The first US FDA Oncologic Drugs Advisory Committee review of a chimeric antigen receptor T-cell therapy – Novartis AG's pediatric leukemia treatment tisagenlecleucel-T (CTL-019) – probably could not have gone better for a first-in-class product that carries some serious risks.
The July 12 meeting's successful outcome for Novartis was likely the result of a host of case-specific factors: a well-prepared, experienced sponsor that appeared to be on good relations with FDA and came in with a risk mitigation strategy informed by clinical experience; a lack of major show-stopping safety or product quality
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