapy or immunotherapy, CAR-T therapy offers the potential for a cure and lifelong benefits, making it a transformative treatment option.

NexCAR19: India’s Indigenously Developed CAR-T Therapy

  • NexCAR19 is designed to target cancer cells carrying the CD19 protein, a marker on cancer cells, enhancing precision in treatment.
  • India joins a select group of nations with its own CAR-T and gene therapy platform, reducing dependence on imports.
  • Initially approved for patients aged 15 and above with B-cell lymphomas who did not respond to standard treatments, leading to relapse or recurrence.

Effectiveness and Unique Features

  • Approximately 70% of patients respond to NexCAR19 treatment, with some achieving complete remission.
  • Lab and animal studies indicate lower drug-related toxicities, including reduced neurotoxicity and Cytokine Release Syndrome (CRS).
  • Trials for paediatric patients are underway at Tata Memorial Hospital, ensuring broader applicability.

Availability and Affordability

  • ImmunoACT is in the process of securing licenses and partnering with hospitals, including Tata Memorial, Nanavati, Fortis, and Jaslok, across multiple cities.
  • CAR-T therapy is expected to be available in a matter of weeks to a few months, pending final government approvals.
  • Initially priced at Rs 30-40 lakh, ImmunoACT aims to eventually reduce the cost to Rs 10-20 lakh, making the therapy more accessible.
  • Approval by regulatory agencies like CDSCO should lead to insurance coverage, but the extent may vary, and discussions with insurers and the government are ongoing.

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