Commentary|Videos|February 23, 2026

Redefining Cellular Therapy: The Breakthrough of RB-1355

Fact checked by: Paige Britt

Macrophage cell therapy may skip lymphodepleting chemo, reducing toxicity and secondary cancer risk for heavily pretreated, frail patients.

In the evolving landscape of cancer immunotherapy, lymphodepleting chemotherapy has long been considered a necessary prelude to treatment. For traditional cellular therapies like chimeric antigen receptor T-cell and NK-cell infusions, this "preconditioning" is vital to clear a biological path, removing endogenous cells that would otherwise outcompete the therapy for essential survival signals.

However, recent findings from the RB-1355 trials are challenging this paradigm. RB-1355 has demonstrated a remarkable ability to engraft and expand effectively in non-preconditioned hosts, marking a significant shift in how we approach myeloid-based interventions.

In an interview with Targeted Oncology, Paolo Strati, MD, associate professor in the Department of Lymphoma/Myeloma in the Division of Cancer Medicine at The University of Texas MD Anderson Cancer Center and presenting author of the trial, explained the mechanism of action of RB-1355 and what it could offer to patients with B-cell and T-cell lymphomas.


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