No relevant species; NCG mouse xenografts, non-GLP NHP pilot with autologous NHP CAR-T
“Therefore, animal studies evaluating the safety profile of CARVYKTI™ were limited due to lack of a pharmacologically relevant animal species.”
✓ VerifiedFDA pharmacology/toxicology review, p. 2Source ↗
Why that species
Binding domain does not bind mouse or NHP BCMA
“In vitro data indicate that does not significantly bind to recombinant mouse or NHP BCMA expressed on cells.”
✓ VerifiedFDA pharmacology/toxicology review, p. 2Source ↗
Surrogate molecule
Yes: autologous cynomolgus T cells transduced with the CAR vector (non-GLP pilot)
“NHP cilta-cel was manufactured from autologous Cynomolgus monkey peripheral blood samples following a similar manufacturing method that would be used for human T cells.”
Not conducted: no relevant nonclinical species; single-dose product
“No repeat dose toxicity has been performed given there is no relevant nonclinical species and that cilta-cel is administered as a single dose to patients and is anticipated to undergo expansion and persistence following administration.”
Not conducted: rodents and NHPs not pharmacologically relevant (no binding to mouse/NHP BCMA)
“In addition, did not bind to recombinant mouse or NHP BCMA expressed on cells (Studies #6 and #18), demonstrating that rodents and NHPs are not pharmacology relevant species for testing cilta-cel.”
✓ VerifiedFDA pharmacology/toxicology review, p. 26Source ↗
Species: carcinogenicity
Not conducted: human-specific product, no cross-reactivity to mouse BCMA
“In addition, cilta-cel is a human specific CAR-T cell product and lacks cross reactivity to mouse BCMA precluding the conduct of traditional rat and mouse bioassays.”
Yes: autologous cynomolgus CAR-T cells (NHP cilta-cel) in non-GLP safety pilot
“NHP cilta-cel was manufactured from autologous Cynomolgus monkey peripheral blood samples following a similar manufacturing method that would be used for human T cells.”