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Study of Efficacy and Safety of CTL019 in Adult DLBCL Patients (JULIET)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT02445248
Recruitment Status : Completed
First Posted : May 15, 2015
Results First Posted : April 18, 2024
Last Update Posted : April 18, 2024
Sponsor:
Information provided by (Responsible Party):
Novartis ( Novartis Pharmaceuticals )

Study Type Interventional
Study Design Allocation: N/A;   Intervention Model: Single Group Assignment;   Masking: None (Open Label);   Primary Purpose: Treatment
Condition Diffuse Large B-cell Lymphoma (DLBCL)
Interventions Biological: Tisagenlecleucel
Drug: Lymphodepleting chemotherapy
Enrollment 115
Recruitment Details 115 participants were infused in this study: 99 in the Main Cohort and 16 in Cohort A.
Pre-assignment Details

After informed consent/assent was obtained, and prior to infusion, participants underwent a routine lymphodepleting therapy, 14 to 5 days before CTL019 infusion.

There were 27 centers across 10 countries for this trial.

Arm/Group Title Tisagenlecleucel - Main Cohort Tisagenlecleucel Cohort A
Hide Arm/Group Description Adult patients with relapsed or refractory diffuse large B-cell lymphoma (DLBCL) who received tisagenlecleucel manufactured at the Novartis manufacturing facility in Morris Plains, US. Adult patients with relapsed or refractory diffuse large B-cell lymphoma (DLBCL) who received tisagenlecleucel manufactured at the Fraunhofer Institut für Zelltherapie, Leipzig, Germany.
Period Title: Overall Study
Started [1] 99 16
Completed [2] 26 3
Not Completed 73 13
Reason Not Completed
Death             45             12
Progressive disease             13             1
Subject decision             8             0
Physician Decision             5             0
Adverse Event             1             0
Lost to Follow-up             1             0
[1]
Started = Infused
[2]
Completed = Study follow-up completed
Arm/Group Title Tisagenlecleucel - Main Cohort Tisagenlecleucel Cohort A Total
Hide Arm/Group Description Adult patients with relapsed or refractory diffuse large B-cell lymphoma (DLBCL) who received tisagenlecleucel manufactured at the Novartis manufacturing facility in Morris Plains, US. Adult patients with relapsed or refractory diffuse large B-cell lymphoma (DLBCL) who received tisagenlecleucel manufactured at the Fraunhofer Institut für Zelltherapie, Leipzig, Germany. Total of all reporting groups
Overall Number of Baseline Participants 99 16 115
Hide Baseline Analysis Population Description
Full analysis Set (FAS): Comprised all patients who received infusion of tisagenlecleucel.
Age, Continuous  
Mean (Standard Deviation)
Unit of measure:  Years
Number Analyzed 99 participants 16 participants 115 participants
54.3  (13.09) 51.1  (12.98) 53.8  (13.07)
Sex: Female, Male  
Measure Type: Count of Participants
Unit of measure:  Participants
Number Analyzed 99 participants 16 participants 115 participants
Female
36
  36.4%
8
  50.0%
44
  38.3%
Male
63
  63.6%
8
  50.0%
71
  61.7%
Race/Ethnicity, Customized  
Measure Type: Number
Unit of measure:  Participants
Number Analyzed 99 participants 16 participants 115 participants
White 83 15 98
Asian 10 0 10
Black 4 0 4
Other 2 1 3
ECOG performance status   [1] 
Measure Type: Number
Unit of measure:  Participants
Number Analyzed 99 participants 16 participants 115 participants
ECOG status of 0 54 11 65
ECOG status of 1 45 5 50
[1]
Measure Description: The Eastern Cooperative Oncology Group (ECOG) Performance status is a numbering scale used in Oncology w to define the population of patients to study in the trial and guide physicians who enroll patients into those studies. The lower the number the better the performance status of the patient, where 0: Fully active, able to carry on all pre-disease performance without restriction. ECOG Performance status of 1: Restricted in physically strenuous activity but ambulatory and able to carry out work of a light or sedentary nature, e.g., light house work, office work.
1.Primary Outcome
Title Overall Response Rate (ORR) Per Independent Review Committee (IRC) in Main Cohort
Hide Description

ORR, which includes complete response (CR) and partial response (PR) in the Main cohort as determined by IRC assessment. ORR is the percentage of participants with a best overall disease response of CR or PR, where the best overall disease response is defined as the best disease response recorded from CTL019 infusion until progressive disease or start of new anticancer therapy (including ASCT), whichever comes first.

Response was assessed according to Evaluation Criteria in diffuse large B cell lymphoma studies (based on Cheson Response criteria and the Lugano Classification (2014))

Time Frame 60 months
Hide Outcome Measure Data
Hide Analysis Population Description
Full Analysis Set (FAS): Comprised of all patients in the Main cohort who received infusion of tisagenlecleucel.
Arm/Group Title Tisagenlecleucel - Main Cohort
Hide Arm/Group Description:
Adult patients with relapsed or refractory diffuse large B-cell lymphoma (DLBCL) who received tisagenlecleucel manufactured at the Novartis manufacturing facility in Morris Plains, US.
