Safety and efficacy of DLL3 CAR-T cells armored with dnTGFBR2 in a subject with recurrent small-cell lung cancer: case report - Report - MDSpire

Safety and efficacy of DLL3 CAR-T cells armored with dnTGFBR2 in a subject with recurrent small-cell lung cancer: case report

  • By

  • Chelsey M. Williams

  • Susanne M. Arnold

  • John L. Villano

  • Erika N. Amarilla Alonso

  • Christine F. Brainson

  • Paul O. Schwarzenberger

  • Sahista Vahora

  • Ayman Qasrawi

  • Reinhold Munker

  • B. Mark Evers

  • Zhonglin Hao

  • July 7, 2026

  • 0 min

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Clinical Report: Efficacy and Safety of DLL3-Targeted CAR-T Therapy

Background

Extensive-stage small-cell lung cancer (ES-SCLC) is associated with a poor prognosis and limited treatment options. LB2102 is an investigational CAR-T cell therapy designed to target DLL3, a protein highly expressed in SCLC, while minimizing toxicity to normal tissues.

Data Highlights

No numerical data available.

Key Findings

  • The patient had a high DLL3 expression score (≥2+) in 88% of tumor biopsy specimens.
  • After receiving LB2102, the patient tolerated the infusion without dose-limiting toxicity or cytokine release syndrome.
  • By week 12 post-infusion, the target lesion had shrunk by 35%, indicating a partial response.
  • Post-treatment imaging showed stable metastatic disease and no liver lesions.
  • Cytopenias observed post-infusion recovered without intervention by week 10.

Clinical Implications

The case presents LB2102 as a treatment option for patients with recurrent ES-SCLC who are ineligible for clinical trials.

Conclusion

This case study presents the use of DLL3-targeted CAR-T therapy in a patient with recurrent ES-SCLC.

Related Resources & Content

  1. The ASCO Post, 2025 -- Potential New Second-Line Standard of Care Emerges in Small Cell Lung Cancer
  2. The ASCO Post, 2025 -- DLL3-Targeted Antibody-Drug Conjugate in Relapsed SCLC
  3. Nature Cancer, 2026 -- Tumor irradiation promotes antigen dressing of dendritic cells to enhance CAR T cell persistence and efficacy in lung metastases
  4. Bone Marrow Transplantation, 2025 -- Does enhanced lymphodepletion prior to tisagenleclecuel administration lead to better outcomes in high-risk large B-cell lymphoma patients?
  5. Journal of Clinical Oncology, 2025 -- Systemic Therapy for Small Cell Lung Cancer: ASCO Guideline Rapid Recommendation Update
  6. FDA, 2025 -- FDA grants accelerated approval to tarlatamab-dlle for extensive stage small cell lung cancer
  7. Journal of Clinical Oncology, 2025 -- Safety, tolerability, and preliminary efficacy results of a phase 1 study of LB2102
  8. Systemic Therapy for Small Cell Lung Cancer: ASCO Guideline Rapid Recommendation Update | Journal of Clinical Oncology
  9. FDA grants accelerated approval to tarlatamab-dlle for extensive stage small cell lung cancer | FDA
  10. Safety, tolerability, and preliminary efficacy results of a phase 1 study of LB2102, a dnTGFβRII armored DLL3-targeted autologous CAR-T cell therapy, in patients with relapsed or refractory small cell lung cancer (SCLC) and large cell neuroendocrine carcinoma (LCNEC). | Journal of Clinical Oncology

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