Home Immunology Monitoring of circulating CAR T cells [WEBINAR]
Steps
  1. 1 Introduce CAR T cell monitoring principles 00:08
  2. 2 Describe CAR detection reagent requirements 01:50
  3. 3 Explain antigen-based CAR detection strategy 02:35
  4. 4 Explain idiotype antibody CAR detection strategy 04:02
  5. 5 Demonstrate CAR detection reagent performance 05:02
  6. 6 Present clinical CAR T cell monitoring validation 06:33
  7. 7 Report sensitivity and precision assay results 10:45
  8. 8 Compare flow cytometry and PCR correlation 15:00
Immunology Miltenyi Biotec

Monitoring of circulating CAR T cells [WEBINAR]

Protocol
Difficulty
intermediate

Steps

1
Introduce CAR T cell monitoring principles

Explain the importance of monitoring circulating CAR T cells using flow cytometry to track therapy success, including expansion, persistence, differentiation, exhaustion, and activation analysis.

▶ 00:08
2
Describe CAR detection reagent requirements

Detail the essential characteristics of reliable CAR detection reactions: consistent lot-to-lot performance, compatibility with different CAR constructs, sensitivity for small cell populations, specificity for true positives, accuracy across samples, and reproducibility.

▶ 01:50
3
Explain antigen-based CAR detection strategy

Describe the antigen-based approach using target proteins (e.g., CD19) fused with biotin-labeled FC backbone, detected by fluorochrome-labeled biotin antibodies to amplify signal and increase sensitivity.

▶ 02:35
4
Explain idiotype antibody CAR detection strategy

Describe the idiotype antibody approach where recombinant antibodies recognize the scFv region of specific CAR receptors, enabling narrow specificity and one-step staining protocols.

▶ 04:02
5
Demonstrate CAR detection reagent performance

Compare multinibiotech CAR detection reagents against negative controls and competitor products to show superior specificity and significantly lower background staining on negative specimens.

▶ 05:02
6
Present clinical CAR T cell monitoring validation

Outline a clinical flow cytometry assay validation addressing sensitivity, precision, stability, accuracy versus PCR, and specificity for monitoring CAR T cells in pediatric lymphoblastic leukemia patients.

▶ 06:33
7
Report sensitivity and precision assay results

Present quantification data down to 0.01% CAR T cell fraction and precision measurements (intra-assay, inter-assay, inter-instrument) across high, intermediate, and low positive controls.

▶ 10:45
8
Compare flow cytometry and PCR correlation

Evaluate accuracy by correlating 46 patient samples measured with both flow cytometry and real-time PCR, and assess sample stability over five consecutive measurement days.

▶ 15:00
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