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Bioengineering & Translational Medicine
Article . 2025 . Peer-reviewed
License: CC BY
Data sources: Crossref
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Adoptive T‐cell therapies in the clinic

Authors: Suyog Shaha; Leah Lourenco; Zongmin Zhao; Samir Mitragotri;

Adoptive T‐cell therapies in the clinic

Abstract

Abstract T cells, as one of the most abundant immune cell types in the human body, play a central role in therapeutic applications and currently dominate the clinical landscape of cell therapies. Their target specificity and capacity to generate durable therapeutic responses make them a powerful modality for precision therapy. T cell therapies represent a leading frontier in cellular medicine and have been investigated for a broad spectrum of indications, from cancers to autoimmune diseases. Here, we provide a detailed overview of the clinical landscape of T cell therapies. We outline the historical developments that shaped the evolution of T cells into transformative therapies and present a comprehensive analysis of their clinical translation. We discuss key milestones in T cell discovery and provide an overview of the 19 globally approved T cell therapy products. We then examine the core features of these approved products and conduct an in‐depth analysis of 2570 clinical trials involving T cell therapies, identifying three distinct time intervals of growth in clinical activity. Furthermore, we evaluate the evolution of critical trial parameters, such as cell source, disease indication, target selection, and delivery route, highlighting emerging trends and key inflection points. Lastly, we discuss the biological and logistical challenges that limit the broader clinical translation of T cell therapies to new indications and diverse patient populations. Our findings indicate a steady rise in clinical studies and regulatory approvals for T cell therapies, with a notably higher rate of approved products in recent years compared to stem cell therapies. This growth exhibits a phased pattern, with each interval characterized by a major inflection point in scientific advancement and clinical translation. Our discussions will provide a quantitative and contextualized overview of this clinical progress in T cell therapy, offering insights into its current trajectory and future potential as a transformative class of therapeutics.

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    This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    3
    popularity
    This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
    Top 10%
    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    Average
    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
3
Top 10%
Average
Average
gold
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