This trial aims to compare the benefits and risks of tisagenlecleucel to blinatumomab or inotuzumab in adult patients with relapsed or refractory ALL. This trial investigates tisagenlecleucel as an additional treatment option for this patient population with high unmet medical need.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
autologous cellular immunotherapy product
bispecific CD19-directed CD3 T-cell engager
CD22-directed antibody-drug conjugate
Overall Survival (OS)
Time from randomization to death for any reason
Time frame: 4 years
Event Free Survival (EFS)
EFS, assessed up to 48 months, is defined as the date from randomization to the earliest of (a) date of death due to any cause, (b) relapse after CR/CRi, or (c) treatment failure, which is defined as failure to achieve remission within 12 weeks of randomization.
Time frame: 4 years
Percentage of patients who achieved MRD negative CR/CRi
Percentage of patients who achieved MRD negative CR/CRi at month 3 post randomization
Time frame: 4 years
Overall response rate
ORR is defined as the proportion of subjects with best overall response (BOR) of CR or CRi, where the BOR is defined as the best response recorded from randomization until the start of new anticancer therapy or the data cut-off date, whichever is earlier
Time frame: 4 years
Duration of response (DOR)
DOR is defined as the duration from the date when the response criteria of CR/CRi is first met to the date of relapse or death due to underlying cancer.
Time frame: 4 years
Probability of patients who achieved CR/CRi at month 12
Probability of achieving CR/CRi based on all response assessments between randomization and month 12. This outcome measure will be based on all randomized patients and the assessment will be up to 48 months (from randomization of the first patient until 12 months after the randomization of the last patient).
Time frame: 4 years
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Prevalence of immunogenecity
Percentage of patients who have anti-tisagenlecleucel antibodies in the serum before randomization
Time frame: 4 years
Incidence of immunogenecity
Percentage of patients who develop anti-tisagenlecleucel antibodies in the serum after infusion of tisagenlecleucel
Time frame: 4 years
Impact of immunogenicity on clinical response
difference in response between patients with immunogenicity and patients without immunogenicity
Time frame: 4 years
Cellular kinetic profile by qPCR
Summary of qPCR detected tisagenlecleucel transgene concentrations
Time frame: 4 years
Cellular kinetics profile by flow cytometry
Summary of flow cytometry-detected tisagenlecleucel transgene concentrations
Time frame: 4 years
Relationship between dose and response
Relationship between the administered dose of tisagenlecleucel and response to treatment (complete response with or without hematological recovery). This assessment will be done for all patients for up to 48 months.
Time frame: 4 years
Relationship between exposure and response
Describe the relationship between the cellular kinetics of tisagenlecleucel overtime and response.
Time frame: 4 years
Relationship between dose and cellular kinetic
Describe the relationship between the dose of tisagenlecleucel actually administered and cellular kinetics
Time frame: 4 years
EQ-5D-3L
Patient reported outcome measure
Time frame: 4 years
EORTC QLQ-30
Patient reported outcome measure
Time frame: 4 years