ClinicalTrials.gg
RecruitingNCT04094311Updated Sep 15, 2026

Study of Out of Specification for Tisagenlecleucel

A Phase 3 interventional study of CTL019 in B-cell Acute Lymphoblastic Leukemia and Diffuse Large B-cell Lymphoma, sponsored by Novartis Pharmaceuticals. Recruiting at 55 sites in 2 countries. Open to participants aged 0 Years to 100 Years. Per ClinicalTrials.gov, last updated 2026-09-15.

Sponsored by Novartis Pharmaceuticals (part of Novartis) · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Started Nov 2019; still recruiting 6 years 11 months later.
Phase
Phase 3
Study type
Interventional
Enrollment
200
Allocation
Not applicable
Ages
0 Years to 100 Years
Sex
All
01

Study summary

This study will evaluate the safety of tisagenlecleucel that is out of specification( OOS) for release as commercial product. Specifically, this study will evaluate the safety of CTL019 in the patients treated within the approved label by Japan Health Authority in Part 2. Only for Part 1, in addition to safety, key efficacy of CTL019 will also be evaluated.

Read the detailed description

This is a single-arm, open-label, multicenter, interventional Phase IIIb study in pediatric/young adult patients with relapsed/refractory (r/r) B-cell acute lymphoblastic leukemia (pALL) and adult patients with r/r large B-cell lymphoma (LBCL) including diffuse large B-cell lymphoma (DLBCL) not otherwise specified, high-grade B cell lymphoma, and DLBCL arising from follicular lymphoma for Part 1 and and r/r ALL and r/r non-Hodgkin's lymphomas (NHL) for Part 2

Patients whose final manufactured tisagenlecleucel patient-specific batch does not meet the approved local commercial release specifications are eligible for inclusion. Each case will be individually assessed and approved by the Novartis manufacturing facility and the Novartis global medical team (including Patient Safety). Following a single infusion of CTL019, the patient will be followed for 3 months for Part 1, and 1 day for Part 2.

02

Conditions studied

  • B-cell Acute Lymphoblastic Leukemia
  • Diffuse Large B-cell Lymphoma

Keywords

  • out of specification
  • tisagenlecleucel
  • acute lymphoblastic leukemia
  • large B-cell lymphoma
  • relapsed/refractory
  • pediatric
  • young adult patients
03

In context

Burkitt Lymphoma

976 studies on the registry are indexed under Burkitt Lymphoma; 159 are open to participants now.

This study's planned enrollment of 200 is above the median of 36 across 765 interventional studies indexed under Burkitt Lymphoma.

Browse Burkitt Lymphoma studies →

Lead sponsor

Novartis Pharmaceuticals is the lead sponsor of 2,718 studies on the registry; 221 are open to participants now.

Of its 585 completed or terminated interventional studies of FDA-regulated products, 438 (75%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
0 Years to 100 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Key inclusion criteria:

  • Signed /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 () positive patients.
  • Patients with active replication of virus (HBV) or virus (HCV).
  • Patients with primary central nervous system (CNS) lymphoma.
  • History of 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.
Terms in these criteria, in plain language(5)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
200 participants (estimated)

Study arms

  • Experimental
    Group A: pALL

    Pediatric/young adult patients with r/r pALL who meet the indication in the Health Authority-approved CTL019 package insert in the respective country/region whose final manufactured product is OOS for commercial release, but it is considered that the benefit-risk profile may remain favorable and the usual expected benefits of infusing such a product outweigh the potential risks for the patient.

    Biological: CTL019

  • Experimental
    Group B: r/r LBCL

    Adult patients with r/r LBCL including DLBCL not otherwise specified, high grade B-cell lymphoma, and DLBCL arising from follicular lymphoma, that is consistent with the Health Authority-approved indication in the package insert for CTL019 in the respective country/region whose final manufactured product is OOS for commercial release, but it is considered that the benefit-risk profile may remain favorable and the usual expected benefits of infusing such a product outweigh the potential risks for the patient.

    Biological: CTL019

  • Experimental
    Group C: r/r NHL

    Adult patients with r/r NHL in consistent with the Health Authority approved indication in the package insert for CTL019 in Japan whose final manufactured product is OOS for commercial release, but it is considered that the benefit-risk profile may remain favorable and the usual expected benefits of infusing such a product outweigh the potential risks for the patient.