Overall Number of Participants Analyzed 99
Measure Type: Number
Number (95% Confidence Interval)
Unit of Measure: Percentage of participants
54.5
(44.2 to 64.6)
2.Secondary Outcome
Title Overall Response Rate (ORR) Per Independent Review Committee (IRC) in Cohort A & in All Patients
Hide Description ORR, which includes complete response (CR) and partial response (PR) in the Main cohort as determined by IRC assessment. ORR is the percentage of participants with a best overall disease response of CR or PR, where the best overall disease response is defined as the best disease response recorded from CTL019 infusion until progressive disease or start of new anticancer therapy (including ASCT), whichever comes first.
Time Frame 5 years
Hide Outcome Measure Data
Hide Analysis Population Description
Full Analysis Set (FAS): Comprised all patients who received infusion of tisagenlecleucel.
Arm/Group Title Tisagenlecleucel - Cohort A Tisagenlecleucel - All Patients
Hide Arm/Group Description:
Adult patients with relapsed or refractory diffuse large B-cell lymphoma (DLBCL) who received tisagenlecleucel manufactured at the Fraunhofer Institut für Zelltherapie, Leipzig, Germany.
Adult patients with relapsed or refractory diffuse large B-cell lymphoma (DLBCL) who received tisagenlecleucel manufactured at the Novartis manufacturing facility in Morris Plains, US and at the Fraunhofer Institut für Zelltherapie, Leipzig, Germany.
Overall Number of Participants Analyzed 16 115
Measure Type: Number
Number (95% Confidence Interval)
Unit of Measure: Percentage of participants
43.8
(19.8 to 70.1)
53.0
(43.5 to 62.4)
3.Secondary Outcome
Title Time to Response (TTR) as Assessed by Independent Review Committee (Main Cohort & All Patients)
Hide Description TTR is the time between date of CTL019 infusion until first documented response (CR or PR).
Time Frame up to approx. 3.3 months
Hide Outcome Measure Data
Hide Analysis Population Description
Full Analysis Set (FAS): Comprised all patients in the Main cohort who received infusion of tisagenlecleucel.
Arm/Group Title Tisagenlecleucel - Main Cohort Tisagenlecleucel - All Patients
Hide Arm/Group Description:
Adult patients with relapsed or refractory diffuse large B-cell lymphoma (DLBCL) who received tisagenlecleucel manufactured at the Novartis manufacturing facility in Morris Plains, US.
Adult patients with relapsed or refractory diffuse large B-cell lymphoma (DLBCL) who received tisagenlecleucel manufactured at the Novartis manufacturing facility in Morris Plains, US and at the Fraunhofer Institut für Zelltherapie, Leipzig, Germany.
Overall Number of Participants Analyzed 99 115
Median (95% Confidence Interval)
Unit of Measure: Months
1.0
(0.9 to 1.0)
1.0
(0.9 to 1.0)
4.Secondary Outcome
Title Duration of Overall Response (DOR) Per IRC
Hide Description DOR is the time from achievement of CR or PR, whichever occurs first, to relapse or death due to diffuse large B-cell lymphoma (DLBCL).
Time Frame up to approx. 60.1 months
Hide Outcome Measure Data
Hide Analysis Population Description
Full Analysis Set (FAS): Comprised all patients who received infusion of tisagenlecleucel and who achieved a completer response (CR) or a partial response (PR).
Arm/Group Title Tisagenlecleucel - Main Cohort Tisagenlecleucel - Cohort A Tisagenlecleucel - All Patients
Hide Arm/Group Description:
Adult patients with relapsed or refractory diffuse large B-cell lymphoma (DLBCL) who received tisagenlecleucel manufactured at the Novartis manufacturing facility in Morris Plains, US.
Adult patients with relapsed or refractory diffuse large B-cell lymphoma (DLBCL) who received tisagenlecleucel manufactured at the Fraunhofer Institut für Zelltherapie, Leipzig, Germany.
Adult patients with relapsed or refractory diffuse large B-cell lymphoma (DLBCL) who received tisagenlecleucel manufactured at the Novartis manufacturing facility in Morris Plains, US and at the Fraunhofer Institut für Zelltherapie, Leipzig, Germany.
Overall Number of Participants Analyzed 54 7 61
Median (95% Confidence Interval)
Unit of Measure: Months
NA [1] 
(10.0 to NA)
NA [1] 
(1.2 to NA)
NA [1] 
(10.0 to NA)
[1]
NA: The Median and the upper limit of Confidence Interval could not be reached because fewer than half of the patients experienced an event
5.Secondary Outcome
Title Event Free Survival (EFS) Per Independent Review Committee
Hide Description EFS is the time from date of CTL019 infusion to the date of first documented disease progression or relapse, new treatment for lymphoma or death due to any cause.
Time Frame up to approx. 61 months
Hide Outcome Measure Data
Hide Analysis Population Description
Full Analysis Set (FAS): Comprised all patients who received infusion of tisagenlecleucel.
Arm/Group Title Tisagenlecleucel - Main Cohort Tisagenlecleucel - Cohort A Tisagenlecleucel - All Patients
Hide Arm/Group Description:
Adult patients with relapsed or refractory diffuse large B-cell lymphoma (DLBCL) who received tisagenlecleucel manufactured at the Novartis manufacturing facility in Morris Plains, US.
