Some Payers Make Exceptions for Earlier CAR-T Dosing

  • Feb 13, 2025

    Cellular therapies made meaningful achievements in 2024, with two of them involving a pair of chimeric antigen receptor T cell (CAR-T) therapies that gained FDA approval for use in earlier lines of setting for the treatment of relapsed or refractory multiple myeloma (RRMM). According to a recent survey, some payers already have been making exceptions to allow for earlier use of CAR-Ts than what is indicated on their labels.

    On April 4, 2024, the FDA approved Abecma (idecabtagene vicleucel) from Bristol Myers Squibb and 2seventy bio, Inc. for the treatment of adults with triple-class exposed RRMM after at least two lines of therapy. The following day, the FDA approved Carvykti (ciltacabtagene autoleucel) from the Janssen Pharmaceutical Companies of Johnson & Johnson and Legend Biotech USA, Inc. for the treatment of adults with RRMM who have received at least one prior line of therapy. Both agents had previously been approved for the treatment of RRMM after at least four lines of therapy.

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  • Angela Maas

    Angela has an extensive background of editing, reporting and writing for trade and consumer publications. She has written Radar on Specialty Pharmacy since she joined AIS Health in 2005 and has broad knowledge of the various issues at play within the space. She also has written for Spotlight on Market Access since its 2017 launch. Before joining AIS Health, she was managing editor at Employee Benefit News and Employee Benefit News Canada and managing editor at Hem Aware (a hemophilia publication), Lupus Living and Momentum (a multiple sclerosis publication). She has a B.A. in English and an M.A. in British literature from Arizona State University.

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