Kymriah® (tisagenlecleucel) - An overview of the clinical development journey of the first approved CAR-T therapy

被引:42
作者
Awasthi, Rakesh [1 ,5 ]
Maier, Harald J. [2 ]
Zhang, Jie [3 ]
Lim, Stephen [4 ]
机构
[1] Novartis Inst Biomed Res, E Hanover, NJ USA
[2] Novartis Pharm AG, Oncol & Hematol, Global Drug Dev, Basel, Switzerland
[3] Novartis Serv Inc, Cell & Gene Unit, E Hanover, NJ USA
[4] Novartis Pharmaceut, US Med Affairs, Oncol, E Hanover, NJ USA
[5] Novartis Inst Biomed Res, Oncol & Hematol, One Hlth Plaza, E Hanover, NJ 07936 USA
关键词
Cell and gene therapy; CAR-T therapy; clinical development; immunotherapy; leukemia; lymphoma; B-CELL LYMPHOMA; UNITED-STATES; OUTCOMES; JULIET; MANAGEMENT; 2ND-LINE;
D O I
10.1080/21645515.2023.2210046
中图分类号
Q81 [生物工程学(生物技术)]; Q93 [微生物学];
学科分类号
071005 ; 0836 ; 090102 ; 100705 ;
摘要
The emergence of cell and gene therapies has dramatically changed the treatment paradigm in oncology and other therapeutic areas. Kymriah (R) (tisagenlecleucel), a CD19-directed genetically modified autologous T-cell immunotherapy, is currently approved in major markets for the treatment of relapsed/refractory (r/r) pediatric and young adult acute lymphoblastic leukemia, r/r diffuse large B-cell lymphoma, and r/r follicular lymphoma. This article presents a high-level overview of the clinical development journey of tisagenlecleucel, including its efficacy outcomes and safety considerations.
引用
收藏
页数:8
相关论文
共 47 条
[1]  
[Anonymous], 2018, CHIM ANT REC T CELL
[2]   Tisagenlecleucel cellular kinetics, dose, and immunogenicity in relation to clinical factors in relapsed/refractory DLBCL [J].
Awasthi, Rakesh ;
Pacaud, Lida ;
Waldron, Edward ;
Tam, Constantine S. ;
Jager, Ulrich ;
Borchmann, Peter ;
Jaglowski, Samantha ;
Foley, Stephen Ronan ;
van Besien, Koen ;
Wagner-Johnston, Nina D. ;
Kersten, Marie Jose ;
Schuster, Stephen J. ;
Salles, Gilles ;
Maziarz, Richard T. ;
Anak, Ozlem ;
del Corral, Christopher ;
Chu, Jufen ;
Gershgorin, Irina ;
Pruteanu-Malinici, Iulian ;
Chakraborty, Abhijit ;
Mueller, Karen Thudium ;
Waller, Edmund K. .
BLOOD ADVANCES, 2020, 4 (03) :560-572
[3]   Evaluation of In Vivo CAR Transgene Levels in Relapsed/Refractory Pediatric and Young Adult ALL and Adult DLBCL Tisagenlecleucel-Treated Patients [J].
Awasthi, Rakesh ;
Mueller, Karen Thudium ;
Yanik, Gregory A. ;
Tam, Constantine S. ;
Rives, Susana ;
McGuirk, Joseph P. ;
Pulsipher, Michael A. ;
Boyer, Michael W. ;
Jaeger, Ulrich ;
Baruchel, Andre ;
Myers, Gary Douglas ;
Balke-Want, Hyatt ;
Schuster, Stephen J. ;
Stefanski, Heather ;
Bishop, Michael R. ;
Waldron, Edward R. ;
Anak, Ozlem ;
Chakraborty, Abhijit ;
Bleickardt, Eric ;
Wong, Stephane ;
Pacaud, Lida Bubuteishvili ;
Waller, Edmund K. ;
Maude, Shannon L. .
BLOOD, 2018, 132
[4]   CAR-T Therapy Displays Favorable Gains in Health Outcomes and Competitive Cost-Effectiveness When Compared with Past Innovative Cancer Treatments [J].
Baumgardner, James ;
Everson, Katie ;
Brauer, Michelle ;
Zhang, Jie ;
Hao, Yanni ;
Liu, Jamae ;
Lakdawalla, Darius N. .
BLOOD, 2018, 132
[5]   Replication-Competent Retroviruses in Gene-Modified T Cells Used in Clinical Trials: Is It Time to Revise the Testing Requirements? [J].
Bear, Adham S. ;
Morgan, Richard A. ;
Cornetta, Kenneth ;
June, Carl H. ;
Binder-Scholl, Gwendolyn ;
Dudley, Mark E. ;
Feldman, Steven A. ;
Rosenberg, Steven A. ;
Shurtleff, Sheila A. ;
Rooney, Cliona M. ;
Heslop, Helen E. ;
Dotti, Gianpietro .
MOLECULAR THERAPY, 2012, 20 (02) :246-249
[6]   Second-Line Tisagenlecleucel or Standard Care in Aggressive B-Cell Lymphoma [J].
Bishop, M. R. ;
Dickinson, M. ;
Purtill, D. ;
Barba, P. ;
Santoro, A. ;
Hamad, N. ;
Kato, K. ;
Sureda, A. ;
Greil, R. ;
Thieblemont, C. ;
Morschhauser, F. ;
Janz, M. ;
Flinn, I ;
Rabitsch, W. ;
Kwong, Y-L ;
Kersten, M. J. ;
Minnema, M. C. ;
Holte, H. ;
Chan, E. H. L. ;
Martinez-Lopez, J. ;
Mueller, A. M. S. ;
Maziarz, R. T. ;
McGuirk, J. P. ;
Bachy, E. ;
Le Gouill, S. ;
Dreyling, M. ;
Harigae, H. ;
Bond, D. ;
Andreadis, C. ;
McSweeney, P. ;
Kharfan-Dabaja, M. ;
Newsome, S. ;
Degtyarev, E. ;
Awasthi, R. ;
del Corral, C. ;
Andreola, G. ;
Masood, A. ;
Schuster, S. J. ;
Jaeger, U. ;
Borchmann, P. ;
Westin, J. R. .
NEW ENGLAND JOURNAL OF MEDICINE, 2022, 386 (07) :629-639
[7]   Toxicities of chimeric antigen receptor T cells: recognition and management [J].
Brudno, Jennifer N. ;
Kochenderfer, James N. .
BLOOD, 2016, 127 (26) :3321-3330
[8]   Outcomes in refractory diffuse large B-cell lymphoma: results from the international SCHOLAR-1 study [J].
Crump, Michael ;
Neelapu, Sattva S. ;
Farooq, Umar ;
Van den Neste, Eric ;
Kuruvilla, John ;
Westin, Jason ;
Link, Brian K. ;
Hay, Annette ;
Cerhan, James R. ;
Zhu, Liting ;
Boussetta, Sami ;
Feng, Lei ;
Maurer, Matthew J. ;
Navale, Lynn ;
Wiezorek, Jeff ;
Go, William Y. ;
Gisselbrecht, Christian .
BLOOD, 2017, 130 (16) :1800-1808
[9]  
Dreyling M., 2022, AM SOC HEM ASH ANN M
[10]  
Flinn I.W., 2021, Blood, V138, P740, DOI [10.1182/blood-2021-146268, DOI 10.1182/BLOOD-2021-146268]