Tisagenlecleucel
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Also known as CART-19CART19CTL-019CTL019KymriahTisagenlecleucel-t
Summary
Tisagenlecleucel (CHEMBL3301574) is an approved cell (ATC L01XL04); indicated across 15 conditions including b-cell acute lymphoblastic leukemia and diffuse large b-cell lymphoma; with CIViC clinical evidence for 1 variant-indication association (e.g. CD19 delta-ex2, delta-ex5-6 in b-lymphoblastic leukemia/lymphoma).
At a glance
- Status: Approved (max clinical phase 4)
- Modality: Cell
- ATC class: L01XL04
- Indications: 15 conditions
- Clinical trials: 53
- Precision-oncology evidence (CIViC): 1 variant–indication association
Identifiers
Drug identity and classification
| Field | Value |
|---|---|
| ChEMBL ID | CHEMBL3301574 |
| Name | Tisagenlecleucel |
| Type | Cell |
| Max phase | 4 |
| ATC | L01XL04 |
Also known as: CART-19, CART19, CTL-019, CTL019, Kymriah, Tisagenlecleucel, Tisagenlecleucel-t, TISAGENLECLEUCEL
Targets
Targets
No target linkage available.
Bioactivity
No ChEMBL bioactivity rows at pChembl ≥ 5 (expected for biologics / antibodies).
Target pathways
No target-pathway data for this drug (no mapped target genes).
Indications & clinical
Indications
15 indications (2 at ChEMBL trial phase 4). Phase below is the highest clinical-trial phase recorded for this drug against each disease — not the molecule’s overall approval status (that is in the Summary).
| Indication | Trial phase | MONDO | EFO |
|---|---|---|---|
| B-cell acute lymphoblastic leukemia | 4 | MONDO:0004947 | EFO:0000094 |
| diffuse large B-cell lymphoma | 4 | MONDO:0018905 | EFO:0000403 |
| neoplasm of mature B-cells | 3 | MONDO:0004949 | EFO:0000096 |
| acute lymphoblastic leukemia | 3 | MONDO:0004967 | EFO:0000220 |
| non-Hodgkin lymphoma | 3 | MONDO:0018908 | EFO:0005952 |
| follicular lymphoma | 3 | MONDO:0018906 | MONDO:0018906 |
| B-cell chronic lymphocytic leukemia | 2 | MONDO:0004948 | EFO:0000095 |
| leukemia | 2 | MONDO:0005059 | EFO:0000565 |
| plasma cell myeloma | 2 | MONDO:0009693 | EFO:0001378 |
| acute myeloid leukemia | 1 | MONDO:0018874 | EFO:0000222 |
| lymphoma | 1 | MONDO:0005062 | EFO:0000574 |
| lymphoid leukemia | 1 | MONDO:0005402 | EFO:0004289 |
| Hodgkins lymphoma | 0 | MONDO:0004952 | EFO:0000183 |
2 further indication records had no mapped disease name (EFO/MeSH-only) or were duplicates, and are omitted.
Clinical trials
Total trials: 53.
Phase distribution
| Phase | Trials |
|---|---|
| PHASE2 | 19 |
| PHASE1 | 13 |
| PHASE1/PHASE2 | 6 |
| Not specified | 6 |
| PHASE3 | 4 |
| PHASE2/PHASE3 | 3 |
| EARLY_PHASE1 | 2 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT04094311 | PHASE3 | RECRUITING | Study of Out of Specification for Tisagenlecleucel |
| NCT05888493 | PHASE3 | ACTIVE_NOT_RECRUITING | A Phase III Trial Comparing Tisagenlecleucel to Standard of Care (SoC) in Adult Participants With r/r Follicular Lymphoma |
| NCT03027739 | PHASE2/PHASE3 | UNKNOWN | CART-19 Cells For MRD Positive CD19+ ALL |
| NCT03123939 | PHASE3 | COMPLETED | Phase III B in Acute Lymphoblastic Leukemia |
| NCT03391726 | PHASE2/PHASE3 | UNKNOWN | CART-19 Cells for R/R B-cell Lymphoma |
| NCT03391739 | PHASE2/PHASE3 | UNKNOWN | CART-19 Cells For R/R B-ALL |
| NCT03628053 | PHASE3 | WITHDRAWN | Tisagenlecleucel vs Blinatumomab or Inotuzumab for Patients With Relapsed/Refractory B-cell Precursor Acute Lymphoblastic Leukemia |
| NCT03642626 | PHASE2 | ACTIVE_NOT_RECRUITING | MT2017-45: CAR-T Cell Therapy for Heme Malignancies |
| NCT03876769 | PHASE2 | ACTIVE_NOT_RECRUITING | Study of Efficacy and Safety of Tisagenlecleucel in HR B-ALL EOC MRD Positive Patients |
| NCT04234061 | PHASE2 | ACTIVE_NOT_RECRUITING | Clinical Trial to Assess The Efficacy and Safety of the Combination of Tisagenlecleucel And Ibrutinib in Mantle Cell Lymphoma |
| NCT05460533 | PHASE2 | ACTIVE_NOT_RECRUITING | A Second Infusion (Early Reinfusion) of Tisagenlecleucel in Children and Young Adults With B-Cell Acute Lymphoblastic Leukemia(B-ALL) |
| NCT05633615 | PHASE2 | RECRUITING | Testing Drug Treatments After CAR T-cell Therapy in Patients With Relapsed/Refractory Diffuse Large B-cell Lymphoma |
