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Explore our cutting edge research, world-class patient care, career opportunities and more.
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Harnessing the immune system to enhance outcomes for patients with high-risk hematological malignancies
The promise of cellular therapies lies in the ability to use the body’s own defenses and safely turn them into precision weapons in the fight against cancer. We perform innovative clinical research that uses cellular therapies against very high-risk hematologic malignancies. From pioneering first-in-human CAR T–cell trials for acute myeloid leukemia (AML) and combining advanced graft engineering of transplants with next-generation cellular therapies, we are working to create safer, more effective treatment options for patients. The goal is to push the boundaries of science and deliver hope to patients facing the toughest hematologic malignancies.
CAR T–cell therapy has revolutionized the treatment of patients with relapsed/refractory acute lymphoblastic leukemia (ALL), but similar success is still elusive for AML, and formidable challenges remain. We are committed to and focused on addressing this challenge by developing and translating first-in-human CAR T–cell products for AML from bench to bedside. The key areas of focus for our group are determining the efficacy of engineered CAR T cells (CD123, CD70 and CD7-directed) in treating relapsed/refractory AML and T-cell ALL (T-ALL) and understanding their impact on patient outcomes.
To overcome AML’s unique hurdles, we spearheaded an international consortium that set new standards for AML CAR T–cell therapy. We published guidelines to standardize trial design and reporting, thereby allowing for a shared language across trials and accelerating progress.
Beyond efficacy, my research also focuses on ensuring safety. I am working to understand the biology underlying toxicities of CAR T–cell therapy and developing predictive tools to guide future therapies.
Allogeneic cell transplantation has been the cornerstone of therapy to induce durable remissions for patients with high-risk hematological malignancies. At the heart of successful transplantation lies the graft-versus-leukemia (GVL) effect, wherein donor immune cells work to eradicate residual cancer. I have focused my efforts to amplify this effect while minimizing its dangerous counterpart, graft-versus-host disease (GVHD). Through advanced graft engineering and selective immune cell manipulation, we have used and studied graft-engineered transplant platforms using T-cell depletion strategies, such as CD34+ selection, αβ TCR T-cell depletion, and CD45RA depletion, aiming to improve transplant safety and efficacy.
These engineered grafts are particularly attractive as they create the perfect platform for the incorporation of next-generation immune effectors—cells designed to supercharge GVL and accelerate immune recovery, reducing relapse and infection risks. As principal investigator or co-investigator, I have led trials exploring these strategies, including the use of multi-tumor antigen-specific T cells, targeting Survivin, PRAME, and WT1; genetically modified donor lymphocytes with inducible suicide gene iCaspase 9, offering a safety switch against GVHD; and donor-derived natural killer (NK) cells, all to amplify anti-leukemic activity without collateral damage.
Swati Naik is a physician-scientist specializing in innovative treatments for relapsed hematologic malignancies. As associate faculty member and co-director of the clinical cell therapy program in the Department of Bone Marrow Transplantation & Cellular Therapy, she leads first-in-human trials and investigator-initiated studies that integrate advanced graft engineering with next-generation cellular therapies, such as CAR T cells, NK cells, and virus-specific T cells. Her work focuses on developing safer, more effective therapies that harness the body’s own immune system with a goal to push the boundaries of science and deliver hope to patients facing the most formidable cancers. She obtained her MBBS in India, followed by a pediatric residency and went on to complete two fellowships at Baylor College of Medicine in Houston, Texas. The first of these fellowships was in pediatric hematology and oncology; the second focused on hematopoietic stem cell transplants and cellular therapies. She was a faculty member at the Center of Cell and Gene Therapy (CAGT) at Baylor College of Medicine before joining St. Jude, where she is committed to investigating novel cell therapy approaches and caring for her patients as a physician-scientist.
Swati Naik, MBBS
Department of Bone Marrow & Cellular Therapy
MS 1130, Room I3305
St. Jude Children’s Research Hospital