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DRUG CLASS:

CD19-targeted CAR-T immunotherapy

Related drugs:
1d
TRANSCEND-CLL-004: Study Evaluating Safety and Efficacy of JCAR017 in Subjects With Relapsed or Refractory Chronic Lymphocytic Leukemia (CLL) or Small Lymphocytic Lymphoma (SLL) (clinicaltrials.gov)
P1/2, N=209, Recruiting, Juno Therapeutics, a Subsidiary of Celgene | Active, not recruiting --> Recruiting | Trial completion date: Jul 2026 --> Nov 2027 | Trial primary completion date: Jul 2026 --> Nov 2027
Enrollment open • Trial completion date • Trial primary completion date
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PLCG2 (Phospholipase C Gamma 2) • CD5 (CD5 Molecule)
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CD19 positive • PLCG2 mutation
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Venclexta (venetoclax) • Imbruvica (ibrutinib) • Breyanzi (lisocabtagene maraleucel)
1d
CAR-T Cell Therapy for Desensitization in Kidney Transplantation (clinicaltrials.gov)
P1, N=20, Not yet recruiting, National Institute of Allergy and Infectious Diseases (NIAID) | Initiation date: Mar 2024 --> May 2024
Trial initiation date • CAR T-Cell Therapy
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HLA-DRB1 (Major Histocompatibility Complex, Class II, DR Beta 1) • HLA-B (Major Histocompatibility Complex, Class I, B) • HLA-C (Major Histocompatibility Complex, Class I, C)
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cyclophosphamide • fludarabine IV • huCART19
2d
New P1 trial • CAR T-Cell Therapy
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cyclophosphamide • Meta10-19
4d
CD79b-19 CAR T Cells in Non-Hodgkin Lymphoma (clinicaltrials.gov)
P1, N=24, Recruiting, Marcela V. Maus, M.D.,Ph.D. | Trial completion date: Oct 2027 --> Jan 2028 | Trial primary completion date: Oct 2025 --> Jan 2027
Trial completion date • Trial primary completion date • CAR T-Cell Therapy
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CD79B (CD79b Molecule)
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cyclophosphamide • fludarabine IV
5d
Persistent Cytopenia After CD19 CAR T Therapy in Relapsed/Refractory DLBCL Patients Could Be a Predictor of Efficacy and Side Effects. (PubMed, Cell Transplant)
Patients received lymphodepleting chemotherapy with fludarabine and cyclophosphamide before CAR T cell therapy. Progression-free and overall survival were higher in patients with Grades 3-4 persistent cytopenia than in those without cytopenia. Therefore, persistent cytopenia after anti-CD19 CAR T cell therapy in patients with R/R DLBCL can predict therapeutic efficacy and AEs, allowing clinicians to determine the efficiency of CD-19 CAR T cell therapy and the associated AEs.
Journal • Adverse events
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IL6 (Interleukin 6)
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cyclophosphamide • fludarabine IV
7d
Efficacy and safety of bendamustine for lymphodepletion before lisocabtagene maraleucel. (PubMed, J Hematol Oncol)
Bendamustine has been retrospectively shown to be an effective and safe lymphodepletion regimen prior to the anti-CD19 chimeric antigen receptor T cell (CART) products tisagenlecleucel and axicabtagene ciloleucel, as well as the anti-BCMA CART products idecabtagene vicleucel and ciltacabtagene autoleucel. Neutropenia ≥ grade 3 was observed in 29.0% of patients; thrombocytopenia ≥ grade 3 occurred in 9.7%. In conclusion, bendamustine lymphodepletion before liso-cel appears to be a strategy that can drive tumor responses while ensuring a mild toxicity profile.