Adult patients with relapsed or refractory diffuse large B-cell lymphoma (DLBCL) who received tisagenlecleucel manufactured at the Fraunhofer Institut für Zelltherapie, Leipzig, Germany.
Adult patients with relapsed or refractory diffuse large B-cell lymphoma (DLBCL) who received tisagenlecleucel manufactured at the Novartis manufacturing facility in Morris Plains, US and at the Fraunhofer Institut für Zelltherapie, Leipzig, Germany.
Overall Number of Participants Analyzed 99 16 115
Median (95% Confidence Interval)
Unit of Measure: Months
2.8
(2.2 to 3.5)
2.1
(1.0 to 3.1)
2.8
(2.1 to 3.1)
6.Secondary Outcome
Title Progression Free Survival (PFS) Per Independent Review Committee
Hide Description PFS is the time from date of CTL019 infusion to the date of first documented disease progression or death due to any cause.
Time Frame up to approx. 61 months
Hide Outcome Measure Data
Hide Analysis Population Description
Full Analysis Set (FAS): Comprised all patients who received infusion of tisagenlecleucel.
Arm/Group Title Tisagenlecleucel - Main Cohort Tisagenlecleucel - Cohort A Tisagenlecleucel - All Patients
Hide Arm/Group Description:
Adult patients with relapsed or refractory diffuse large B-cell lymphoma (DLBCL) who received tisagenlecleucel manufactured at the Novartis manufacturing facility in Morris Plains, US.
Adult patients with relapsed or refractory diffuse large B-cell lymphoma (DLBCL) who received tisagenlecleucel manufactured at the Fraunhofer Institut für Zelltherapie, Leipzig, Germany.
Adult patients with relapsed or refractory diffuse large B-cell lymphoma (DLBCL) who received tisagenlecleucel manufactured at a US facility and an EU facility (Fraunhofer Institut für Zelltherapie, Leipzig, Germany).
Overall Number of Participants Analyzed 99 16 115
Median (95% Confidence Interval)
Unit of Measure: Months
3.0
(2.4 to 6.2)
2.9 [1] 
(1.0 to NA)
2.9
(2.3 to 5.2)
[1]
NA: The upper limit of the Confidence Interval could ne be reached because there were not enough events to estimate the time to the later events.
7.Secondary Outcome
Title Overall Survival (OS) Per Independent Review Committee
Hide Description OS is the time from date of CTL019 infusion to the date of death due to any cause.
Time Frame 60 months
Hide Outcome Measure Data
Hide Analysis Population Description
Full Analysis Set (FAS): Comprised all patients who received infusion of tisagenlecleucel.
Arm/Group Title Tisagenlecleucel - Main Cohort Tisagenlecleucel - Cohort A Tisagenlecleucel - All Patients
Hide Arm/Group Description:
Adult patients with relapsed or refractory diffuse large B-cell lymphoma (DLBCL) who received tisagenlecleucel manufactured at the Novartis manufacturing facility in Morris Plains, US.
Adult patients with relapsed or refractory diffuse large B-cell lymphoma (DLBCL) who received tisagenlecleucel manufactured at the Fraunhofer Institut für Zelltherapie, Leipzig, Germany.
Adult patients with relapsed or refractory diffuse large B-cell lymphoma (DLBCL) who received tisagenlecleucel manufactured at the Novartis manufacturing facility in Morris Plains, US and at the Fraunhofer Institut für Zelltherapie, Leipzig, Germany.
Overall Number of Participants Analyzed 99 16 115
Median (95% Confidence Interval)
Unit of Measure: Months
12.5
(7.2 to 34.2)
5.9
(3.1 to 19.2)
11.1
(6.6 to 23.9)
8.Secondary Outcome
Title Pharmacokinetics (Pk): Cmax
Hide Description Cmax is the maximum (peak) observed in peripheral blood or other body fluid drug concentration after single dose administration. Cmax, based on the transgene level data by qPCR, was summarized by Month 3 response, per Independent Review Committee assessment. The reported Cmax is the summary of maximum level observed based on the data from each patient and based on all the data that's been collected for up to 60 months in a patient.
Time Frame 60 months
Hide Outcome Measure Data
Hide Analysis Population Description
Full Analysis Set (FAS): Comprised all patients who received infusion of tisagenlecleucel with valid PK assessments.
Arm/Group Title Tisagenlecleucel - Main Cohort: CR/PR Tisagenlecleucel - Main Cohort: SD/PD/UNK Tisagenlecleucel - Cohort A: CR/PR Tisagenlecleucel - Cohort A: SD/PD/UNK
Hide Arm/Group Description:
Adult patients with relapsed or refractory diffuse large B-cell lymphoma (DLBCL) who received tisagenlecleucel manufactured at the Novartis manufacturing facility in Morris Plains, US.
Adult patients with relapsed or refractory diffuse large B-cell lymphoma (DLBCL) who received tisagenlecleucel manufactured at the Novartis manufacturing facility in Morris Plains, US
Adult patients with relapsed or refractory diffuse large B-cell lymphoma (DLBCL) who received tisagenlecleucel manufactured at the Fraunhofer Institut für Zelltherapie, Leipzig, Germany.
