Clinical trial Recruiting at 49 sites Phase 3 Interventional Ages 0 to 100

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

PhasePhase 3
Study typeInterventional
Ages0 Years to 100 Years
SexAll
Enrollment200 (estimated)
SponsorNovartis
Industry-sponsored
Locations55 sites (Hamilton, Ontario and 54 other locations)
StatusRecruiting
StartedNovember 21, 2019
Main results expectedMarch 31, 2027
Study endsMarch 31, 2027
Registry record updatedSeptember 15, 2026
Trial IDNCT04094311 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

  • 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
  • Novartis Investigative Site
    Kobe, Hyōgo, Japan
    Recruiting
  • Novartis Investigative Site
    Nishinomiya, Hyōgo, Japan
    Recruiting
  • Novartis Investigative Site
    Tsukuba, Ibaraki, Japan
    Recruiting
  • Novartis Investigative Site
    Kita-gun, Kagawa-ken, Japan
    Recruiting
  • Novartis Investigative Site
    Yokohama, Kanagawa, Japan
    Recruiting
  • Novartis Investigative Site
    Kumamoto, Kumamoto, Japan
    Recruiting
  • Novartis Investigative Site
    Kyoto, Kyoto, Japan
    Recruiting
  • Novartis Investigative Site
    Tsu, Mie-ken, Japan
    Recruiting
  • Novartis Investigative Site
    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
  • Novartis Investigative Site
    Izumi, Osaka, Japan
    Recruiting
  • Novartis Investigative Site
    Izumisano, Osaka, Japan
    Recruiting
  • Novartis Investigative Site
    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
  • Novartis Investigative Site
    Chuo Ku, Tokyo, Japan
    Recruiting
  • Novartis Investigative Site
    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
  • Novartis Investigative Site
    Shinjuku-ku, Tokyo, Japan
    Recruiting
  • Novartis Investigative Site
    Aomori, Japan
    Recruiting
  • Novartis Investigative Site
    Chiba, Japan
    Recruiting
  • Novartis Investigative Site
    Fukuoka, Japan
    Recruiting
  • Novartis Investigative Site
    Hiroshima, Japan
    Recruiting
  • Novartis Investigative Site
    Ishikawa, Japan
    Recruiting
  • Novartis Investigative Site
    Kyoto, Japan
    Recruiting
  • Novartis Investigative Site
    Niigata, Japan
    Recruiting
  • Novartis Investigative Site
    Okayama, Japan
    Recruiting
  • Novartis Investigative Site
    Osaka, Japan
    Recruiting
  • Novartis Investigative Site
    Osaka, Japan
    Recruiting
  • Novartis Investigative Site
    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

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

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  • Zilovertamab Vedotin for Pediatric and Young Adult Cancer Patients

    This study is testing a new drug called zilovertamab vedotin to see if it can help kids and young adults with certain types of cancer that haven't responded to other treatments.

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  • CLIC-2201 treatment for relapsed B cell cancers

    This study is testing a new CAR-T cell therapy called CLIC-2201 to see if it can help people with relapsed B cell cancers feel better and improve their treatment outcomes.

    Recruiting at 7 sites Phase 1 British Columbia Cancer Agency · Calgary, Alberta and 6 other locations · NCT06208735

  • Bispecific CAR-T cell therapy for relapsed B-cell cancers

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.