Difference between revisions of "Tisagenlecleucel (Kymriah)"

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(Created page with "==Mechanism of action== *From the [https://www.cancer.gov/publications/dictionaries/cancer-drug?cdrid=736184 NCI Drug Dictionary]: Autologous T lymphocytes transduced with a m...")
 
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==Diseases for which it is used==
 
==Diseases for which it is used==
 
*[[B-cell acute lymphoblastic leukemia]]
 
*[[B-cell acute lymphoblastic leukemia]]
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*[[Diffuse large B-cell lymphoma]]
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*[[Transformed lymphoma]]
  
 
==History of changes in FDA indication==
 
==History of changes in FDA indication==
*8/30/17: Granted [https://www.fda.gov/Drugs/InformationOnDrugs/ApprovedDrugs/ucm574154.htm FDA regular approval] "for the treatment of patients up to age 25 years with [[B-cell acute lymphoblastic leukemia|B-cell precursor acute lymphoblastic leukemia (ALL)]] that is refractory or in second or later relapse."
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*8/30/2017: Granted [https://www.fda.gov/Drugs/InformationOnDrugs/ApprovedDrugs/ucm574154.htm FDA regular approval] "for the treatment of patients up to age 25 years with [[B-cell acute lymphoblastic leukemia|B-cell precursor acute lymphoblastic leukemia (ALL)]] that is refractory or in second or later relapse."
 +
*5/1/2018: FDA approval expanded "for adult patients with relapsed or refractory large B-cell lymphoma after two or more lines of systemic therapy including [[Diffuse large B-cell lymphoma|diffuse large B-cell lymphoma (DLBCL) not otherwise specified]], high grade B-cell lymphoma and [[Transformed lymphoma|DLBCL arising from follicular lymphoma]]."
  
 
==Also known as==
 
==Also known as==
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[[Category:B-cell acute lymphoblastic leukemia medications]]
 
[[Category:B-cell acute lymphoblastic leukemia medications]]
 +
[[Category:Diffuse large B-cell lymphoma medications]]
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[[Category:Transformed lymphoma medications]]
  
 
[[Category:REMS program]]
 
[[Category:REMS program]]
 
[[Category:Drugs FDA approved in 2017]]
 
[[Category:Drugs FDA approved in 2017]]

Revision as of 14:06, 3 May 2018

Mechanism of action

  • From the NCI Drug Dictionary: Autologous T lymphocytes transduced with a modified lentiviral vector expressing a chimeric antigen receptor (CAR) consisting of an anti-CD19 scFv (single chain variable fragment) and the zeta chain of the TCR/CD3 complex (CD3-zeta), coupled to the signaling domain of 4-1BB (CD137), with potential immunomodulating and antineoplastic activities. Upon transfusion, tisagenlecleucel direct the T lymphocytes to CD19-expressing tumor cells, thereby inducing a selective toxicity in CD19-expressing tumor cells.

Diseases for which it is used

History of changes in FDA indication

Also known as

  • Code name: CTL019
  • Generic name: tisagenlecleucel-T
  • Brand name: Kymriah