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Table 4 List of clinical trials for the provision of OOS products in Japan

From: Challenges and opportunities in the compassionate use of out-of-specification products in autologous regenerative medicine

No

Common name

Overview of the study

Target patients

Source

1

Human (autologous) skeletal muscle-derived cell sheet

A multicentre exploratory study on the quality of Heart Sheet among patients who met the selection criteria

Patients with severe heart failure due to chronic ischaemic heart disease

UMIN000029824

2

Tisagenlecleucel

Part 1 will evaluate the safety and efficacy of tisagenlecleucel in the target patients, consistent with the regulatory approved indications listed in the tisagenlecleucel prescribing information in each country/region. Part 2 will evaluate the safety and efficacy of tisagenlecleucel in patients with relapsed/refractory (r/r) acute lymphoblastic leukaemia (ALL) and r/r non-Hodgkin lymphoma (NHL)

Indications for use in the prescribing information: (Part 1: paediatric/young adult patients with r/r B-cell ALL and adult patients with r/r large B-cell lymphoma (including diffuse large B-cell lymphoma (DLBCL) not otherwise specified, high-grade B-cell lymphoma, and DLBCL arising from follicular lymphoma); Part 2: patients with r/r ALL and r/r NHL

jRCT1080224903

3

Human (autologous) bone marrow-derived mesenchymal stem cells

The purpose of this study is to administer OOS Stemirac Injection as a compassionate treatment to patients with traumatic spinal cord injury who are unable to receive Stemirac Injection because it does not meet some of the in-process control specifications and shipping specifications, and to obtain efficacy and safety data

Patients with traumatic spinal cord injury

jRCT2013210056

4

Axicabtagene ciloleucel

The clinical trial aims to allow patients who are scheduled to be treated with axicabtagene ciloleucel to be administered the OOS product on compassionate grounds if the product they are receiving does not meet the specifications

Patients who meet the requirements of the package insert (diffuse large B-cell lymphoma, primary mediastinal large B-cell lymphoma, transformed follicular lymphoma, high-grade B-cell lymphoma)

jRCT2013210008

To access the OOS product and evaluate its safety in adult individuals with a diagnosis of an approved indication listed in the package insert

Patients who meet the requirement of the package insert (relapsed or refractory large B-cell lymphoma)

jRCT2033230370

5

Lisocabtagene maraleucel

To assess the safety of OOS products

Patients who meet the requirement of the package insert (relapsed or refractory large B-cell lymphoma)

jRCT2053200162

6

Idecabtagene vicleucel

To evaluate the safety of OOS products

Patients who meet the requirement of the package insert (adult subjects with relapsed or refractory multiple myeloma)

jRCT2053220006