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Yescarta
Proper Name
Axicabtagene Ciloleucel
Indication
Treatment of adult patients with relapsed or refractory large B-cell lymphoma after two or more lines of systemic therapy
Description

YESCARTA is a CD19-directed genetically modified autologous T cell immunotherapy indicated for the treatment of adult patients with relapsed or refractory large B-cell lymphoma after two or more lines of systemic therapy, including diffuse large B-cell lymphoma (DLBCL) not otherwise specified, primary mediastinal large B-cell lymphoma, high grade B-cell lymphoma, and DLBCL arising from follicular lymphoma.

Manufacturing Platform

PARAMETER

DATA

Manufacturer

Kite Pharma, Incorporated

Transgene

 

Indication

YESCARTA is a CD19-directed genetically modified autologous T cell immunotherapy indicated for the treatment of adult patients with relapsed or refractory large B-cell lymphoma after two or more lines of systemic therapy, including diffuse large B-cell lymphoma (DLBCL) not otherwise specified, primary mediastinal large B-cell lymphoma, high grade B-cell lymphoma, and To DLBCL arising from follicular lymphoma.

Virus and Serotype

Retroviral vector PG13-CD19-H3

Cell Substrate

Autologous stably-transduced PG13 (ATCC CRL-10686™) T cell

Manufacturing platform

Retroviral vector PG13-CD19-H3: The PG13-CD19-H3 vector is produced constitutively from a stably-transduced PG13 (ATCC CRL-10686™) cell line. For production of retroviral vector under GMP, cells from a single vial of WCB are expanded and the culture supernatant is harvested, filtered, and filled into cryostorage bags.

Axicabtagene ciloleucel: Autologous T cells genetically modified ex vivo by transduction with a retroviral vector to express an anti-CD19 CD28/CD3ζ CAR to target CD19 on the cell surface of malignant B cells.

Dose in vial/final container

Suspension of 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

NCT02348216

1, 2

307

Safety and Efficacy of KTE-C19 in Adults With Refractory Aggressive Non-Hodgkin Lymphoma

United States, Canada, France, Germany, Israel, Netherlands

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

Key Regulatory Milestones
05/18/2020

FDA approval date

08/23/2018

EMA approval date

02/11/2020

Australian Therapeutics Goods Administration (TGA) 

12/10/2020

Health Canada approval

01/22/2021

Japanese Ministry of Health, Labor and Welfare (MHLW) approval

Advisory Committee

This application was not presented to an Advisory Committee, because YESCARTA is not the first biologic in its class, and there were no critical review issues that required input from an Advisory Committee.

Advanced Facts