Adult patients with relapsed or refractory diffuse large B-cell lymphoma (DLBCL) who received tisagenlecleucel manufactured at the Fraunhofer Institut für Zelltherapie, Leipzig, Germany.
Overall Number of Participants Analyzed 40 56 4 11
Geometric Mean (Geometric Coefficient of Variation)
Unit of Measure: copies/ug
5570
(271.3%)
4690
(481.1%)
14300
(67.5%)
6950
(109.3%)
9.Secondary Outcome
Title Pharmacokinetics (Pk): Tmax
Hide Description Tmax is the time to reach maximum (peak) peripheral blood or other body fluid drug concentration after single dose administration (days). Tmax, based on the transgene level data by qPCR, was summarized by Month 3 response, per Independent Review Committee assessment. The time frame of 60 months refers to the duration for which the data were reviewed to identify the time of Cmax for this measure.
Time Frame 60 months
Hide Outcome Measure Data
Hide Analysis Population Description
Full Analysis Set (FAS): Comprised all patients who received infusion of tisagenlecleucel with valid PK assessments.
Arm/Group Title Tisagenlecleucel - Main Cohort: CR/PR Tisagenlecleucel - Main Cohort: SD/PD/UNK Tisagenlecleucel - Cohort A: CR/PR Tisagenlecleucel - Cohort A: SD/PD/UNK
Hide Arm/Group Description:
Adult patients with relapsed or refractory diffuse large B-cell lymphoma (DLBCL) who received tisagenlecleucel manufactured at the Novartis manufacturing facility in Morris Plains, US
Adult patients with relapsed or refractory diffuse large B-cell lymphoma (DLBCL) who received tisagenlecleucel manufactured at the Novartis manufacturing facility in Morris Plains, US
Adult patients with relapsed or refractory diffuse large B-cell lymphoma (DLBCL) who received tisagenlecleucel manufactured at the Fraunhofer Institut für Zelltherapie, Leipzig, Germany.
Adult patients with relapsed or refractory diffuse large B-cell lymphoma (DLBCL) who received tisagenlecleucel manufactured at the Fraunhofer Institut für Zelltherapie, Leipzig, Germany.
Overall Number of Participants Analyzed 40 56 4 11
Median (Full Range)
Unit of Measure: days
9.84
(5.78 to 27.7)
8.95
(0.994 to 26.7)
6.95
(5.94 to 8.96)
6.93
(6.67 to 10.9)
10.Secondary Outcome
Title Pharmacokinetics (Pk): AUC0-28d and AUC0-84d
Hide Description The AUC from time zero to day 28 and 84 or other disease assessment days, in peripheral blood. AUC0-28d and AUC0-84d, based on the transgene level data by qPCR, were summarized by Month 3 response, per Independent Review Committee assessment.
Time Frame 0 - 28 days after infusion for AUC0-28d, 0 - 84 days after infusion for AUC0-84d
Hide Outcome Measure Data
Hide Analysis Population Description
Full Analysis Set (FAS): Comprised all patients who received infusion of tisagenlecleucel with valid PK assessments.
Arm/Group Title Tisagenlecleucel - CR/PR Tisagenlecleucel - Main Cohort: SD/PD/UNK Tisagenlecleucel - Cohort A: CR/PR Tisagenlecleucel - Cohort A: SD/PD/UNK
Hide Arm/Group Description:
Adult patients with relapsed or refractory diffuse large B-cell lymphoma (DLBCL) who received tisagenlecleucel manufactured at the Novartis manufacturing facility in Morris Plains, US.
Adult patients with relapsed or refractory diffuse large B-cell lymphoma (DLBCL) who received tisagenlecleucel manufactured at the Novartis manufacturing facility in Morris Plains, US
Adult patients with relapsed or refractory diffuse large B-cell lymphoma (DLBCL) who received tisagenlecleucel manufactured at the Fraunhofer Institut für Zelltherapie, Leipzig, Germany.
Adult patients with relapsed or refractory diffuse large B-cell lymphoma (DLBCL) who received tisagenlecleucel manufactured at the Fraunhofer Institut für Zelltherapie, Leipzig, Germany.
Overall Number of Participants Analyzed 40 59 4 12
Geometric Mean (Geometric Coefficient of Variation)
Unit of Measure: copies/ug*days
AUC0-28d Number Analyzed 39 participants 50 participants 4 participants 12 participants
58000
(182.1%)
49900
(388.5%)
141000
(78.2%)
63700
(134.2%)
AUC0-84d Number Analyzed 39 participants 24 participants 4 participants 5 participants
102000
(171.7%)
92900
(165.4%)
206000
(76.7%)
142000
(61.3%)
11.Secondary Outcome
Title Pharmacokinetics (Pk): T1/2
Hide Description T1/2 is the half-life associated with the disposition phase slopes (alpha, beta, gamma etc.) of a semi logarithmic concentration-time curve in peripheral blood. T1/2, based on the transgene level data by qPCR, was summarized by Month 3 response, per Independent Review Committee assessment. This time frame of 60 months reflects the maximum duration up to which the transgene levels were collected to measure the half life.
Time Frame 60 months
Hide Outcome Measure Data
Hide Analysis Population Description
Full Analysis Set (FAS): Comprised all patients who received infusion of tisagenlecleucel with valid PK assessments.