    Biological: CTL019

Interventions

  • BiologicalCTL019

    A single intravenous (i.v.) infusion of CAR-positive viable T cells.

    Also known as: Tisagenlecleucel

06

What researchers measure

Primary outcomes

  1. Percentage of participants with Adverse Events (AEs)

    Percentage of participants with Serious AEs (SAEs) and non-SAEs

    Time frame: From Screening up to 3 months for Part 1 and 1 day for Part 2

Secondary outcomes

  1. Part 1: Overall Remission Rate in Group A (pALL)

    Overall Remission Rate is defined as the percentage of participants wiho achieve a complete remission (CR) and CR with incomplete blood count recovery (CRi) within 3 months following infusion of CTL019 as determined by the local investigator assessment for participants in group A (part 1).

    Time frame: Up to 3 months

  2. Part 1: Overall Response Rate in Group B (LBCL)

    ORR is defined as the percentage of patients who achieve a domplete response and partial response within 3 months following infusion of CTL019 as determined by the local investigator assessment for participants in group B (part 1).

    Time frame: Up to 3 months

07

Study locations

49 of 55 sites recruiting
  • Novartis Investigative Site
    Hamilton, Ontario L8V 5C2, Canada
    Completed

    Not enrolling at this site — choose another above.

  • Novartis Investigative Site
    Ottawa, Ontario K1H 8L6, Canada
    Withdrawn

    Not enrolling at this site — choose another above.

  • Novartis Investigative Site
    Toronto, Ontario M5G 1X8, Canada
    Completed

    Not enrolling at this site — choose another above.

  • Novartis Investigative Site
    Toronto, Ontario M5G 2M9, Canada
    Completed

    Not enrolling at this site — choose another above.

  • Novartis Investigative Site
    Montreal, Quebec H1T 2M4, Canada
    Withdrawn

    Not enrolling at this site — choose another above.

  • Novartis Investigative Site
    Québec, Quebec G1R 2J6, Canada
    Withdrawn

    Not enrolling at this site — choose another above.

