npj Digital Medicine (Aug 2025)

Design specifications for biomedical virtual twins in engineered adoptive cellular immunotherapies

  • Ulrike Weirauch,
  • Markus Kreuz,
  • Colin Birkenbihl,
  • Miriam Alb,
  • Maria Quaranta,
  • Laurence Calzone,
  • Sophia Orozco-Ruiz,
  • Stefanie Binder,
  • Luise Fischer,
  • Solène Clavreul,
  • Morine Maguri,
  • Maximilian Ferle,
  • Michael Rade,
  • Guillaume Azarias,
  • Jay R. Hydren,
  • Jakub Jamarik,
  • Daniel Schwarz,
  • Zsolt Sebestyen,
  • Jurgen Kuball,
  • Georg Popp,
  • Chloé Antoine,
  • Manon Knockaert,
  • Clara T. Schoeder,
  • David Fandrei,
  • Carmen Sanges,
  • Vaclovas Radvilas,
  • Nico Gagelmann,
  • Markus Rückert,
  • Olaf Penack,
  • Stephan Fricke,
  • Andreas Schmidt,
  • Carol Ward,
  • Carl Steinbeisser,
  • Jean-Marc Van Gyseghem,
  • Anna Niarakis,
  • Laurent Garderet,
  • Michael Hudecek,
  • Thomas Neumuth,
  • Uwe Platzbecker,
  • Ulrike Köhl,
  • Regina Demlova,
  • Andreas Kremer,
  • Stefan Franke,
  • Holger Fröhlich,
  • Maximilian Merz,
  • Kristin Reiche,
  • On behalf of the CERTAINTY Consortium

DOI
https://doi.org/10.1038/s41746-025-01809-6
Journal volume & issue
Vol. 8, no. 1
pp. 1 – 14

Abstract

Read online

Abstract In (immune)oncology, virtual twins (VTs) offer patient-individual decision support. Nevertheless, current VTs do not incorporate the unique properties of engineered adoptive cellular immunotherapies (eACIs). Here, we outline the minimal design specifications for VTs for engineered ACIs (eACI-VTs) to model the complex interplay between cell product and patient physiology. We motivate utilizing VTs in eACIs to provide decision support and reflect on how eACI-VTs can support the widespread use of eACIs.