axicabtagene ciloleucel
Trade name: Yescarta
Approved
Oct 18, 2017
Axicabtagene ciloleucel, sold under the brand name Yescarta, is a medication used for the treatment for large B-cell lymphoma that has failed conventional treatment. T cells are removed from a person with lymphoma and genetically engineered to produce a specific T-cell receptor. The resulting chimeric antigen receptor T cells (CAR-Ts) that react to the cancer are then given back to the person to populate the bone marrow. Axicabtagene treatment carries a risk for cytokine release syndrome (CRS) and neurological toxicities. — Wikipedia
Clinical trial activity
41 trials · 33 clinical orgs · 2 marketing orgs
Earliest trial started Jan 1, 2015 (NCT02348216)
Timeline
2010s
- Mar 27, 2014
Orphan Drug Designation
- Jan 1, 2015
Kite Pharma, Inc. — Earliest Phase 1 Sponsor(trial)
- Jan 1, 2015
Kite Pharma, Inc. — Earliest Phase 2 Sponsor(trial)
- Jan 1, 2017
Gilead Sciences — Earliest Phase 3 Sponsor(trial)
- Oct 18, 2017
Kite Pharma, Inc. — Earliest FDA Approval
- Oct 18, 2017
Kite Pharma, Inc. — NDA Organization
- Oct 18, 2017
Gilead Sciences — NDA Secondary Org
Indications
Approved for
Studied for
- Cytokine Release Syndrome · Phase 2
- Drug-Related Side Effects and Adverse Reactions · Phase 2
- HIV Infections · Phase 1
- Hodgkin Disease · Phase 2
- Lymphoma · Phase 2
- Lymphoma, B-Cell · Phase 4
- Lymphoma, B-Cell, Marginal Zone · Phase 2
- Lymphoma, Follicular · Phase 3
- Lymphoma, Large B-Cell, Diffuse · Phase 3
- Lymphoma, Large-Cell, Immunoblastic · Phase 2
- Lymphoma, Mantle-Cell · Phase 2
- Lymphoma, Non-Hodgkin · Phase 2
- Neoplasms · Phase 2
- Neurotoxicity Syndromes · Phase 2
- Precursor B-Cell Lymphoblastic Leukemia-Lymphoma · Phase 1/Phase 2
- Precursor Cell Lymphoblastic Leukemia-Lymphoma · Phase 2
Mechanism of action
- B-lymphocyte antigen CD19BINDING AGENT
B-lymphocyte antigen CD19 binding agent
T cell immunotherapy. A patients T cells are extracted and modified with a vector that encodes an anti-CD19 chimeric antigen receptor (CAR) to bind and eliminate CD19-expressing cancer cells and normal B cell. The CAR is fused to domains that enhance T-cell activity.
Approval history
- approvedPriority reviewBreakthroughOct 18, 2017
Chemistry & pharmacology
- Chirality
- Single Stereoisomer
- Inorganic
- No
- Polymer
- No
Oral
No
Parenteral
No
Topical
No
Sources
- WikipediaAxicabtagene ciloleucel ↗
- NCATSU2I8T43Y7R ↗
- ChEMBLCHEMBL3989989 ↗
Also known as
- axicabtagene ciloleucel
- kte-c19
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT06902012 | Phase 1/Phase 2 (Phase 2) | Feb 28, 2027 | Southern Medical University |
| NCT07042438 | Phase 2 | Jan 17, 2026 | City of Hope National Medical Center, National Cancer Institute (NCI) |
| NCT06935136 | N/A | Apr 30, 2025 | Jiao Tong University |
| NCT06912529 | Phase 2 | Mar 13, 2025 | Gilead Sciences, University of Munster |
| NCT06826118 | Phase 2 | Feb 8, 2025 | Xiamen University |
| NCT07254754 | Phase 2 | Nov 20, 2024 | Evidenze Health España (CRO), Gilead Sciences, Grupo Español de Linfomas y Transplante Autólogo de Médula Ósea, Hospital General Universitario Gregorio Marañon, University of Barcelona, University of Salamanca |
| NCT06609304 | Phase 4 | Sep 30, 2024 | Zhengzhou University |
| NCT06550141 | Phase 2 | Aug 31, 2024 | Harvard University, Swedish Orphan Biovitrum |
| NCT06213311 | Phase 2 | May 7, 2024 | Genentech, Gilead Sciences, University of Texas at Houston |
| NCT06043323 | Phase 2 | Mar 31, 2024 | University of Texas at Houston |
| NCT05794958 | Phase 1 | May 23, 2023 | Kite Pharma, Inc., Stanford University |
| NCT05800067 | N/A | Mar 4, 2023 | Jiao Tong University |
| NCT05605899 | Phase 3 | Feb 28, 2023 | Gilead Sciences |
| NCT05633615 | Phase 2 | Dec 4, 2022 | Genentech, National Cancer Institute (NCI), SWOG Cancer Research Network |
| NCT05641428 | Phase 2 | Oct 18, 2022 | HOVON - Dutch Haemato-Oncology Association, University of Groningen |
| NCT05371093 | Phase 3 | Sep 12, 2022 | Gilead Sciences |
| NCT05459571 | Phase 2 | Aug 10, 2022 | Gilead Sciences |
| NCT05077527 | Phase 1 | Jan 31, 2022 | AIDS Malignancy Consortium, National Cancer Institute (NCI) |
| NCT05041309 | Phase 2 | Nov 30, 2021 | Gilead Sciences |
| NCT04608487 | Phase 1 | Apr 30, 2021 | Gilead Sciences, Harvard University |
Organizations
Research & Development (33)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| Gilead Sciences | For profit | 15 | 10 | 4 | 2017 |
| Kite Pharma, Inc. | For profit | 8 | 7 | 3 | 2015 |
| National Cancer Institute (NCI) | Government | 4 | 0 | 2 | 2020 |
| Genentech | For profit | 3 | 0 | 1 | 2016 |
| Harvard University | Academic/Hospital | 3 | 3 | 2 | 2019 |
| University of Texas at Houston | Academic/Hospital | 3 | 3 | 1 | 2020 |
| Jiao Tong University | Academic/Hospital | 2 | 2 | 1 | 2023 |
| Swedish Orphan Biovitrum | For profit | 2 | 0 | 1 | 2020 |
| University of Washington | Academic/Hospital | 2 | 2 | 1 | 2020 |
| AIDS Malignancy Consortium | Academic/Hospital | 1 | 1 | 1 | 2022 |
| AstraZeneca | For profit | 1 | 0 | 1 | 2020 |
| CHU Henri Mondor | Academic/Hospital | 1 | 0 | 1 | 2021 |
| City of Hope National Medical Center | Academic/Hospital | 1 | 1 | 1 | 2026 |
| Evidenze Health España (CRO) | For profit | 1 | 0 | 1 | 2024 |
| Grupo Español de Linfomas y Transplante Autólogo de Médula Ósea | Academic/Hospital | 1 | 1 | 1 | 2024 |
| Hospital General Universitario Gregorio Marañon | Academic/Hospital | 1 | 0 | 1 | 2024 |
| HOVON - Dutch Haemato-Oncology Association | Academic/Hospital | 1 | 0 | 1 | 2022 |
| Humanigen | For profit | 1 | 0 | 1 | 2020 |
| Incyte | For profit | 1 | 1 | 1 | 2020 |
| Pfizer | For profit | 1 | 0 | 1 | 2018 |
Marketing (2)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| Gilead Sciences | For profit | NDA2 | Oct 18, 2017 |
| Kite Pharma, Inc. | For profit | NDA | Oct 18, 2017 |