Abecma
idecabtagene vicleucel · BCMA CAR-TNSG mice bearing subcutaneous BCMA+ human MM xenografts: dose-dependent anti-tumor activity and improved survival
Holoclar: animal efficacy model or human cells?
autologous corneal epithelial cells containing limbal stem cells · Autologous limbal stem cells
Efficacy evidence
No product-specific pharmacology studies; published rat LSCD studies with similar fibrin-cultured limbal cells as proof of principle
“support for the proof of principle was available from published non-clinical studies in rats which showed that ex vivo expanded limbal cells cultured on a fibrin support can be used to replace and regenerate corneal epithelium lost due to LSCD”
Why that model
No relevant animal models: species differences in ocular structure, xenograft complications, ethical concerns with primates
“the lack of relevant animal models due to differences in the ocular structure of most other mammals. Furthermore, complications may arise from the xenograft setting of such studies and due to ethical concerns with primate models.”
Reviewer's view of the efficacy data
CAT accepted absence of non-clinical PD data given clinical data; literature rabbit/rat data only supportive
“However, since the products used in studies described in the literature were not identical or sufficiently comparable to Holoclar, published non-clinical data were only considered supportive.”
Same question, other cell therapies
Alofisel
darvadstrocel · Allogeneic adipose MSCTNBS-induced colitis mice: dose-dependent improved survival and body weight; no anal fistula model
Amtagvi
lifileucel · TIL therapyPublished literature only: tumor-derived lymphocytes with Cy and IL-2 in murine colon adenocarcinoma and sarcoma metastasis models
Aucatzyl
obecabtagene autoleucel · CD19 CAR-TSystemic human tumor xenograft mouse model: single IV dose of obe-cel significantly reduced tumor burden by Day 12
Breyanzi
lisocabtagene maraleucel · CD19 CAR-TRaji Burkitt's lymphoma-bearing NOD/SCID IL-2Rγnull xenograft mice
Carvykti
ciltacabtagene autoleucel · BCMA CAR-TImmunodeficient (NCG) mice engrafted with human multiple myeloma cells: dose-dependent anti-tumor activity and survival
ChondroCelect
characterised viable autologous cartilage cells · Autologous chondrocytesEctopic nu/nu mouse model and orthotopic goat cartilage-defect model (ChondroCelect-like goat cells)
Ebvallo
tabelecleucel · EBV-specific allogeneic T cellsSCID mice with EBV+ BLCL-induced B cell lymphomas (IP/SC) treated with autologous tabelecleucel
Encelto
revakinagene taroretcel · CNTF (encapsulated RPE cell implant)rcd1 dog model of retinitis pigmentosa: NT-501 implant protected outer nuclear layer from photoreceptor loss
Gintuit
allogeneic cultured keratinocytes and fibroblasts in bovine collagen · Allogeneic keratinocytes + fibroblastsFull-thickness wound in athymic (nude) mice grafted with Apligraf
Kymriah
tisagenlecleucel · CD19 CAR-TMice bearing human primary pre-B ALL xenografts: CTL019 improved survival vs mock T cells
Lantidra
donislecel · Allogeneic pancreatic isletsLiterature only: animal allogeneic/syngeneic islets with immunosuppressants in diabetic mice, rats and NHPs; no studies with the product
Laviv
azficel-T · Autologous fibroblastsLiterature only: animal analog fibroblasts in immunocompetent animals and human fibroblasts in immunodeficient mice; product not tested
MACI
autologous cultured chondrocytes on porcine collagen membrane · Autologous chondrocytesAnalogous MACI (animal cells on same membrane) in critical-sized knee/stifle cartilage defects in rabbits and horses: improved repair vs membrane alone or empty defect
Omisirge
omidubicel · Expanded cord blood HPCHuman bone marrow engraftment of NAM-cultured cord blood cells in irradiated NOD/SCID mice; in vitro migration and phenotype assays
Provenge
sipuleucel-T · PAP-GM-CSF (autologous APC)Rodent surrogates: rat APCs with rPAP-rGM-CSF inducing prostate-specific inflammation; antigen-loaded APCs protecting mice against tumour challenge
Rethymic
allogeneic processed thymus tissue · Allogeneic thymus tissueAllogeneic neonatal thymus transplanted into nude rats (engraftment, endogenous T cell development)
Ryoncil
remestemcel-L · Allogeneic BM-MSCHuman ceMSC co-cultured with allogeneic immune cells (T cell suppression, cytokine modulation); no animal GVHD model
Spherox
spheroids of autologous matrix-associated chondrocytes · Autologous chondrocyte spheroidsImmunodeficient mice (human spheroids) plus minipig pilot and 6-month Merino sheep studies with analogously produced autologous spheroids
StrataGraft
allogeneic cultured keratinocytes and dermal fibroblasts in murine collagen · Allogeneic keratinocytes + fibroblastsNo nonclinical pharmacology studies; efficacy claims rest on clinical data
Tecartus
brexucabtagene autoleucel · CD19 CAR-TSurrogate anti-murine CD19 CAR T cells in lymphodepleted syngeneic CD19+ B-cell lymphoma mice
Tecelra
afamitresgene autoleucel · MAGE-A4 TCR-TMurine tumor xenograft studies showing dose-dependent tumor control
Tregzi
allogeneic Treg immunotherapy with HSPC and T cells (Orca-T) · Allogeneic Treg + HSPC + TconXenogeneic GVHD model in sub-lethally irradiated immunodeficient mice: human Tcons with human Tregs gave dose-dependent GVHD inhibition
Yescarta
axicabtagene ciloleucel · CD19 CAR-TPublished surrogate anti-murine CD19 CAR T cells in lymphodepleted syngeneic CD19+ B-cell lymphoma mice
Zalmoxis
allogeneic T cells modified with HSV-TK / dLNGFR (nalotimagene carmaleucel) · HSV-TK suicide-gene T cellsXenogeneic GvHD models in NOD/SCID mice comparing MM-TK with unmanipulated PBL
Zemcelpro
dorocubicel · UM171-expanded cord blood CD34+In vivo primary and secondary engraftment of UM171-cultured human cord blood CD34+ cells; in vitro expansion studies