FDA investigating risk of malignancy linked with CAR-T cell therapies

29 November 2023
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The US Food and Drug Administration (FDA) yesterday said it has received reports of T-cell malignancies, including chimeric antigen receptor CAR-positive lymphoma, in patients who received treatment with BCMA- or CD19-directed autologous chimeric antigen receptor (CAR)-T cell immunotherapies.

The FDA has determined that the risk of T-cell malignancies is applicable to all currently approved BCMA-directed and CD19-directed genetically modified autologous CAR T cell immunotherapies.  T-cell malignancies have occurred in patients treated with several products in the class. Currently approved products in this class (listed alphabetically by trade name) include the following:

  • Bristol Myers Squibb’s (NYSE: BMY) Abecma (idecabtagene vicleucel) and Breyanzi (lisocabtagene maraleucel);
  • Johnson & Johnson (NYSE: JNJ) and Legend Biotech's (Nasdaq: LEGN) Carvykti (ciltacabtagene autoleucel);
  • Novartis' (NOVN: VX) Kymriah (tisagenlecleucel); and
  • Gilead Sciences' (Nasdaq: GILD) Tecartus (brexucabtagene autoleucel) and Yescarta (axicabtagene ciloleucel).

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