Journal
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CD8 (cluster of differentiation 8) • CD4 (CD4 Molecule)
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Yescarta (axicabtagene ciloleucel) • Breyanzi (lisocabtagene maraleucel) • Kymriah (tisagenlecleucel-T) • bendamustine • Abecma (idecabtagene vicleucel) • Carvykti (ciltacabtagene autoleucel)
8d
RESET-MG: A Study to Evaluate the Safety and Efficacy of CABA-201 in Participants With Generalized Myasthenia Gravis (clinicaltrials.gov)
P1/2, N=12, Not yet recruiting, Cabaletta Bio | Trial completion date: Jul 2028 --> Sep 2029 | Initiation date: May 2024 --> Aug 2024 | Trial primary completion date: Jul 2028 --> Sep 2029
Trial completion date • Trial initiation date • Trial primary completion date • CAR T-Cell Therapy
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cyclophosphamide
8d
New P2 trial • CAR T-Cell Therapy
10d
MPCT-012L: Study of IMPT-314 in R/R Aggressive B-cell NHL (clinicaltrials.gov)
P1/2, N=150, Recruiting, ImmPACT Bio | N=100 --> 150
Enrollment change
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BCL2 (B-cell CLL/lymphoma 2) • BCL6 (B-cell CLL/lymphoma 6)
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BCL6 rearrangement • BCL2 rearrangement
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IMPT-314
11d
New P1 trial
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cyclophosphamide • TAK-007
11d
A Study to Evaluate the Safety and Efficacy of JCAR017 in Pediatric Subjects With Relapsed/Refractory (r/r) B-cell Acute Lymphoblastic Leukemia (B-ALL) and B-cell Non-Hodgkin Lymphoma (B-NHL) (clinicaltrials.gov)
P1/2, N=20, Completed, Celgene | Recruiting --> Completed | N=121 --> 20 | Trial completion date: Dec 2024 --> Jan 2024 | Trial primary completion date: Dec 2024 --> Jan 2024
Trial completion • Enrollment change • Trial completion date • Trial primary completion date
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CD19 (CD19 Molecule)
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CD19 expression
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cyclophosphamide • Breyanzi (lisocabtagene maraleucel) • fludarabine IV
11d
Context matters: Tumor microenvironments impact cellular therapy success. (PubMed, Cell Rep Med)
present data from pretreatment tumor biopsies taken on the ZUMA-7 trial. Their results identify tumor microenvironment (TME) contexts and level of CD19 expression as prognostic indicators for responses to axicabtagene ciloleucel (axi-cel).
Journal
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CD19 (CD19 Molecule)
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CD19 expression
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Yescarta (axicabtagene ciloleucel)
14d
Anti-CD19-CAR-T Cells in Relapsed/Refractory B-cell Tumor Patients. (clinicaltrials.gov)
P1, N=12, Recruiting, Shanghai Tongji Hospital, Tongji University School of Medicine
New P1 trial • CAR T-Cell Therapy
15d
Early CAR- CD4+ T-lymphocytes recovery following CAR-T cell infusion: A worse outcome in diffuse large B cell lymphoma. (PubMed, EJHaem)
Among possible determinants of CD4+ T cell recovery, we recognized infusion of a 4-1BB product (tisagenlecleucel, TSA) in comparison with a CD28 (axicabtagene/brexucabtagene, AXI/BRX) (hazard ratio [HR] [95% CI]: 5.79 [1.16-24.12] p = 0.016). We conclude that a faster CAR- CD4+ T cell recovery is associated with TSA as compared to AXI/BRX. Month-1 CAR- CD4+ T cell subset recovery could represent a "red flag" for CAR-T cell therapy failure in DLBCL patients.
Journal • CAR T-Cell Therapy
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CD4 (CD4 Molecule)
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Yescarta (axicabtagene ciloleucel) • Kymriah (tisagenlecleucel-T) • Tecartus (brexucabtagene autoleucel)
15d
Enrollment open • CAR T-Cell Therapy
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CD22 (CD22 Molecule)
15d
New P1 trial
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IFNG (Interferon, gamma) • TNFA (Tumor Necrosis Factor-Alpha)
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cyclophosphamide • fludarabine IV • ATHENA CAR-T
15d
A Study of Anti-CD19 Chimeric Antigen Receptor T-Cell (CD19 CAR T) Therapy, in Subjects With Refractory Lupus Nephritis (clinicaltrials.gov)
P1/2, N=32, Recruiting, Kyverna Therapeutics | Phase classification: P1 --> P1/2 | N=12 --> 32
Phase classification • Enrollment change • CAR T-Cell Therapy
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cyclophosphamide • fludarabine IV
17d
New P2 trial
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CD19 positive
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cyclophosphamide • fludarabine IV • humanized CD19 CAR-T cells
17d
Tisagenlecleucel In Primary CNS Lymphoma (clinicaltrials.gov)
P1, N=6, Active, not recruiting, Matthew J. Frigault, M.D. | Recruiting --> Active, not recruiting | Trial completion date: Nov 2022 --> Dec 2024
Enrollment closed • Trial completion date
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Kymriah (tisagenlecleucel-T)
18d
Early Clinical Study of UTAA09 Injection in the Treatment of Relapsed/Refractory Autoimmune Diseases (clinicaltrials.gov)
P=N/A, N=10, Recruiting, PersonGen BioTherapeutics (Suzhou) Co., Ltd. | Not yet recruiting --> Recruiting
Enrollment open
18d
New P1/2 trial • CAR T-Cell Therapy
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CD19 expression
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Rituxan (rituximab) • cyclophosphamide • fludarabine IV
21d
Post-infusion PD-1+CD8+CAR-T cells identify patients responsive to CD19-CAR-T therapy in non-Hodgkin's lymphoma. (PubMed, Blood Adv)
Additionally, we identified a subset of PD-1+ CD8+ CAR+ T cells with effector-like function that was increased in patients who achieved a CR and was associated with Grade 3 or higher immune effector cell-associated neurotoxicity syndrome. Here we identified robust biomarkers of response to CD28-CAR-T and highlight the importance of PD-1 positivity in CD8+ CAR-T cells post-infusion in achieving CR.