Arm/Group Title Tisagenlecleucel - Main Cohort: CR/PR Tisagenlecleucel - Main Cohort: SD/PD/UNK Tisagenlecleucel - Cohort A: CR/PR Tisagenlecleucel - Cohort A: SD/PD/UNK
Hide Arm/Group Description:
Adult patients with relapsed or refractory diffuse large B-cell lymphoma (DLBCL) who received tisagenlecleucel manufactured at the Novartis manufacturing facility in Morris Plains, US.
Adult patients with relapsed or refractory diffuse large B-cell lymphoma (DLBCL) who received tisagenlecleucel manufactured at the Novartis manufacturing facility in Morris Plains, US.
Adult patients with relapsed or refractory diffuse large B-cell lymphoma (DLBCL) who received tisagenlecleucel manufactured at the Fraunhofer Institut für Zelltherapie, Leipzig, Germany.
Adult patients with relapsed or refractory diffuse large B-cell lymphoma (DLBCL) who received tisagenlecleucel manufactured at the Fraunhofer Institut für Zelltherapie, Leipzig, Germany.
Overall Number of Participants Analyzed 28 40 3 9
Geometric Mean (Geometric Coefficient of Variation)
Unit of Measure: days
167
(355.3%)
10.9
(205.4%)
59.4
(30402.1%)
15.6
(163.5%)
12.Secondary Outcome
Title Pharmacokinetics (Pk): Clast
Hide Description Clast is the last observed quantifiable concentration in peripheral blood. Clast, based on the transgene level data by qPCR, was summarized by Month 3 response, per Independent Review Committee assessment. This time frame reflects maximum duration of 60 months up to which the transgene levels were collected.
Time Frame 60 months
Hide Outcome Measure Data
Hide Analysis Population Description
Full Analysis Set (FAS): Comprised all patients who received infusion of tisagenlecleucel with valid PK assessments.
Arm/Group Title Tisagenlecleucel - Main Cohort: CR/PR Tisagenlecleucel - Main Cohort: SD/PD/UNK Tisagenlecleucel - Cohort A: CR/PR Tisagenlecleucel - Cohort A: SD/PD/UNK
Hide Arm/Group Description:
Adult patients with relapsed or refractory diffuse large B-cell lymphoma (DLBCL) who received tisagenlecleucel manufactured at the Novartis manufacturing facility in Morris Plains, US.
Adult patients with relapsed or refractory diffuse large B-cell lymphoma (DLBCL) who received tisagenlecleucel manufactured at the Novartis manufacturing facility in Morris Plains, US.
Adult patients with relapsed or refractory diffuse large B-cell lymphoma (DLBCL) who received tisagenlecleucel manufactured at the Fraunhofer Institut für Zelltherapie, Leipzig, Germany.
Adult patients with relapsed or refractory diffuse large B-cell lymphoma (DLBCL) who received tisagenlecleucel manufactured at the Fraunhofer Institut für Zelltherapie, Leipzig, Germany.
Overall Number of Participants Analyzed 40 55 4 12
Geometric Mean (Geometric Coefficient of Variation)
Unit of Measure: copies/ug
181
(114.4%)
332
(430.9%)
272
(30.6%)
386
(540.9%)
13.Secondary Outcome
Title Pharmacokinetics (Pk): Tlast
Hide Description Tlast is the time of last observed quantifiable concentration in peripheral blood. Tlast, based on the transgene level data by qPCR, was summarized by Month 3 response, per Independent Review Committee assessment. This time frame reflects maximum duration of 60 months up to which the transgene levels were collected.
Time Frame 60 months
Hide Outcome Measure Data
Hide Analysis Population Description
Full Analysis Set (FAS): Comprised all patients who received infusion of tisagenlecleucel with valid PK assessments.
Arm/Group Title Tisagenlecleucel - Main Cohort: CR/PR Tisagenlecleucel - Main Cohort: SD/PD/UNK Tisagenlecleucel - Cohort A: CR/PR Tisagenlecleucel - Cohort A: SD/PD/UNK
Hide Arm/Group Description:
Adult patients with relapsed or refractory diffuse large B-cell lymphoma (DLBCL) who received tisagenlecleucel manufactured at the Novartis manufacturing facility in Morris Plains, US.
Adult patients with relapsed or refractory diffuse large B-cell lymphoma (DLBCL) who received tisagenlecleucel manufactured at the Novartis manufacturing facility in Morris Plains, US.
Adult patients with relapsed or refractory diffuse large B-cell lymphoma (DLBCL) who received tisagenlecleucel manufactured at the Fraunhofer Institut für Zelltherapie, Leipzig, Germany.
Adult patients with relapsed or refractory diffuse large B-cell lymphoma (DLBCL) who received tisagenlecleucel manufactured at the Fraunhofer Institut für Zelltherapie, Leipzig, Germany.
Overall Number of Participants Analyzed 40 55 4 12
Median (Full Range)
Unit of Measure: days
930
(18.0 to 1830)
41.9
(0.994 to 1480)
1040
(17.1 to 1830)
59.4
(26.8 to 126)
14.Secondary Outcome
Title Incidence of Immunogenicity to CTL019
Hide Description This is defined as the percentage of participants who tested positive for anti-mCAR19 antibodies at any time post-baseline, reported by complete response (CR), partial response (PR), Stable disease (SD), progressive disease (SD), Unknown for all participants who received with tisagenlecleucel.