| NCT06101381 | PHASE1/PHASE2 | RECRUITING | CD19-directed CAR-T Cell Therapy for R/R Acute Leukemia and Lymphoma |
| NCT06839976 | PHASE1/PHASE2 | RECRUITING | CD19-Directed Chimeric Antigen Receptor Autologous T Cells (CART19) for Lupus |
| NCT01626495 | PHASE1/PHASE2 | COMPLETED | Phase I/IIA Study of CART19 Cells for Patients With Chemotherapy Resistant or Refractory CD19+ Leukemia and Lymphoma |
| NCT01747486 | PHASE2 | COMPLETED | Dose Optimization Trial of CD19 Redirected Autologous T Cells |
| NCT02030834 | PHASE2 | COMPLETED | Phase IIa Study of Redirected Autologous T Cells Engineered to Contain Anti-CD19 Attached to TCRz and 4-Signaling Domains in Patients With Chemotherapy Relapsed or Refractory CD19+ Lymphomas |
| NCT02030847 | PHASE2 | COMPLETED | Study of Redirected Autologous T Cells Engineered to Contain Anti-CD19 Attached to TCR and 4-1BB Signaling Domains in Patients With Chemotherapy Resistant or Refractory Acute Lymphoblastic Leukemia |
| NCT02167360 | PHASE2 | WITHDRAWN | Study of Efficacy and Safety of CTL019 in Adult ALL Patients |
| NCT02228096 | PHASE2 | COMPLETED | Study of Efficacy and Safety of CTL019 in Pediatric ALL Patients |
| NCT02435849 | PHASE2 | COMPLETED | Study of Efficacy and Safety of CTL019 in Pediatric ALL Patients |
| NCT02445248 | PHASE2 | COMPLETED | Study of Efficacy and Safety of CTL019 in Adult DLBCL Patients |
| NCT02794246 | PHASE2 | TERMINATED | CART-19 Post-ASCT for Multiple Myeloma |
| NCT03544021 | PHASE1/PHASE2 | UNKNOWN | CART-19 FOR Relapsed/Refractory Acute Lymphoblastic Leukemia (ALL) |
| NCT03568461 | PHASE2 | COMPLETED | Efficacy and Safety of Tisagenlecleucel in Adult Patients With Refractory or Relapsed Follicular Lymphoma |
| NCT03610724 | PHASE2 | COMPLETED | Phase II Open Label Trial to Determine Safety & Efficacy of Tisagenlecleucel in Pediatric Non-Hodgkin Lymphoma Patients |
| NCT03896854 | PHASE1/PHASE2 | UNKNOWN | CART-19 T Cell in CD19 Positive Relapsed or Refractory Acute Myeloid Leukemia (AML) |
| NCT04156659 | PHASE2 | WITHDRAWN | Study of Tisagenlecleucel in Chinese Pediatric and Young Adult Subjects With Relapsed or Refractory B-cell ALL |
| NCT04161118 | PHASE2 | TERMINATED | TisaGenlecleucel in Elderly Patients With First-Relapsed or Primary Refractory Aggressive B-cell Non-Hodgkin Lymphoma |
| NCT04225676 | PHASE2 | TERMINATED | Study of Efficacy and Safety of Reinfusion of Tisagenlecleucel in Pediatric and Young Adult Patients With Acute Lymphoblastic Leukemia (ALL) |
| NCT04456023 | PHASE2 | WITHDRAWN | Study of Tisagenlecleucel in Chinese Adult Patients With Relapsed or Refractory Diffuse Large B-cell Non-Hodgkin Lymphoma (DLBCL) |
| NCT04855253 | PHASE1/PHASE2 | SUSPENDED | Ph I/II Study of E7777 Prior to CAR-T for R/R LBCL |
| NCT06408194 | PHASE1 | RECRUITING | Autologous CD22 CAR T Cells Following Commercial CD19 CAR T Cells in B Cell Malignancies |
| NCT01029366 | PHASE1 | COMPLETED | CART19 to Treat B-Cell Leukemia or Lymphoma That Are Resistant or Refractory to Chemotherapy |
| NCT01551043 | PHASE1 | TERMINATED | Allo CART-19 Protocol |
| NCT02529813 | PHASE1 | COMPLETED | CD19-Specific T-cells in Treating Patients With Advanced Lymphoid Malignancies |
| NCT02799550 | PHASE1 | UNKNOWN | Allogeneic CART-19 for Elderly Relapsed/Refractory CD19+ ALL |
| NCT02810223 | PHASE1 | UNKNOWN | Efficacy of CART-19 Cell Therapy in B Cell Acute Lymphoblastic Leukemia |
| NCT02924753 | PHASE1 | UNKNOWN | The Safety and Efficacy of CART-19 Cells in B-cell Acute Lymphoblastic Leukemia (B-ALL). |
| NCT03101709 | PHASE1 | UNKNOWN | The Safety and Efficacy of CART-19 Cells in Relapse and Refractory Patients With CD19+ B-cell Lymphoma |
Clinical evidence (CIViC)
Variant × indication × effect (1 predictive associations from 1 curated evidence items):
| Variant | Indication | Effect | Therapy | Level | CIViC |
|---|---|---|---|---|---|
| CD19 delta-ex2, delta-ex5-6 | B-lymphoblastic Leukemia/lymphoma | Resistance | Tisagenlecleucel | CIViC D | EID9700 |
Pharmacology
Pharmacogenomics
No PharmGKB pharmacogenomic data curated for this drug.
Related molecules
Related molecules
No competitor molecules sharing a primary target (ChEMBL phase ≥2 or PubChem drug-class).