Journal • CAR T-Cell Therapy • PD(L)-1 Biomarker • IO biomarker
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CD8 (cluster of differentiation 8) • PD-1 (Programmed cell death 1) • HAVCR2 (Hepatitis A Virus Cellular Receptor 2)
21d
New trial
21d
Enrollment open • CAR T-Cell Therapy
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bendamustine
21d
ZUMA-25: Study of Brexucabtagene Autoleucel in Adults With Rare B-cell Malignancies (clinicaltrials.gov)
P2, N=90, Recruiting, Kite, A Gilead Company | Trial completion date: Dec 2027 --> Mar 2025 | Trial primary completion date: Dec 2027 --> Mar 2025
Trial completion date • Trial primary completion date • Pan tumor
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cyclophosphamide • fludarabine IV • Tecartus (brexucabtagene autoleucel)
22d
New P1/2 trial • CAR T-Cell Therapy
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cyclophosphamide
23d
huJCAR014 CAR-T Cells in Treating Adult Patients With Relapsed or Refractory B-Cell Non-Hodgkin Lymphoma or Acute Lymphoblastic Leukemia (clinicaltrials.gov)
P1, N=55, Terminated, Fred Hutchinson Cancer Center | Active, not recruiting --> Terminated; Terminated due to slow enrollment and end of funding
Trial termination • CAR T-Cell Therapy
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BCL2 (B-cell CLL/lymphoma 2) • CD19 (CD19 Molecule) • BCL6 (B-cell CLL/lymphoma 6) • IL6 (Interleukin 6) • CD4 (CD4 Molecule) • SELL (Selectin L)
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CD19 positive • CD8 expression • CD19 expression • BCL6 rearrangement • BCL2 rearrangement • CD20 negative • CD4 expression
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cyclophosphamide • fludarabine IV • JCAR014
23d
New trial
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Breyanzi (lisocabtagene maraleucel) • Abecma (idecabtagene vicleucel)
24d
CD19-BAFF CAR-T Cells Therapy for Patients With Autoimmune Diseases (clinicaltrials.gov)
P1, N=45, Recruiting, Zhejiang University | Not yet recruiting --> Recruiting
Enrollment open • CAR T-Cell Therapy
25d
Enrollment closed
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BCL2 (B-cell CLL/lymphoma 2) • BCL6 (B-cell CLL/lymphoma 6)
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BCL6 rearrangement • BCL2 rearrangement
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cyclophosphamide • Yescarta (axicabtagene ciloleucel) • fludarabine IV
28d
ZUMA-22: Study of Axicabtagene Ciloleucel Versus Standard of Care Therapy in Participants With Relapsed/Refractory Follicular Lymphoma (clinicaltrials.gov)
P3, N=230, Recruiting, Kite, A Gilead Company | Trial completion date: Jan 2031 --> Oct 2030 | Trial primary completion date: Jan 2031 --> Oct 2030
Trial completion date • Trial primary completion date
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Rituxan (rituximab) • lenalidomide • doxorubicin hydrochloride • cyclophosphamide • vincristine • Yescarta (axicabtagene ciloleucel) • prednisone • bendamustine • fludarabine IV
28d
CARTIMMUNE: Study of Patients With Autoimmune Diseases Receiving KYV-101 (clinicaltrials.gov)
P1, N=24, Not yet recruiting, David Porter | Trial completion date: Feb 2028 --> Jun 2028 | Initiation date: Feb 2024 --> Jun 2024 | Trial primary completion date: Feb 2028 --> Jun 2028
Trial completion date • Trial initiation date • Trial primary completion date • CAR T-Cell Therapy
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cyclophosphamide • fludarabine IV
28d
Testing Drug Treatments After CAR T-cell Therapy in Patients With Relapsed/Refractory Diffuse Large B-cell Lymphoma (clinicaltrials.gov)