Time Frame pre-infusion and at any time point post-baseline, up to duration of the study, up to 5 years
Hide Outcome Measure Data
Hide Analysis Population Description
Full Analysis Set (FAS): Comprised all patients who received infusion of tisagenlecleucel.
Arm/Group Title Tisagenlecleucel - All Participants Response
Hide Arm/Group Description:
Participants with complete response (CR), partial response (PR), stable disease (SD), progressive disease (PD) and unknown (UNK) response post-tisagenlecleucel infusion.
Overall Number of Participants Analyzed 115
Measure Type: Count of Participants
Unit of Measure: Participants
Complete response Number Analyzed 37 participants
36
  97.3%
Partial response Number Analyzed 7 participants
6
  85.7%
Stable disease Number Analyzed 1 participants
1
 100.0%
Progressive disease Number Analyzed 54 participants
50
  92.6%
Unknown Number Analyzed 16 participants
14
  87.5%
All Participants Number Analyzed 115 participants
107
  93.0%
15.Post-Hoc Outcome
Title All Collected Deaths
Hide Description

On-treatment deaths, which include post-treatment survival follow-up deaths, were collected during the post-infusion period (starting at the day of first infusion) until the end of the study, approx. 61 months.

All deaths refers to the sum of on-treatment deaths and post-treatment survival follow-up deaths up to approx. 61 months.

Time Frame On-treatment deaths: Up to 61 months; Post-treatment survival follow-up deaths: Up to approx. 61 months
Hide Outcome Measure Data
Hide Analysis Population Description
Clinical Database Population: all infused participants in the Study.
Arm/Group Title Tisagenlecleucel - Main Cohort
Hide Arm/Group Description:
Adult patients with relapsed or refractory diffuse large B-cell lymphoma (DLBCL) who received tisagenlecleucel manufactured at the Novartis manufacturing facility in Morris Plains, US.
Overall Number of Participants Analyzed 115
Measure Type: Number
Unit of Measure: Participants
On-treatment deaths include post-treatment survival follow-up deaths 76
All deaths 76
Time Frame Adverse Events (AEs) were collected during the post-infusion period (starting at the day of 1st infusion until the end of the study), up to maximum duration of 61 months for each patient. Deaths were collected at all points post-infusion until the patient completed the study duration (60 months) or further safety follow-up under the study protocol. Therefore on-treatment deaths include post-infusion deaths until Last patient Last Visit (LPLV).
Adverse Event Reporting Description

AE is any sign or symptom that occurs during the post-infusion period (starting at the day of first infusion of CTL019 until the end of the study) and safety follow-up. Deaths in post treatment survival follow-up are not considered Adverse Events while still included in the All-Cause Mortality table. Adverse

Adverse event data were pre-specified in the secondary objectives to be analyzed for all treated patients as one group.

 
Arm/Group Title Tisagenlecleucel - All Patients
Hide Arm/Group Description Adult patients with relapsed or refractory diffuse large B-cell lymphoma (DLBCL) who received tisagenlecleucel manufactured at the Novartis manufacturing facility in Morris Plains, US and at the Fraunhofer Institut für Zelltherapie, Leipzig, Germany.
All-Cause Mortality
Tisagenlecleucel - All Patients
Affected / at Risk (%)
Total   76/115 (66.09%) 
Hide Serious Adverse Events
Tisagenlecleucel - All Patients
Affected / at Risk (%)
Total   84/115 (73.04%) 
Blood and lymphatic system disorders   
Bone marrow failure  1  2/115 (1.74%) 
Febrile neutropenia  1  10/115 (8.70%) 
Lymphadenopathy  1  1/115 (0.87%) 
Neutropenia  1  2/115 (1.74%) 
Pancytopenia  1  3/115 (2.61%) 
Cardiac disorders   
Atrial fibrillation  1  1/115 (0.87%) 
Cardiac arrest  1  1/115 (0.87%) 
Cardiac failure congestive  1  1/115 (0.87%) 
Cardio-respiratory arrest  1  1/115 (0.87%) 
Cardiopulmonary failure  1  1/115 (0.87%) 
Ear and labyrinth disorders   
Vertigo  1  1/115 (0.87%) 
Gastrointestinal disorders   
Abdominal pain  1  1/115 (0.87%) 
