Study of Out of Specification for Tisagenlecleucel
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
1 other identifier
interventional
200
2 countries
53
Brief Summary
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 CTL019 in the patients treated within the approved label by Japan Health Authority in Part 2. Only for Part 1, in addition to safety, key efficacy of CTL019 will also be evaluated.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_3
Started Nov 2019
Longer than P75 for phase_3
53 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
September 16, 2019
CompletedFirst Posted
Study publicly available on registry
September 18, 2019
CompletedStudy Start
First participant enrolled
November 21, 2019
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 31, 2027
ExpectedStudy Completion
Last participant's last visit for all outcomes
March 31, 2027
April 20, 2026
April 1, 2026
7.4 years
September 16, 2019
April 17, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Percentage of participants with Adverse Events (AEs)
Percentage of participants with Serious AEs (SAEs) and non-SAEs
From Screening up to 3 months for Part 1 and 1 day for Part 2
Secondary Outcomes (2)
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
Study Arms (3)
Group A: pALL
EXPERIMENTALPediatric/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 LBCL
EXPERIMENTALAdult 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 NHL
EXPERIMENTALAdult 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.
Interventions
A single intravenous (i.v.) infusion of CAR-positive viable T cells.
Eligibility Criteria
You may qualify if:
- 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.
You may not qualify if:
- 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.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (53)
Novartis Investigative Site
Hamilton, Ontario, L8V 5C2, Canada
Novartis Investigative Site
Ottawa, Ontario, K1H 8L6, Canada
Novartis Investigative Site
Toronto, Ontario, M5G 1X8, Canada
Novartis Investigative Site
Toronto, Ontario, M5G 2M9, Canada
Novartis Investigative Site
Montreal, Quebec, H1T 2M4, Canada
Novartis Investigative Site
Québec, Quebec, G1R 2J6, Canada
Novartis Investigative Site
Nagoya, Aichi-ken, 4668560, Japan
Novartis Investigative Site
Nagoya, Aichi-ken, 4678602, Japan
Novartis Investigative Site
Tōon, Ehime, 7910295, Japan
Novartis Investigative Site
Gifu, Gifu, 501-1194, Japan
Novartis Investigative Site
Sapporo, Hokkaido, 060-8648, Japan
Novartis Investigative Site
Sapporo, Hokkaido, 0608543, Japan
Novartis Investigative Site
Kobe, Hyōgo, 6500047, Japan
Novartis Investigative Site
Nishinomiya, Hyōgo, 6638501, Japan
Novartis Investigative Site
Tsukuba, Ibaraki, 3058576, Japan
Novartis Investigative Site
Kita-gun, Kagawa-ken, 7610793, Japan
Novartis Investigative Site
Yokohama, Kanagawa-ku, 236-0004, Japan
Novartis Investigative Site
Kyoto, Kyoto, 602-8566, Japan
Novartis Investigative Site
Tsu, Mie-ken, 514-8507, Japan
Novartis Investigative Site
Sendai, Miyagi, 9808574, Japan
Novartis Investigative Site
Matsumoto, Nagano, 3908621, Japan
Novartis Investigative Site
Nagasaki, Nagasaki, 852-8501, Japan
Novartis Investigative Site
Yufu, Oita Prefecture, 8795593, Japan
Novartis Investigative Site
Kurashiki, Okayama-ken, 7108602, Japan
Novartis Investigative Site
Izumi, Osaka, 5941101, Japan
Novartis Investigative Site
Izumisano, Osaka, 5988577, Japan
Novartis Investigative Site
Osaka, Osaka, 5418567, Japan
Novartis Investigative Site
Sakai, Osaka, 590-0197, Japan
Novartis Investigative Site
Suita, Osaka, 565-0871, Japan
Novartis Investigative Site
Izumo, Shimane, 6938501, Japan
Novartis Investigative Site
Hamamatsu, Shizuoka, 4313192, Japan
Novartis Investigative Site
Bunkyo Ku, Tokyo, 113-8655, Japan
Novartis Investigative Site
Bunkyo Ku, Tokyo, 1138431, Japan
Novartis Investigative Site
Bunkyo Ku, Tokyo, 1138677, Japan
Novartis Investigative Site
Bunkyo-ku, Tokyo, 1138519, Japan
Novartis Investigative Site
Chuo Ku, Tokyo, 1040045, Japan
Novartis Investigative Site
Fuchū, Tokyo, 1838524, Japan
Novartis Investigative Site
Minato-ku, Tokyo, 105-8471, Japan
Novartis Investigative Site
Setagaya-ku, Tokyo, 1578535, Japan
Novartis Investigative Site
Shinjuku-ku, Tokyo, 1608582, Japan
Novartis Investigative Site
Aomori, 0308553, Japan
Novartis Investigative Site
Chiba, 2608677, Japan
Novartis Investigative Site
Fukuoka, 8128582, Japan
Novartis Investigative Site
Hiroshima, 7348551, Japan
Novartis Investigative Site
Ishikawa, 9208641, Japan
Novartis Investigative Site
Kumamoto, 860-8556, Japan
Novartis Investigative Site
Kyoto, 6068507, Japan
Novartis Investigative Site
Niigata, 9518520, Japan
Novartis Investigative Site
Okayama, 7008558, Japan
Novartis Investigative Site
Osaka, 543-8555, Japan
Novartis Investigative Site
Osaka, 5458586, Japan
Novartis Investigative Site
Saitama, 330-8777, Japan
Novartis Investigative Site
Wakayama, 641-8510, Japan
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Novartis Pharmaceuticals
Novartis Pharmaceuticals
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 16, 2019
First Posted
September 18, 2019
Study Start
November 21, 2019
Primary Completion (Estimated)
March 31, 2027
Study Completion (Estimated)
March 31, 2027
Last Updated
April 20, 2026
Record last verified: 2026-04
Data Sharing
- IPD Sharing
- Will share
Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations. This trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com