The Food and Drug Administration (FDA) 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 CAR T cell immunotherapies.
Reports were received from clinical trials and/or postmarketing adverse event (AE) data sources.
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.
...Currently approved products in this class (listed alphabetically by trade name) include the following:
• Abecma (idecabtagene vicleucel) [BMY / TSVT]
• Breyanzi (lisocabtagene maraleucel) [BMY]
• Carvykti (ciltacabtagene autoleucel) [JNJ]
• Kymriah (tisagenlecleucel) [NVS]
• Tecartus (brexucabtagene autoleucel) [GILD]
• Yescarta (axicabtagene ciloleucel) [GILD]
Although the overall benefits of these products continue to outweigh their potential risks for their approved uses, FDA is investigating the identified risk of T cell malignancy with serious outcomes, including hospitalization and death, and is evaluating the need for regulatory action.
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