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Idecabtagene vicleucel manufacturing and clinical value of out of specification products in relapsed and refractory MM - PubMed

6 hours ago
  • #CAR T-cell therapy
  • #manufacturing quality
  • #multiple myeloma
  • Idecabtagene vicleucel (ide-cel) is an approved CAR T-cell therapy for relapsed or refractory multiple myeloma.
  • Out-of-specification (OOS) products, which do not meet commercial release criteria, are investigational but can be administered under an expanded access protocol.
  • Manufacturing success rates improved from 95.3% in 2021 to 96.8% in 2024, with reduced turnaround time (from 31 days to 24 days).
  • In the BB2121-EAP-001 study, OOS ide-cel showed an overall response rate of 75.4% and a complete response rate of 35.4%.
  • Safety data reported cytokine release syndrome in 72.3% of patients (mostly mild to moderate) and neurological toxicities in 16.0%.
  • The findings support that OOS ide-cel maintains clinical efficacy and safety, with reliable manufacturing performance.