Anal fissure  1  1/115 (0.87%) 
Duodenal ulcer haemorrhage  1  1/115 (0.87%) 
Gastrointestinal haemorrhage  1  2/115 (1.74%) 
Haematemesis  1  1/115 (0.87%) 
Large intestinal obstruction  1  1/115 (0.87%) 
Melaena  1  1/115 (0.87%) 
Pancreatitis acute  1  1/115 (0.87%) 
Vomiting  1  1/115 (0.87%) 
General disorders   
Face oedema  1  1/115 (0.87%) 
Fatigue  1  4/115 (3.48%) 
Influenza like illness  1  1/115 (0.87%) 
Multiple organ dysfunction syndrome  1  3/115 (2.61%) 
Pyrexia  1  9/115 (7.83%) 
Hepatobiliary disorders   
Cholecystitis acute  1  1/115 (0.87%) 
Hepatic failure  1  1/115 (0.87%) 
Immune system disorders   
Cytokine release syndrome  1  31/115 (26.96%) 
Haemophagocytic lymphohistiocytosis  1  1/115 (0.87%) 
Infections and infestations   
Atypical pneumonia  1  1/115 (0.87%) 
Bronchitis  1  1/115 (0.87%) 
Bronchopulmonary aspergillosis  1  1/115 (0.87%) 
Candida infection  1  1/115 (0.87%) 
Cerebral toxoplasmosis  1  1/115 (0.87%) 
Clostridium difficile infection  1  3/115 (2.61%) 
Corynebacterium infection  1  1/115 (0.87%) 
Escherichia infection  1  1/115 (0.87%) 
Infection  1  2/115 (1.74%) 
Influenza  1  2/115 (1.74%) 
Lower respiratory tract infection  1  1/115 (0.87%) 
Pneumocystis jirovecii pneumonia  1  2/115 (1.74%) 
Pneumonia  1  9/115 (7.83%) 
Pneumonia aspiration  1  1/115 (0.87%) 
Pseudomonas infection  1  1/115 (0.87%) 
Respiratory tract infection  1  2/115 (1.74%) 
Sepsis  1  3/115 (2.61%) 
Sinusitis  1  1/115 (0.87%) 
Staphylococcal infection  1  2/115 (1.74%) 
Systemic infection  1  1/115 (0.87%) 
Urinary tract infection  1  1/115 (0.87%) 
Urosepsis  1  1/115 (0.87%) 
Vaginal infection  1  1/115 (0.87%) 
Injury, poisoning and procedural complications   
Infusion related reaction  1  1/115 (0.87%) 
Upper limb fracture  1  1/115 (0.87%) 
Investigations   
Blood bilirubin increased  1  1/115 (0.87%) 
C-reactive protein increased  1  1/115 (0.87%) 
Liver function test increased  1  1/115 (0.87%) 
Neutrophil count decreased  1  3/115 (2.61%) 
Platelet count decreased  1  2/115 (1.74%) 
White blood cell count decreased  1  1/115 (0.87%) 
Metabolism and nutrition disorders   
Decreased appetite  1  1/115 (0.87%) 
Dehydration  1  2/115 (1.74%) 
Hypercalcaemia  1  1/115 (0.87%) 
Tumour lysis syndrome  1  1/115 (0.87%) 
Musculoskeletal and connective tissue disorders   
Back pain  1  1/115 (0.87%) 
Myopathy  1  1/115 (0.87%) 
Pain in extremity  1  1/115 (0.87%) 
Polyarthritis  1  1/115 (0.87%) 
Neoplasms benign, malignant and unspecified (incl cysts and polyps)   
Acute myeloid leukaemia  1  1/115 (0.87%) 
Invasive ductal breast carcinoma  1  1/115 (0.87%) 
Malignant melanoma  1  1/115 (0.87%) 
Myelodysplastic syndrome  1  4/115 (3.48%) 
Neuroendocrine carcinoma  1  1/115 (0.87%) 
Prostate cancer  1  3/115 (2.61%) 
Refractory cytopenia with multilineage dysplasia  1  1/115 (0.87%) 
Tumour associated fever  1  1/115 (0.87%) 
Tumour haemorrhage  1  1/115 (0.87%) 
Nervous system disorders   
Acute polyneuropathy  1  1/115 (0.87%) 
Cerebral haemorrhage  1  1/115 (0.87%) 
Demyelinating polyneuropathy  1  1/115 (0.87%) 
Encephalopathy  1  4/115 (3.48%) 
Ischaemic cerebral infarction  1  1/115 (0.87%) 
Metabolic encephalopathy  1  1/115 (0.87%) 
Somnolence  1  1/115 (0.87%) 
Status epilepticus  1  1/115 (0.87%) 
Syncope  1  1/115 (0.87%) 
Psychiatric disorders   
Anxiety  1  1/115 (0.87%) 
Confusional state  1  3/115 (2.61%) 
Mental status changes  1  1/115 (0.87%) 
Renal and urinary disorders   
Acute kidney injury  1  4/115 (3.48%) 
Chronic kidney disease  1  1/115 (0.87%) 
Cystitis haemorrhagic  1  1/115 (0.87%) 
Urinary tract obstruction  1  1/115 (0.87%) 
Respiratory, thoracic and mediastinal disorders   
Allergic bronchitis  1  1/115 (0.87%) 
Asphyxia  1  1/115 (0.87%) 
Cough  1  1/115 (0.87%) 
Dyspnoea  1  3/115 (2.61%) 
Hypoxia  1  1/115 (0.87%) 
Oropharyngeal pain  1  1/115 (0.87%) 
Pharyngeal haemorrhage  1  1/115 (0.87%) 
Pneumonitis  1  1/115 (0.87%) 
Pulmonary embolism  1  2/115 (1.74%) 
Pulmonary haemorrhage  1  1/115 (0.87%) 
Respiratory failure  1  2/115 (1.74%) 
Vascular disorders   