  • Novartis Investigative Site
    Nagoya, Aichi-ken 4668560, Japan
    Recruiting
  • Novartis Investigative Site
    Nagoya, Aichi-ken 4678602, Japan
    Recruiting
  • Novartis Investigative Site
    Tōon, Ehime 7910295, Japan
    Recruiting
  • Novartis Investigative Site
    Gifu, Gifu 5011194, Japan
    Recruiting
  • Novartis Investigative Site
    Sapporo, Hokkaido 0608543, Japan
    Recruiting
  • Novartis Investigative Site
    Sapporo, Hokkaido 0608648, Japan
    Recruiting
  • Novartis Investigative Site
    Kobe, Hyōgo 6500047, Japan
    Recruiting
  • Novartis Investigative Site
    Nishinomiya, Hyōgo 6638501, Japan
    Recruiting
  • Novartis Investigative Site
    Tsukuba, Ibaraki 3058576, Japan
    Recruiting
  • Novartis Investigative Site
    Kita-gun, Kagawa-ken 7610793, Japan
    Recruiting
  • Novartis Investigative Site
    Yokohama, Kanagawa 2360004, Japan
    Recruiting
  • Novartis Investigative Site
    Kumamoto, Kumamoto 8608556, Japan
    Recruiting
  • Novartis Investigative Site
    Kyoto, Kyoto 6028566, Japan
    Recruiting
  • Novartis Investigative Site
    Tsu, Mie-ken 5148507, Japan
    Recruiting
  • Novartis Investigative Site
    Sendai, Miyagi 9808574, Japan
    Recruiting
  • Novartis Investigative Site
    Matsumoto, Nagano 3908621, Japan
    Recruiting
  • Novartis Investigative Site
    Nagasaki, Nagasaki 8528501, Japan
    Recruiting
  • Novartis Investigative Site
    Yufu, Oita Prefecture 8795593, Japan
    Recruiting
  • Novartis Investigative Site
    Kurashiki, Okayama-ken 7108602, Japan
    Recruiting
  • Novartis Investigative Site
    Izumi, Osaka 5941101, Japan
    Recruiting
  • Novartis Investigative Site
    Izumisano, Osaka 5988577, Japan
    Recruiting
  • Novartis Investigative Site
    Osaka, Osaka 5418567, Japan
    Recruiting
  • Novartis Investigative Site
    Sakai, Osaka 5900197, Japan
    Recruiting
  • Novartis Investigative Site
    Suita, Osaka 5650871, Japan
    Recruiting
  • Novartis Investigative Site
    Izumo, Shimane 6938501, Japan
    Recruiting
  • Novartis Investigative Site
    Hamamatsu, Shizuoka 4313192, Japan
    Recruiting
  • Novartis Investigative Site
    Bunkyo Ku, Tokyo 1138431, Japan
    Recruiting
  • Novartis Investigative Site
    Bunkyo Ku, Tokyo 1138655, Japan
    Recruiting
  • Novartis Investigative Site
    Bunkyo Ku, Tokyo 1138677, Japan
    Recruiting
  • Novartis Investigative Site
    Bunkyo-ku, Tokyo 1138519, Japan
    Recruiting
  • Novartis Investigative Site
    Bunkyo-ku, Tokyo 1138603, Japan
    Recruiting
  • Novartis Investigative Site
    Chuo Ku, Tokyo 1040045, Japan
    Recruiting
  • Novartis Investigative Site
    Fuchū, Tokyo 1838524, Japan
    Recruiting
  • Novartis Investigative Site
    Fuchū, Tokyo 1838561, Japan
    Recruiting
  • Novartis Investigative Site
    Minato-ku, Tokyo 1058471, Japan
    Recruiting
  • Novartis Investigative Site
    Setagaya-ku, Tokyo 1578535, Japan
    Recruiting
  • Novartis Investigative Site
    Shinjuku-ku, Tokyo 1608582, Japan
    Recruiting
  • Novartis Investigative Site
    Aomori, 0308553, Japan
    Recruiting
  • Novartis Investigative Site
    Chiba, 2608677, Japan
    Recruiting
  • Novartis Investigative Site
    Fukuoka, 8128582, Japan
    Recruiting
  • Novartis Investigative Site
    Hiroshima, 7348551, Japan
    Recruiting
  • Novartis Investigative Site
    Ishikawa, 9208641, Japan
    Recruiting
  • Novartis Investigative Site
    Kyoto, 6068507, Japan
    Recruiting
  • Novartis Investigative Site
    Niigata, 9518520, Japan
    Recruiting
  • Novartis Investigative Site
    Okayama, 7008558, Japan
    Recruiting
  • Novartis Investigative Site
    Osaka, 5438555, Japan
    Recruiting
  • Novartis Investigative Site
    Osaka, 5458586, Japan
    Recruiting
  • Novartis Investigative Site
    Saitama, 3308777, Japan
    Recruiting
  • Novartis Investigative Site
    Wakayama, 6418510, Japan
    Recruiting
08

References and documents

Individual participant data

Plan to share: Yes — Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations. This trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Nov 2019 (actual). Primary completion is estimated for Mar 2027, 88 months after the start.

Of 19 phase 3 interventional studies under Burkitt Lymphoma, half reached primary completion within 106 months of starting (the median), counting those still running; a quarter within 78 and three quarters within 119. This study's planned 88 months is below that.

How these figures are worked out, and which studies are left out of them.

Registered
Sep 16, 2019
First posted
Sep 18, 2019
StartActual
Nov 21, 2019
Primary completionEst.
Mar 31, 2027
CompletionEst.
Mar 31, 2027
Last update
Sep 15, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 15, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04094311
Responsible party
Sponsor
First posted
Sep 18, 2019
Start date
Nov 21, 2019
Primary completion
Mar 31, 2027 (estimated)
Completion
Mar 31, 2027 (estimated)
Last update
Sep 15, 2026

Study contacts

Novartis Pharmaceuticals
Contact
Novartis.email@novartis.com
+41613241111
Novartis Pharmaceuticals
Contact
Novartis.email@novartis.com
+81337978748
Novartis Pharmaceuticals
study director · Novartis Pharmaceuticals

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Interested in this study?

Eligibility is decided by the study team. Share this record with your doctor or contact the team directly.

Contact study team

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Studies of the drug tested here: Tisagenlecleucel

Start the discussion