OnCo
companiesCompany

Gilead Sciences (incl. Kite)

Gilead owns Trodelvy (via the $21B Immunomedics deal) and the Kite CAR-T franchise.

Sacituzumab govitecan in TNBC (first-line 2026), HR+ breast; Yescarta and Tecartus CAR-T; anito-cel BCMA CAR-T (Arcellx) in registration; domvanalimab (TIGIT) largely failed.

Headquarters
Foster City, CA, US
Type
pharma · GILD

Products

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Key papers

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rctNew England Journal of Medicine 2022changed practice
ZUMA-7: axi-cel CAR-T instead of salvage chemotherapy and transplant for large B-cell lymphoma that relapses early

ZUMA-7 rewrote second-line treatment for aggressive lymphoma: patients whose disease returns within a year of R-CHOP should be offered CAR-T rather than salvage chemotherapy and transplant. It is also one of the few cell-therapy trials to show an overall survival benefit despite crossover. Patients relapsing later than 12 months were not studied and transplant remains standard for them if chemosensitive.

rctNew England Journal of Medicine 2021changed practice
ASCENT: sacituzumab govitecan doubles survival in heavily pretreated metastatic triple-negative breast cancer

Sacituzumab govitecan is a standard second-line or later treatment for metastatic triple-negative breast cancer, roughly doubling survival compared with the chemotherapies it was tested against. Patients should expect neutropenia and diarrhoea, which are manageable with growth factor support and loperamide. Trials are now testing it earlier, in first-line combinations with pembrolizumab and after surgery for residual disease.

translationalNew England Journal of Medicine 2020changed practice
ZUMA-2: brexu-cel CAR-T for mantle cell lymphoma that has failed BTK inhibitors

ZUMA-2 gave patients with BTK-inhibitor-refractory mantle cell lymphoma, who previously had a median survival under a year, a therapy with durable remissions in a substantial fraction. Brexu-cel is now standard after BTK inhibitor failure and CAR-T is being tested earlier in the disease. Neurotoxicity rates are higher than in other lymphoma CAR-T trials.

translationalNew England Journal of Medicine 2017changed practice
ZUMA-1: axicabtagene ciloleucel for refractory large B-cell lymphoma, the first CAR-T approved for lymphoma

ZUMA-1 showed that CAR-T can cure a meaningful fraction of adults whose aggressive lymphoma no longer responds to chemotherapy, a group with a historical median survival of about six months (SCHOLAR-1). Axi-cel became the first CAR-T approved for lymphoma and later the first to beat standard second-line therapy in ZUMA-7. The comparatively high neurotoxicity of CD28-costimulated products was also first characterised here.

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