Description:
This study will evaluate the safety of tisagenlecleucel that is out of specification( OOS)
for release as commercial product.
Specifically, this study will evaluate the safety of tisagenlecleucel in pediatric/young
adult patients with relapsed/refractory (r/r) B-cell acute lymphoblastic leukemia (pALL) and
adult patients with r/r large B-cell lymphoma (LBCL) including diffuse large B-cell lymphoma
(DLBCL) not otherwise specified, high-grade B cell lymphoma, and DLBCL arising from
follicular lymphoma, that is consistent with the Health Authority-approved indication in the
product information for tisagenlecleucel in the respective country/region. In addition to
safety, key efficacy of tisagenlecleucel that is out of specification (OOS) for commercial
release will also be evaluated.
Title
- Brief Title: Study of Out of Specification for Tisagenlecleucel
- Official Title: A Phase IIIb Study of the Safety and Efficacy of Tisagenlecleucel Out of Specification for Commercial Release in Patients Who Are Consistent With the Label Indication
Clinical Trial IDs
- ORG STUDY ID:
CCTL019B2302
- NCT ID:
NCT04094311
Conditions
- B-cell Acute Lymphoblastic Leukemia
- Diffuse Large B-cell Lymphoma
Interventions
Drug | Synonyms | Arms |
---|
Tisagenlecleucel | CTL019 | Tisagenlecleucel |
Purpose
This study will evaluate the safety of tisagenlecleucel that is out of specification( OOS)
for release as commercial product.
Specifically, this study will evaluate the safety of tisagenlecleucel in pediatric/young
adult patients with relapsed/refractory (r/r) B-cell acute lymphoblastic leukemia (pALL) and
adult patients with r/r large B-cell lymphoma (LBCL) including diffuse large B-cell lymphoma
(DLBCL) not otherwise specified, high-grade B cell lymphoma, and DLBCL arising from
follicular lymphoma, that is consistent with the Health Authority-approved indication in the
product information for tisagenlecleucel in the respective country/region. In addition to
safety, key efficacy of tisagenlecleucel that is out of specification (OOS) for commercial
release will also be evaluated.
Detailed Description
Patients whose final manufactured tisagenlecleucel batches do not meet the approved local
commercial release specifications are eligible for inclusion.Each case will be individually
assessed for the expected benefit risk profile prior to release to the patient. Following the
infusion of OOS tisagenlecleucel, the patient will be followed for 3 months on this study.
Trial Arms
Name | Type | Description | Interventions |
---|
Tisagenlecleucel | Other | All patients eligible for treatment with tisagenlecleucel per the Health Authority-approved tisagenlecleucel product information in the respective country/region are considered eligible for this study . Patients will be divided into 2 groups:
Group A: Pediatric and young adult patients with B-cell ALL (pALL) who meet the indication in Health Authority-approved tisagenlecleucel product information in the respective country/region whose final manufactured product is OOS for commercial release.
Group B: Adult patients with r/r LBCL including DLBCL not otherwise specified, high-grade B-cell lymphoma, and DLBCL arising from follicular lymphoma, that is consistent with the Health Authority-approved indication in the product information for tisagenlecleucel in respective country/region but whose final manufactured product is OOS for commercial release/acceptance. | |
Eligibility Criteria
Key inclusion criteria:
- Signed informed consent/assent must be obtained for this study prior to participation
in the study.
- Patients for whom the final manufactured tisagenlecleucel product does not meet the
commercial release specifications.
- Not excluded from commercial manufacturing under the Health Authority-approved
tisagenlecleucel prescribing information for their respective country/region.
- OOS material has not been deemed to pose an undue safety risk to the patient.
- Patient is suffering from a serious or life-threatening disease or condition.
- Repeat leukapheresis is not clinically appropriate per the investigator assessment.
Key exclusion criteria:
- Patients meeting any of the following criteria are not eligible for inclusion in this
study:
- Human immunodeficience virus (HIV) positive patients.
- Patients with active replication of Hepatitis B virus (HBV) or Hepatitis C virus
(HCV).
- Patients with primary central nervous system (CNS) lymphoma.
- History of hypersensitivity to any drugs or metabolites of similar chemical classes as
tisagenlecleucel.
- Uncontrolled active infection or inflammation.
- Any medical condition identified by the investigator that may impact the assessment of
the safety or efficacy outcomes in relation to study treatment.
- Pregnant or nursing (lactating) women.
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | N/A |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Incidence of treatment emergent Adverse Events (AEs), Serious Adverse Events (SAEs) and Deaths |
Time Frame: | Screening through to EOT (Month 3)/Early Withdrawal |
Safety Issue: | |
Description: | Analysis of absolute and relative frequencies for treatment emergent Adverse Events (AEs), Serious Adverse Events (SAEs) and Deaths by primary System Organ Class (SOC) to demonstrate the safety of OOS tisagenlecleucel in pediatric/young adult patients with relapsed/refractory B-cell Acute Lymphoblastic Leukemia (Group A, pALL) and Large B-cell Lymphoma (Group B, LBCL) through the monitoring of relevant clinical and laboratory safety parameters. |
Secondary Outcome Measures
Measure: | Group A (pALL): Overall Remission Rate (ORR) |
Time Frame: | Screening through to EOT (Month 3)/Early Withdrawal |
Safety Issue: | |
Description: | ORR |
Measure: | Group B (LBCL): Overall Response Rate |
Time Frame: | Screening through to EOT (Month 3)/Early Withdrawal |
Safety Issue: | |
Description: | ORR |
Details
Phase: | Phase 3 |
Primary Purpose: | Interventional |
Overall Status: | Recruiting |
Lead Sponsor: | Novartis Pharmaceuticals |
Trial Keywords
- out of specification
- tisagenlecleucel
- acute lymphoblastic leukemia
- large B-cell lymphoma
- relapsed/refractory
- pediatric
- young adult patients
Last Updated
August 18, 2021