Juno Therapeutics’ Breyanzi Approved for Lymphoma
FDA has granted Juno Therapeutics accelerated approval for its BLA for Breyanzi (lisocabtagene maraleucel), a CAR T cell therapy for adults with relapsed or refractory follicular lymphoma (FL) who have received two or more prior lines of systemic therapy.
The approval was based on data from the TRANSCEND-FL (NCT04245839), a Phase 2 trial in adults with relapsed or refractory FL after two or more lines of systemic therapy (including an anti-CD20 antibody and an alkylating agent). The main efficacy outcome measures were overall response rate (ORR) and duration of response (DOR) as determined by an independent review committee, an FDA release says. “The ORR was 95.7% (95% CI: 89.5, 98.8),” it says, adding that after a median follow up of 16.8 months, the median DOR was not reached.
Regarding safety, the most common nonlaboratory adverse reactions that occurred in more than 20% of patients treated were cytokine release syndrome (CRS), headache, musculoskeletal pain, fatigue, constipation, and fever. Additionally, FDA approved the cell therapy with a Risk Evaluation and Mitigation Strategy due to the risk of fatal or life-threatening CRS and neurologic toxicities.