MedPath

Idecabtagene vicleucel

Generic Name
Idecabtagene vicleucel
Brand Names
Abecma
Drug Type
Biotech
Unique Ingredient Identifier
8PX1X7UG4D

Overview

Multiple myeloma is a cancer where plasma cells rapidly divide out of control. These cancerous cells generally express the B-cell maturation antigen, while it is rarely expressed on non-cancerous cells. Multiple myeloma is typically treated with an immunomodulatory agent like lenalidomide, a proteasome inhibitor like bortezomib, or an anti-CD38 monoclonal antibody like isatuximab. Idecabtagene vicleucel, also known as bb2121, is a chimeric antigen receptor (CAR) T-cell therapy like axicabtagene ciloleucel and brexucabtagene autoleucel. These therapies involve extracting and genetically manipulating T-cells from a patient to express a CAR for a tumor specific antigen. The chimeric antigen receptor of idecabtagene vicleucel includes an anti-B-cell maturation antigen scFv-targeting domain, CD3ζ T-cell activation domain, and 4-1BB costimulatory domain. Idecabtagene vicleucel is indicated as a fifth line treatment of adult patients with relapsed or refractory multiple myeloma. Idecabtagene vicleucel was granted FDA approval on 26 March 2021.

Background

Multiple myeloma is a cancer where plasma cells rapidly divide out of control. These cancerous cells generally express the B-cell maturation antigen, while it is rarely expressed on non-cancerous cells. Multiple myeloma is typically treated with an immunomodulatory agent like lenalidomide, a proteasome inhibitor like bortezomib, or an anti-CD38 monoclonal antibody like isatuximab. Idecabtagene vicleucel, also known as bb2121, is a chimeric antigen receptor (CAR) T-cell therapy like axicabtagene ciloleucel and brexucabtagene autoleucel. These therapies involve extracting and genetically manipulating T-cells from a patient to express a CAR for a tumor specific antigen. The chimeric antigen receptor of idecabtagene vicleucel includes an anti-B-cell maturation antigen scFv-targeting domain, CD3ζ T-cell activation domain, and 4-1BB costimulatory domain. Idecabtagene vicleucel is indicated as a fifth line treatment of adult patients with relapsed or refractory multiple myeloma. Idecabtagene vicleucel was granted FDA approval on 26 March 2021.

Indication

Idecabtagene vicleucel is indicated to treat adult patients with relapsed or refractory multiple myeloma who have tried at least 4 other lines of therapy, including an immunomodulatory agent, proteasome inhibitor, and anti-CD38 monoclonal antibody.

Associated Conditions

  • Refractory Multiple Myeloma
  • Relapsed Multiple Myeloma

Clinical Trials

Title
Posted
Study ID
Phase
Status
Sponsor
2025/03/03
N/A
Recruiting
St. Olavs Hospital
2024/11/21
N/A
Recruiting
2024/04/10
N/A
Recruiting
2023/12/04
N/A
Active, not recruiting
2023/09/21
Phase 3
Active, not recruiting
2021/04/22
Phase 1
Completed
2018/07/26
Phase 2
Active, not recruiting
2017/12/05
Phase 2
Completed

FDA Drug Approvals

Approved Product
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Effective Date
No FDA approvals found for this drug.

HSA Drug Approvals

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No HSA approvals found for this drug.

NMPA Drug Approvals

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No NMPA approvals found for this drug.

PPB Drug Approvals

Approved Product
Registration No.
Company
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Strength
Registration Date
No PPB approvals found for this drug.

TGA Drug Approvals

Approved Product
ARTG ID
Sponsor
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Status
Registration Date
No TGA approvals found for this drug.
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