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▎WuXi AppTec Content Team Editor Today, the U.
S.
Food and Drug Administration announced that it has approved the expanded scope of the CD19-targeted CAR-T therapy Yescarta (axicabtagene ciloleucel) developed by Kite Pharma, a subsidiary of Gilead Sciences, for the second-line treatment of large B-cell lymphoma (LBCL).
adult patients
.
They developed resistance after first-line chemoimmunotherapy, or relapsed within 12 months of first-line therapy
.
This therapy is not indicated for the treatment of patients with primary central nervous system lymphoma
.
According to a press release from Kite Pharma, this is "the first approved therapy to improve patient outcomes compared to standard therapy in nearly 30 years
.
"
Yescarta is the second FDA-approved CAR-T cell therapy, which guides and activates T cells to kill cancerous B cells by targeting the CD19 antigen on the surface of B cells
.
This approval is based on positive results from the randomized, open-label clinical trial ZUMA-7
.
A total of 359 patients were randomized to receive a single dose of Yescarta or standard second-line therapy
.
The primary efficacy endpoint was event-free survival (EFS)
.
The trial results showed that patients in the Yescarta group had significantly prolonged EFS (HR=0.
40, 95% CI: 0.
31, 0.
51; p<0.
0001)
.
The estimated EFS was 8.
3 months in the Yescarta group and 2.
0 months in the standard-care group
.
The independent review committee-assessed objective response rate in the Yescarta arm was 83%, significantly better than the 50% in the control arm
.
In terms of safety, 90% of treated non-Hodgkin lymphoma patients developed cytokine release syndrome (CRS), and the proportion of grade 3 or higher CRS was 9%
.
The incidence of neurotoxicity was 78% (grade 3 or higher, 25%)
.
Christi Shaw, Chief Executive Officer of Kite, said: "Kite started with a very bold goal: to create hope for survival through cell therapy
.
Today's FDA approval enables the power of CAR-T cell therapy to be harnessed earlier in the therapeutic journey, providing the More patients bring hope!" Reference: [1] FDA approves axicabtagene ciloleucel for second-line treatment of large B-cell lymphoma.
Retrieved April 1, 2022, from https:// /resources-information-approved-drugs/fda-approves-axicabtagene-ciloleucel-second-line-treatment-large-b-cell-lymphoma[2] Yescarta® Receives US FDA Approval as First CAR T-cell Therapy for Initial Treatment of Relapsed or Refractory Large B-cell Lymphoma (LBCL).
Disclaimer: The WuXi AppTec content team focuses on introducing global biomedical health research progress
.
This article is for information exchange purposes only, and the views expressed in this article do not represent WuXi AppTec's position, nor do they represent WuXi AppTec's support or opposition to the views expressed in this article
.
This article is also not a treatment plan recommendation
.
For guidance on treatment options, please visit a regular hospital
.
S.
Food and Drug Administration announced that it has approved the expanded scope of the CD19-targeted CAR-T therapy Yescarta (axicabtagene ciloleucel) developed by Kite Pharma, a subsidiary of Gilead Sciences, for the second-line treatment of large B-cell lymphoma (LBCL).
adult patients
.
They developed resistance after first-line chemoimmunotherapy, or relapsed within 12 months of first-line therapy
.
This therapy is not indicated for the treatment of patients with primary central nervous system lymphoma
.
According to a press release from Kite Pharma, this is "the first approved therapy to improve patient outcomes compared to standard therapy in nearly 30 years
.
"
Yescarta is the second FDA-approved CAR-T cell therapy, which guides and activates T cells to kill cancerous B cells by targeting the CD19 antigen on the surface of B cells
.
This approval is based on positive results from the randomized, open-label clinical trial ZUMA-7
.
A total of 359 patients were randomized to receive a single dose of Yescarta or standard second-line therapy
.
The primary efficacy endpoint was event-free survival (EFS)
.
The trial results showed that patients in the Yescarta group had significantly prolonged EFS (HR=0.
40, 95% CI: 0.
31, 0.
51; p<0.
0001)
.
The estimated EFS was 8.
3 months in the Yescarta group and 2.
0 months in the standard-care group
.
The independent review committee-assessed objective response rate in the Yescarta arm was 83%, significantly better than the 50% in the control arm
.
In terms of safety, 90% of treated non-Hodgkin lymphoma patients developed cytokine release syndrome (CRS), and the proportion of grade 3 or higher CRS was 9%
.
The incidence of neurotoxicity was 78% (grade 3 or higher, 25%)
.
Christi Shaw, Chief Executive Officer of Kite, said: "Kite started with a very bold goal: to create hope for survival through cell therapy
.
Today's FDA approval enables the power of CAR-T cell therapy to be harnessed earlier in the therapeutic journey, providing the More patients bring hope!" Reference: [1] FDA approves axicabtagene ciloleucel for second-line treatment of large B-cell lymphoma.
Retrieved April 1, 2022, from https:// /resources-information-approved-drugs/fda-approves-axicabtagene-ciloleucel-second-line-treatment-large-b-cell-lymphoma[2] Yescarta® Receives US FDA Approval as First CAR T-cell Therapy for Initial Treatment of Relapsed or Refractory Large B-cell Lymphoma (LBCL).
Disclaimer: The WuXi AppTec content team focuses on introducing global biomedical health research progress
.
This article is for information exchange purposes only, and the views expressed in this article do not represent WuXi AppTec's position, nor do they represent WuXi AppTec's support or opposition to the views expressed in this article
.
This article is also not a treatment plan recommendation
.
For guidance on treatment options, please visit a regular hospital
.