美国食品和药物管理局批准摘要:利索卡巴泰基因马拉莱塞尔用于复发性或耐火性囊性淋巴瘤
Kristen Britton1, Upendra Mahat1, Nicholas C Richardson1
1United States Food and Drug Administration, Silver Spring, MD, United States.
概括
利索卡巴丁马拉莱塞尔 (Lisocabtagene maraleucel) 获得了FDA对复发性或耐火性卵泡淋巴瘤 (FL) 的加速批准. TRANSCEND-FL试验显示了高响应率,95.7%的整体响应和73.4%的R/R FL患者的完整响应.
科学领域:
- 血液学 血液学 血液学
- 在瘤学瘤学.
- 药理学 药理学是指药理学的学科.
背景情况:
- 毛囊性淋巴瘤 (FL) 是一种惰性非霍奇金淋巴瘤.
- 复发性或耐火性 (R/R) FL 存在治疗方面的挑战.
- 利索卡巴丁基马拉莱塞尔是一种CAR T细胞疗法.
研究的目的:
- 为了总结利索卡巴泰基因maraleucel对R/R FL的监管审查.
- 提出有效性和安全性数据支持其加速批准.
主要方法:
- 第二阶段,单臂,开放标签,多中心 TRANSCEND-FL试验.
- 评估了R/R惰性非霍奇金淋巴瘤的成年人中的 lisocabtagene maraleucel.
- 主要疗效群体:94名患有R/RFL和≥2次先前治疗的患者.
主要成果:
- 总体应答率 (ORR):95.7% (95% CI:89.5,98.8). 总体应答率 (ORR):95.7% (95% CI:89.5,98.8) 总体应答率 (ORR) 总体应答率 (ORR) 总体应答率 (ORR) 总体应答率 (ORR) 总体应答率 (ORR) 总体应答率 (ORR) 总体应答率 (ORR) 总体应答率 (ORR) 总体应答率 (ORR) 总体应答率 (ORR) 总体应答率 (ORR)
- 完整反应 (CR) 率: 73.4% (95% CI: 63.3, 82.0). 没有任何反应.
- 响应的平均持续时间未达到;1年缓解率:81%.
结论:
- 利索卡巴丁马拉莱塞尔在R/R FL中表现出显著的疗效.
- 获得了加速批准,需要进行营销后研究.
- 副作用包括细胞因子释放综合征和神经毒性.
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