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CTL019

Phase 3

B-Cell Acute Lymphoblastic Leukemia | Monoclonal antibody | Oncology |Novartis AG|Last Updated: Jun 2, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
CONTROLLEDDMCBiomarker
Total Trials3
Total Enrollment401
FDA Designations
No designations recorded
Clinical Trials (3)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT04094311Study of Out of Specification for TisagenlecleucelPHASE3 RECRUITING 200Nov 21, 2019Mar 31, 2027Apr 20, 202653 Canada, Japan
NCT03876769Study of Efficacy and Safety of Tisagenlecleucel in HR B-ALL EOC MRD Positive PatientsPHASE2 ACTIVE NOT_RECRUITING 121Jun 24, 2019Oct 19, 2027Jun 2, 202643 United States, Belgium +9
NCT02435849Study of Efficacy and Safety of CTL019 in Pediatric ALL PatientsPHASE2 COMPLETED 80Apr 8, 2015Nov 17, 2022Feb 13, 202423 United States, Australia +9
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Study Endpoints
Primary Endpoints
Percentage of participants with Adverse Events (AEs)
From Screening up to 3 months for Part 1 and 1 day for Part 2

Percentage of participants with Serious AEs (SAEs) and non-SAEs

Disease Free Survival (DFS) rate without censoring for new anticancer therapy, including Stem Cell Transplantation (SCT) while in remission
5 years after tisagenlecleucel infusion

DFS is defined as the time from the date of tisagenlecleucel infusion to the date of the first documented morphological relapse, occurrence of secondary malignancy or death due to any cause.

Overall Survival (OS) rate
4 years after tisagenlecleucel

OS is defined as the time from date of first tisagenlecleucel infusion to the date of death due to any reason.

Percentage of Participants With Overall Remission Rate (ORR) as Determined by Independent Review Committee (IRC) Assessment.
during the 3 months after tisagenlecleucel administration

Evaluating the efficacy of tisagenlecleucel therapy from all manufacturing facilities as measured by overall remission rate (ORR) during the 3 months after tisagenlecleucel administration. ORR included complete response (CR) and CR with incomplete blood count recovery (CRi) as determined by an Independent Review Committee assessment. Per response criteria defined by National Comprehensive Cancer Network (NCCN), American Society of Hematology (ASH) and International Working Group (IWG) guidelines. CR is defined as: Bone marrow \<5% blasts, Peripheral blood: Neutrophils \>1.0 x 10\^9/L, and Platelets \>100 x 10\^9/L and Circulating blasts \<1% and No evidence of extramedullary disease, at least 7 days transfusion independency. CRi is defined as all the prior criteria being met, except that the following exists: Neutrophils ≤1.0 x 10\^9/L, and/or Platelets ≤100 x 10\^9/L, and/or Platelet and/or neutrophil transfusions ≤7 days before the date of the peripheral blood sample for disease assessment.

Secondary Endpoints
Part 1: Overall Remission Rate in Group A (pALL)
Up to 3 months
Part 1: Overall Response Rate in Group B (LBCL)
Up to 3 months
Percentage of participants who are disease free without allogeneic stem cell transplant (SCT)
12 months after last infusion
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Study Design & Arms
AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Group A: pALLEXPERIMENTALPediatric/young adult patients with r/r pALL who meet the indication in the Health Authority-approved CTL019 package insert in the respective country/region whose final manufactured product is OOS for commercial release, but it is considered that the benefit-risk profile may remain favorable and the usual expected benefits of infusing such a product outweigh the potential risks for the patient.
Group B: r/r LBCLEXPERIMENTALAdult 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 package insert for CTL019 in the respective country/region whose final manufactured product is OOS for commercial release, but it is considered that the benefit-risk profile may remain favorable and the usual expected benefits of infusing such a product outweigh the potential risks for the patient.
Group C: r/r NHLEXPERIMENTALAdult patients with r/r NHL in consistent with the Health Authority approved indication in the package insert for CTL019 in Japan whose final manufactured product is OOS for commercial release, but it is considered that the benefit-risk profile may remain favorable and the usual expected benefits of infusing such a product outweigh the potential risks for the patient.
Single dose of CTL019EXPERIMENTALBased on the subject's weight one of two possible dose ranges will be prepared for the subject: Subjects ≤ 50 kg: 0.2 to 5.0 x 10(6) CAR-positive viable T cells per kg body weight OR Subjects \> 50 kg: 0.1 to 2.5 x 10(8) CAR-positive viable T cells
Interventions
NameTypeDescription
CTL019BIOLOGICALA single intravenous (i.v.) infusion of CAR-positive viable T cells.
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Eligibility Criteria
Age Range0 Years — 100 Years
SexALL
Healthy VolunteersNo
Study Sites53

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 t...

Countries:CanadaJapanUnited StatesBelgiumDenmarkFranceItalyNetherlandsNorwaySpainSwedenUnited KingdomAustraliaAustriaGermany
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Recent Changes (Last 90 Days)
MEDIUMJun 2, 2026NCT03876769primaryCompletionDate: changed
MEDIUMJun 2, 2026NCT03876769primaryCompletionDate: changed
MEDIUMJun 2, 2026NCT03876769primaryCompletionDate: changed
LOWMay 26, 2026NCT04094311primaryCompletionDate: changed
LOWMay 26, 2026NCT03876769primaryCompletionDate: changed
LOWMay 24, 2026NCT04094311studyFirstPostDate: changed
LOWMay 24, 2026NCT03876769studyFirstPostDate: changed