Deep vein thrombosis  1  1/115 (0.87%) 
Hypotension  1  2/115 (1.74%) 
1
Term from vocabulary, MedDRA (25.1)
Indicates events were collected by systematic assessment
Hide Other (Not Including Serious) Adverse Events
Frequency Threshold for Reporting Other Adverse Events 5%
Tisagenlecleucel - All Patients
Affected / at Risk (%)
Total   113/115 (98.26%) 
Blood and lymphatic system disorders   
Anaemia  1  55/115 (47.83%) 
Febrile neutropenia  1  11/115 (9.57%) 
Neutropenia  1  21/115 (18.26%) 
Thrombocytopenia  1  15/115 (13.04%) 
Cardiac disorders   
Tachycardia  1  12/115 (10.43%) 
Gastrointestinal disorders   
Abdominal pain  1  9/115 (7.83%) 
Constipation  1  19/115 (16.52%) 
Diarrhoea  1  36/115 (31.30%) 
Dry mouth  1  6/115 (5.22%) 
Nausea  1  33/115 (28.70%) 
Stomatitis  1  7/115 (6.09%) 
Vomiting  1  9/115 (7.83%) 
General disorders   
Asthenia  1  8/115 (6.96%) 
Chills  1  14/115 (12.17%) 
Fatigue  1  28/115 (24.35%) 
Influenza like illness  1  9/115 (7.83%) 
Oedema peripheral  1  17/115 (14.78%) 
Pain  1  6/115 (5.22%) 
Pyrexia  1  35/115 (30.43%) 
Immune system disorders   
Cytokine release syndrome  1  47/115 (40.87%) 
Hypogammaglobulinaemia  1  10/115 (8.70%) 
Infections and infestations   
Influenza  1  7/115 (6.09%) 
Nasopharyngitis  1  9/115 (7.83%) 
Pneumonia  1  8/115 (6.96%) 
Sinusitis  1  8/115 (6.96%) 
Upper respiratory tract infection  1  15/115 (13.04%) 
Urinary tract infection  1  10/115 (8.70%) 
Investigations   
Blood creatinine increased  1  12/115 (10.43%) 
Blood immunoglobulin G decreased  1  7/115 (6.09%) 
Lymphocyte count decreased  1  7/115 (6.09%) 
Neutrophil count decreased  1  40/115 (34.78%) 
Platelet count decreased  1  38/115 (33.04%) 
Weight decreased  1  14/115 (12.17%) 
White blood cell count decreased  1  41/115 (35.65%) 
Metabolism and nutrition disorders   
Decreased appetite  1  15/115 (13.04%) 
Hypocalcaemia  1  6/115 (5.22%) 
Hypokalaemia  1  26/115 (22.61%) 
Hypomagnesaemia  1  19/115 (16.52%) 
Hyponatraemia  1  9/115 (7.83%) 
Hypophosphataemia  1  19/115 (16.52%) 
Musculoskeletal and connective tissue disorders   
Arthralgia  1  16/115 (13.91%) 
Back pain  1  7/115 (6.09%) 
Myalgia  1  7/115 (6.09%) 
Pain in extremity  1  10/115 (8.70%) 
Nervous system disorders   
Dizziness  1  14/115 (12.17%) 
Headache  1  24/115 (20.87%) 
Psychiatric disorders   
Anxiety  1  11/115 (9.57%) 
Confusional state  1  8/115 (6.96%) 
Insomnia  1  8/115 (6.96%) 
Renal and urinary disorders   
Acute kidney injury  1  6/115 (5.22%) 
Respiratory, thoracic and mediastinal disorders   
Cough  1  19/115 (16.52%) 
Dyspnoea  1  16/115 (13.91%) 
Hypoxia  1  8/115 (6.96%) 
Oropharyngeal pain  1  6/115 (5.22%) 
Pleural effusion  1  6/115 (5.22%) 
Skin and subcutaneous tissue disorders   
Night sweats  1  6/115 (5.22%) 
Rash  1  6/115 (5.22%) 
Vascular disorders   
Hypotension  1  28/115 (24.35%) 
1
Term from vocabulary, MedDRA (25.1)
Indicates events were collected by systematic assessment
Certain Agreements
Principal Investigators are NOT employed by the organization sponsoring the study.
There IS an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed.
The terms and conditions of Novartis' agreements with its investigators may vary. However, Novartis does not prohibit any investigator from publishing. Any publications from a single-site are postponed until the publication of pooled data (i.e., data from all sites) in clinical trial or disclosure of trial results in their entirety.
Results Point of Contact
Layout table for Results Point of Contact information
Name/Title: Clinical Disclosure Office
Organization: Novartis Pharmaceuticals
Phone: 862-778-3000
EMail: novartis.email@novartis.com
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Layout table for additonal information
Responsible Party: Novartis ( Novartis Pharmaceuticals )
ClinicalTrials.gov Identifier: NCT02445248    
Other Study ID Numbers: CCTL019C2201
2014-003060-20 ( EudraCT Number )
First Submitted: May 5, 2015
First Posted: May 15, 2015
Results First Submitted: December 16, 2023
Results First Posted: April 18, 2024
Last Update Posted: April 18, 2024