P2, N=396, Recruiting, SWOG Cancer Research Network | Trial primary completion date: Dec 2024 --> Dec 2025
Trial primary completion date • CAR T-Cell Therapy
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cyclophosphamide • Yescarta (axicabtagene ciloleucel) • Breyanzi (lisocabtagene maraleucel) • Kymriah (tisagenlecleucel-T) • fludarabine IV • Polivy (polatuzumab vedotin-piiq) • Lunsumio (mosunetuzumab-axgb)
28d
P-CD19CD20-ALLO1 Allogeneic CAR-T Cells in the Treatment of Subjects With B Cell Malignancies (clinicaltrials.gov)
P1, N=100, Recruiting, Poseida Therapeutics, Inc. | Initiation date: Jan 2024 --> Apr 2024
Trial initiation date • CAR T-Cell Therapy
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CD20 (Membrane Spanning 4-Domains A1) • CD5 (CD5 Molecule) • FCER2 (Fc Fragment Of IgE Receptor II)
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CD20 positive
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P-CD19CD20-ALLO1 • rimiducid (AP1903)
28d
Enrollment change • Trial withdrawal
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Rituxan (rituximab) • cyclophosphamide • Zydelig (idelalisib) • Breyanzi (lisocabtagene maraleucel) • bendamustine • fludarabine IV • Belrapzo (bendamustine RTD)
28d
New trial • CAR T-Cell Therapy
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CD22 (CD22 Molecule)
29d
Acalabrutinib + Liso-Cel In R/R Aggressive B-Cell Lymphomas (clinicaltrials.gov)
P2, N=27, Recruiting, Patrick C. Johnson, MD | Not yet recruiting --> Recruiting | Trial completion date: Sep 2029 --> Mar 2029 | Trial primary completion date: Sep 2024 --> Mar 2025
Enrollment open • Trial completion date • Trial primary completion date • Combination therapy
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BCL2 (B-cell CLL/lymphoma 2) • BCL6 (B-cell CLL/lymphoma 6)
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BCL6 rearrangement • BCL2 rearrangement
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cyclophosphamide • Calquence (acalabrutinib) • Breyanzi (lisocabtagene maraleucel) • fludarabine IV
29d
New P1 trial
29d
Trial completion • Trial completion date
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CD19 (CD19 Molecule)
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CD19 expression
1m
New P1/2 trial
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cyclophosphamide • fludarabine IV
1m
New P1 trial • CAR T-Cell Therapy
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cyclophosphamide • fludarabine IV
1m
B-cell-directed CAR-T cell therapy activates CD8+ cytotoxic CARneg bystander T-cells in non-human primates and patients. (PubMed, Blood)
A transcriptionally similar population was identified in patients following Tisagenlecleucel infusion...In vitro activated and patient-derived T-cells with the bystander phenotype efficiently killed leukemic cells through a TCR-independent mechanism. Collectively, this dataset provides the first comprehensive identification and profiling of CARneg bystander CD8+ T-cells following B-cell targeting CAR-T cell therapy and suggests a novel mechanism through which CAR-T cell infusion might trigger enhanced anti-leukemic responses.
Journal • CAR T-Cell Therapy • IO biomarker
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CD20 (Membrane Spanning 4-Domains A1) • CD8 (cluster of differentiation 8) • IL2 (Interleukin 2) • KIR3DL2 (Killer Cell Immunoglobulin Like Receptor Three Ig Domains And Long Cytoplasmic Tail 2) • IL15 (Interleukin 15) • KLRD1 (Killer Cell Lectin Like Receptor D1)
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Kymriah (tisagenlecleucel-T)