Difference between revisions of "Tisagenlecleucel (Kymriah)"
Jump to navigation
Jump to search
m |
m |
||
Line 22: | Line 22: | ||
*2018-05-01: 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]]. ''(Based on JULIET)'' | *2018-05-01: 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]]. ''(Based on JULIET)'' | ||
*2022-05-27: Granted accelerated approval for adult patients with relapsed or refractory [[follicular lymphoma|follicular lymphoma (FL)]] after two or more lines of systemic therapy. ''(Based on ELARA)'' | *2022-05-27: Granted accelerated approval for adult patients with relapsed or refractory [[follicular lymphoma|follicular lymphoma (FL)]] after two or more lines of systemic therapy. ''(Based on ELARA)'' | ||
+ | ==History of changes in EMA indication== | ||
+ | *2017-08-30: Initial marketing authorisation | ||
==History of changes in Health Canada indication== | ==History of changes in Health Canada indication== | ||
+ | *2018-09-05: Initial notice of compliance | ||
*2022-12-19: Notice of compliance with conditions for adult patients with relapsed or refractory [[Follicular lymphoma|1, 2, 3a follicular lymphoma (FL)]] after two or more lines of systemic therapy. | *2022-12-19: Notice of compliance with conditions for adult patients with relapsed or refractory [[Follicular lymphoma|1, 2, 3a follicular lymphoma (FL)]] after two or more lines of systemic therapy. | ||
==Also known as== | ==Also known as== | ||
Line 47: | Line 50: | ||
[[Category:REMS program]] | [[Category:REMS program]] | ||
[[Category:FDA approved in 2017]] | [[Category:FDA approved in 2017]] | ||
+ | [[Category:EMA approved in 2017]] | ||
+ | [[Category:Health Canada approved in 2018]] |
Revision as of 16:12, 15 June 2023
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.
Toxicity management
Diseases for which it is established
- B-cell acute lymphoblastic leukemia
- Diffuse large B-cell lymphoma
- High-grade B-cell lymphoma
- Transformed lymphoma
Diseases for which it is used
Diseases for which it was used
History of changes in FDA indication
- 2017-08-30: Granted FDA regular approval for the treatment of patients up to age 25 years with B-cell precursor acute lymphoblastic leukemia (ALL) that is refractory or in second or later relapse. (Based on ELIANA)
- 2018-05-01: 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 (DLBCL) not otherwise specified, high-grade B-cell lymphoma and DLBCL arising from follicular lymphoma. (Based on JULIET)
- 2022-05-27: Granted accelerated approval for adult patients with relapsed or refractory follicular lymphoma (FL) after two or more lines of systemic therapy. (Based on ELARA)
History of changes in EMA indication
- 2017-08-30: Initial marketing authorisation
History of changes in Health Canada indication
- 2018-09-05: Initial notice of compliance
- 2022-12-19: Notice of compliance with conditions for adult patients with relapsed or refractory 1, 2, 3a follicular lymphoma (FL) after two or more lines of systemic therapy.
Also known as
- Code name: CART19, CTL019
- Generic name: tisagenlecleucel-T
- Brand name: Kymriah
Categories:
- Chimeric antigen receptor T-cells
- Anti-CD3 cellular therapy
- Anti-CD19 cellular therapy
- Anti-CD137 cellular therapy
- Intravenous medications
- B-cell acute lymphoblastic leukemia medications
- Diffuse large B-cell lymphoma medications
- Follicular lymphoma medications
- High-grade B-cell lymphoma medications
- Transformed lymphoma medications
- Chronic lymphocytic leukemia medications (historic)
- Multiple myeloma medications (historic)
- REMS program
- FDA approved in 2017
- EMA approved in 2017
- Health Canada approved in 2018