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Pipeline

In vivo CAR-T

CAR-T therapy is an advanced cell therapy that introduces a chimeric antigen receptor (CAR) into a patient’s immune T cells to precisely target and eliminate cancer cells. Ex vivo CAR-T involves isolating T cells from a patient’s blood, modifying them through complex genetic engineering, and reinfusing them. It has dramatically raised survival rates for pediatric acute lymphoblastic leukemia to around 60%, earning the name “the dream cancer therapy.” Yet significant challenges remain to be addressed.
 

MVRIX is developing an in vivo CAR-T therapy, MIC-001, based on its proprietary Navibody platform—an mRNA@LNP targeted delivery technology that precisely targets CD3 expressed on T cells.
Our goal is to significantly expand the therapeutic reach of CAR-T and improve accessibility beyond the limits of conventional ex vivo treatments.

Current challenges and the breakthrough

CAR-T therapy is an innovative cancer treatment that offers the possibility of cure for patients with relapsed or refractory blood cancers. By using the patient’s own T cells, it minimizes immune rejection, while residual CAR-T cells in the body continue to monitor for cancer cells and help prevent relapse. However, the current ex vivo approach faces major limitations in treatment accessibility. With in-vivo CAR-T technology, we aim to overcome these challenges and bring the benefits of CAR-T therapy to more patients.

Challenges that Ex-vivo CAR-T face

Long and costly treatment

Complex development requiring dedicated facilities

Patient risks
(lymphodepletion and other side effects)

Ex vivo CAR-T involves isolating a patient’s T cells, inserting the CAR gene, and expanding the modified cells outside the body before reinfusion. This process requires dedicated manufacturing facilities and long development timelines, resulting in high treatment costs and limited accessibility that place significant physical and financial burdens on patients.

In vivo CAR-T

Short treatment time and 1/10 the cost

Simple process, customization

Reduced risk (Combination therapy and repeat dosing)

In vivo CAR-T therapy generates CAR genes directly inside the body, enabling true off-the-shelf treatment.
This approach shortens treatment time and reduces costs, allowing patients to receive care at local hospitals without the need for specialized facilities. It also lowers patient burden, making combination therapy and repeated dosing more feasible.

Limitations of Conventional Ex vivo CAR-T

Complex, facility-intensive manufacturing

The 'harvesting → engineering → reinfusion' process of ex vivo CAR-T faces logistical limitations

Months-long "vein-to-vein" time

The complexity of the process and logistical constraints can cause critical patients to miss their therapeutic window

Prohibitive costs (~500M KRW/treatment)

The high treatment cost limits access to only a small number of patients

Serious safety concerns

Unpredictable side effects such as CRS and ICANS

Advantages of In-vivo CAR-T Therapy

Simplified development and administration

Single-injection administration of standardized drug enables treatment to begin within days

Immediate treatment

'Off-the-shelf' availability for on-demand treatment, allowing critical patients to begin treatment without delay

Significant cost reduction

Scalable manufacturing enables lower pricing and broader patient access

Improved safety profile

Reduced side effects via gradual in vivo activation

How to improve in vivo CAR-T

The true potential of in vivo CAR-T begins with precise delivery.
We are developing clinically viable in vivo CAR-T therapies through safe, scalable LNP-based delivery technology.

LNP

Safety

Low immunogenicity

No risk of genomic integration

Scalability

Scalable manufacturing(CMC)

Streamlined QC

Repeat dosing

Enables repeat dosing

Control and enhancement of effect

Viral Vector

Safety

Potential immunogenicity

Risk of insertional mutagenesis

Scalability

Complex manufacturing process

High cost and limited scalability

Repeat dosing

Limitations due to antibody formation

Potential for reduced efficacy

How to improve in vivo CAR-T

We consider the following factors essential for the commercialization of in-vivo CAR-T therapeutics.

T-cell targeting specificity
Since genetic material is administered directly into the body, precise delivery exclusively to T cells is essential.
Genome vector selection
We use LNPs for their high delivery efficiency, low immunogenicity, and suitability for large-scale production.
Genome selection
mRNA has a shorter expression duration compared to DNA, but offers greater safety with a significantly lower risk of secondary malignancies.
Repeat dosing safety
To enable personalized in-vivo CAR-T therapy, the design must allow for repeat dosing and other flexible strategies.

Precision targeting
of in vivo CAR-T

In-vivo CAR-T with the Navibody platform is specialized for targeted delivery. Targeted delivery is an essential requirement for the commercialization of in-vivo CAR-T therapeutics.

Maximized therapeutic efficacy

The efficiency and durability of tumor clearance are proportional to the precision of targeted delivery.

Minimized side effects

If CARs are delivered and edited in non-target cells, they may cause unpredictable toxicity or immune disruption.

Prevention of cumulative toxicity

Genome vectors such as LNPs allow transient expression and repeat dosing, enabling more flexible regimens with improved safety.

Development Roadmap

With the Navibody platform, our technology can be applied across a broad range of therapeutics,
supported by proven versatility, stability, and scalable productivity.

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