Table 2.
Comparison of two US FDA approved CAR-T products for B cell malignancies
Medicine | Signaling motifs | Dosage | Indication |
---|---|---|---|
YESCARTA Axicabtagene ciloleucel (Yescarta) | CD28 and CD3ζ | 2 × 106 CAR-positive viable T cells per kg body weight, with a maximum of 2 × 108 CAR-positive viable T cells. | • Adult patients with relapsed or refractory large B cell lymphoma after two or more lines of systemic therapy, including diffuse large B cell lymphoma (DLBCL) not otherwise specified, primary mediastinal large B cell lymphoma, high grade B cell lymphoma, and DLBCL arising from follicular lymphoma. |
KYMRIAH™ Tisagenlecleucel (Kymriah) | CD137 (4-1BB) and CD3ζ | Pediatric and young adult B cell ALL (up to 25 years of age): • For patients 50 kg or less, administer 0.2 to 5.0 × 106 CAR-positive viable T cells per kg body weight intravenously. • For patients above 50 kg, administer 0.1 to 2.5 × 108 total CAR-positive viable T cells (non-weight based) intravenously. Adult relapsed or refractory diffuse large B cell lymphoma: • Administer 0.6 to 6.0 × 108 CAR-positive viable T cells intravenously. |
• Patients up to 25 years of age with B cell precursor acute lymphoblastic leukemia (ALL) that is refractory or in second or later relapse. • Adult patients with relapsed or refractory (r/r) large B cell lymphoma after two or more lines of systemic therapy including diffuse large B cell lymphoma (DLBCL) not otherwise specified, high grade B cell lymphoma and DLBCL arising from follicular lymphoma, excluding primary central nervous system lymphoma. |