Evaluating safety of tisagenlecleucel that doesn't meet specifications
Official title: A Phase IIIb Study of the Safety and Efficacy of Tisagenlecleucel Out of Specification for Commercial Release in Patients Who Are Consistent With the Label Indication
Run by Novartis · NCT04094311 · Data updated 2026-11-12
This study is testing a special treatment called tisagenlecleucel to see if it is safe and works for kids and young adults with a type of leukemia and adults with a type of lymphoma, even if the treatment doesn't meet standard quality checks.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 0 Years to 100 Years |
| Sex | All |
| Enrollment | 200 (estimated) |
| Sponsor | Novartis Industry-sponsored |
| Locations | 55 sites (Hamilton, Ontario and 54 other locations) |
| Status | Recruiting |
| Started | November 21, 2019 |
| Main results expected | March 31, 2027 |
| Study ends | March 31, 2027 |
| Registry record updated | September 15, 2026 |
| Trial ID | NCT04094311 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates include pediatric and young adult patients with relapsed/refractory B-cell acute lymphoblastic leukemia and adult patients with relapsed/refractory diffuse large B-cell lymphoma who have received tisagenlecleucel that is out of specification.
✕Probably not a fit
Patients with active viral infections such as HIV, HBV, or HCV, or those with primary central nervous system lymphoma may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This Phase IIIb study aims to assess the safety and efficacy of tisagenlecleucel (CTL019) in pediatric and young adult patients with relapsed/refractory B-cell acute lymphoblastic leukemia and adult patients with relapsed/refractory diffuse large B-cell lymphoma. The study is single-arm and open-label, focusing on patients whose manufactured tisagenlecleucel product does not meet commercial release specifications. Participants will receive a single infusion of CTL019 and will be monitored for safety and efficacy over specified follow-up periods. The study is conducted across multiple Novartis investigative sites in Ontario, Canada.
Why it matters
Potential benefit: If successful, this study could provide a new treatment option for patients with relapsed or refractory B-cell malignancies using tisagenlecleucel that would otherwise be discarded.
How similar studies have gone: While this approach is novel in evaluating out of specification tisagenlecleucel, similar studies have shown promise in the use of CAR T-cell therapies for treating B-cell malignancies.
Who can join: the full rules
Show full inclusion / exclusion criteria
Key inclusion criteria: * Signed informed consent/assent must be obtained for this study prior to participation in the study. * Patients for whom the final manufactured tisagenlecleucel product does not meet the commercial release specifications. * Not excluded from commercial manufacturing under the Health Authority-approved tisagenlecleucel prescribing information for their respective country/region. * OOS material has not been deemed to pose an undue safety risk to the patient. * Patient is suffering from a serious or life-threatening disease or condition. * Repeat leukapheresis is not clinically appropriate per the investigator assessment. Key exclusion criteria: For part 1, patients meeting any of the following criteria are not eligible for inclusion in this study: * Human immunodeficience virus (HIV) positive patients. * Patients with active replication of Hepatitis B virus (HBV) or Hepatitis C virus (HCV). * Patients with primary central nervous system (CNS) lymphoma. * History of hypersensitivity to any drugs or metabolites of similar chemical classes as tisagenlecleucel. * Uncontrolled active infection or inflammation. * Any medical condition identified by the investigator that may impact the assessment of the safety or efficacy outcomes in relation to study treatment. * Pregnant or nursing (lactating) women. For part 2, exclusion criteria are not set; however, administration should be performed in accordance with the latest versions of the package insert of CTL019.
Where it's running
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Novartis Investigative Site
Nagoya, Aichi-ken, Japan Recruiting -
Novartis Investigative Site
Nagoya, Aichi-ken, Japan Recruiting -
Novartis Investigative Site
Tōon, Ehime, Japan Recruiting -
Novartis Investigative Site
Gifu, Gifu, Japan Recruiting -
Novartis Investigative Site
Sapporo, Hokkaido, Japan Recruiting -
Novartis Investigative Site
Sapporo, Hokkaido, Japan Recruiting
Show 44 more locations
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Novartis Investigative Site
Kobe, Hyōgo, Japan Recruiting -
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Nishinomiya, Hyōgo, Japan Recruiting -
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Tsukuba, Ibaraki, Japan Recruiting -
Novartis Investigative Site
Kita-gun, Kagawa-ken, Japan Recruiting -
Novartis Investigative Site
Yokohama, Kanagawa, Japan Recruiting -
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Kumamoto, Kumamoto, Japan Recruiting -
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Kyoto, Kyoto, Japan Recruiting -
Novartis Investigative Site
Tsu, Mie-ken, Japan Recruiting -
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Sendai, Miyagi, Japan Recruiting -
Novartis Investigative Site
Matsumoto, Nagano, Japan Recruiting -
Novartis Investigative Site
Nagasaki, Nagasaki, Japan Recruiting -
Novartis Investigative Site
Yufu, Oita Prefecture, Japan Recruiting -
Novartis Investigative Site
Kurashiki, Okayama-ken, Japan Recruiting -
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Izumi, Osaka, Japan Recruiting -
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Izumisano, Osaka, Japan Recruiting -
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Osaka, Osaka, Japan Recruiting -
Novartis Investigative Site
Sakai, Osaka, Japan Recruiting -
Novartis Investigative Site
Suita, Osaka, Japan Recruiting -
Novartis Investigative Site
Izumo, Shimane, Japan Recruiting -
Novartis Investigative Site
Hamamatsu, Shizuoka, Japan Recruiting -
Novartis Investigative Site
Bunkyo Ku, Tokyo, Japan Recruiting -
Novartis Investigative Site
Bunkyo Ku, Tokyo, Japan Recruiting -
Novartis Investigative Site
Bunkyo Ku, Tokyo, Japan Recruiting -
Novartis Investigative Site
Bunkyo-ku, Tokyo, Japan Recruiting -
Novartis Investigative Site
Bunkyo-ku, Tokyo, Japan Recruiting -
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Chuo Ku, Tokyo, Japan Recruiting -
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Fuchū, Tokyo, Japan Recruiting -
Novartis Investigative Site
Fuchū, Tokyo, Japan Recruiting -
Novartis Investigative Site
Minato-ku, Tokyo, Japan Recruiting -
Novartis Investigative Site
Setagaya-ku, Tokyo, Japan Recruiting -
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Shinjuku-ku, Tokyo, Japan Recruiting -
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Aomori, Japan Recruiting -
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Chiba, Japan Recruiting -
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Fukuoka, Japan Recruiting -
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Hiroshima, Japan Recruiting -
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Ishikawa, Japan Recruiting -
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Kyoto, Japan Recruiting -
Novartis Investigative Site
Niigata, Japan Recruiting -
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Okayama, Japan Recruiting -
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Osaka, Japan Recruiting -
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Osaka, Japan Recruiting -
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Saitama, Japan Recruiting -
Novartis Investigative Site
Wakayama, Japan Recruiting -
Novartis Investigative Site
Hamilton, Ontario, Canada Completed
+5 more sites. See ClinicalTrials.gov for the full list.
Study contacts
- Study coordinator: Novartis Pharmaceuticals
- Email: Novartis.email@novartis.com
- Phone: +41613241111
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.