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TECARTUS
Proper Name
Brexucabtagene Autoleucel
Indication
For the treatment of adult patients with relapsed/refractory mantle cell lymphoma (r/r MCL).
Description

TECARTUS is a CD19-directed genetically modified autologous T cell immunotherapy. To prepare TECARTUS, a patient’s own T cells are harvested and genetically modified ex vivo by retroviral transduction to express a chimeric antigen receptor (CAR) comprising a murine anti-CD19 single-chain variable fragment (scFv) linked to CD28 and CD3-zeta co-stimulatory domains. The anti-CD19 CAR T cells are expanded and infused back into the patient, where they can recognize and eliminate CD19-expressing target cells.

Manufacturing Platform

PARAMETER

DATA

Manufacturer

Kite Pharma, Inc.

Transgene

CD19-directed gene

Indication

TECARTUS is a CD19-directed genetically modified autologous T cell immunotherapy indicated for the treatment of adult patients with relapsed or refractory mantle cell lymphoma (MCL).

This indication is approved under accelerated approval based on overall response rate and durability of response. Continued approval for this indication may be contingent upon verification and description of clinical benefit in a confirmatory trial.

Virus and Serotype

Murine stem cell virus (MSCV)-based vector

Cell Substrate

Anti-CD19 chimeric antigen receptor (CAR) T cells

Manufacturing platform

  • PG13-CD19-H3 retroviral vector: The PG13-CD19-H3 vector is produced constitutively from a stably-transduced PG13 (ATCC CRL-10686) cell line. For the GMP-compliant production of the retroviral vector, cells from a single vial of WCB are expanded and the culture supernatant is harvested, filtered, and filled into cryostorage bags.
  • KTE-X19: The manufacturing process of KTE-X19 starts with apheresis collection from a patient. The next steps in the manufacturing process include T-cell enrichment, T-cell activation, retroviral transduction and T-cell expansion.

Dose in vial/final container

2 × 106 CAR-positive viable T cells per kg of body weight, with a maximum of 2 × 108 CAR-positive viable T cells in approximately 68 mL.

Dose / patient

2 × 106 CAR-positive viable T cells per kg body weight, with a maximum of 2 × 108 CAR-positive viable T cells

SUPPORTING CLINICAL TRIALS

NCT

TRIAL PHASE

SUBJECTS ENROLLED

STUDY TITLE

COUNTRIES

Primary study

NCT02601313

2

105

Study to evaluate the efficacy of Brexucabtagene Autoleucel (KTE-X19) in participants with relapsed/refractory Mantle Cell Lymphoma    

United States, France, Germany, Netherlands

Supportive studies providing additional safety data

NCT02614066

1, 2

125

A study evaluating Brexucabtagene Autoleucel (KTE-X19) in adult subjects with relapsed/refractory B-precursor Acute Lymphoblastic Leukemia (ZUMA-3)

United States, Canada, France, Germany, Netherlands

NCT02625480

1, 2

116

Study evaluating Brexucabtagene Autoleucel (KTE-X19) in pediatric and adolescent participants with relapsed/refractory B-precursor Acute Lymphoblastic Leukemia or relapsed/refractory B-Cell Non-Hodgkin Lymphoma     

United States, Canada, France, Netherlands

NCT03624036

1

27

Safety and tolerability of Brexucabtagene Autoleucel (KTE-X19) in adults with relapsed/refractory Chronic Lymphocytic Leukemia and Small Lymphocytic Lymphoma

United States, Italy

Key Regulatory Milestones

07/24/2020

FDA approval date

12/14/2020

EMA approval date

Advisory Committee

TECARTUS is similar to other approved CD19-directed genetically modified autologous T cell immunotherapies, including YESCARTA, and did not raise new or unique scientific or regulatory issues; as a result, an advisory committee meeting was deemed not necessary.

Advanced Facts