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CTL019 T-cells

Phase 2

B-cell Acute Lymphoblastic Leukemia | Monoclonal antibody | Oncology |Novartis AG|Last Updated: Nov 23, 2020

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
UNCONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment75
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02228096Study of Efficacy and Safety of CTL019 in Pediatric ALL PatientsPHASE2 COMPLETED 75Aug 14, 2014May 24, 2019Nov 23, 202013 United States
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Study Endpoints
Primary Endpoints
Overall Remission Rate (ORR) Per Independent Review Committee (IRC) (for ALL Participants)
within 6 months after CTL019 infusion

ORR is defined as the percentage of participants with a best overall disease response of complete remission (CR) or Complete remission with incomplete blood count recovery (CRi), where the best overall disease response is defined as the best disease response recorded from CTL019 infusion until the start of new anticancer therapy. Best response was assigned in the following order: CR, CRi, CR or CRi with residual mediastinal disease, No response and Unknown.

Overall Remission Rate (ORR) Per Local Investigator Assessment (for Lymphoblastic Lymphoma Patients Only)
6 months after CTL019

Overall Remission Rate (ORR), which includes Complete Remission (CR) and Complete Remission with Incomplete Blood Count Recovery (CRi), as determined by assessments of peripheral blood, bone marrow, CNS symptoms, physical exam (PE) and cerebrospinal fluid (CSF). This primary endpoint was based on the local investigator assessment. No participants with lymphoblastic lymphoma were infused in this study.

Secondary Endpoints
Percentage of Participants With Clinical Response Without Stem Cell Transplantation (SCT) at Month 6 - Per IRC Assessment
Month 6
Percentage of Subjects Who Achieved CR or CRi and Then Proceeded to SCT While in Remission Prior to Month 6 Response - Per IRC Assessment
prior to Month 6
Duration of Remission (DOR) Per Local and IRC Assessment
From CR or CRi to relapse or death up to 60 months
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Study Design & Arms
AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
tisagenlecleucel (CTL019)EXPERIMENTALPediatric patients with relapsed/refractory B-cell ALL
Interventions
NameTypeDescription
CTL019 T-cellsBIOLOGICALA target dose of CTL019 transduced cells will consist of a single infusion of 2.0 to 5.0 x 10\^6 CTL019 transduced cells per kg body weight (for patients ≤ 50 kg) and 1.0 to 2.5 x 10\^8 CTL019 transduced viable T cells (for patients \> 50 kg). The following cell dose ranges may be infused if all other safety release criteria are met: 0.2 to 5.0 x 10\^6 CTL019 transduced viable T cells per kg body weight (for patient ≤ 50 kg) and 0.1 to 2.5 x 10\^8 CTL019 transduced viable T cells (for patients \> 50 kg).
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Eligibility Criteria
Age Range3 Years — 21 Years
SexALL
Healthy VolunteersNo
Study Sites13

Inclusion Criteria: * Relapsed or refractory pediatric B-cell ALL and lymphoblastic lymphoma: 1. 2nd or greater Bone Marrow (BM) relapse OR 2. Any BM relapse after allogeneic SCT and must be \> 6 months from SCT at the time of CTL019 infusion OR 3. Refractory as defined by not achieving a CR...

Countries:United States
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