OncoSignal
Live from Open Targets Platform, fetched 2026-11-11 15:27 UTC. Every row links to its source record.

CD19 CD19 molecule

ENSG00000177455 · protein coding · Open Targets profile

Functions as a coreceptor for the B-cell antigen receptor complex (BCR) on B-lymphocytes (PubMed:29523808). Decreases the threshold for activation of downstream signaling pathways and for triggering B-cell responses to antigens (PubMed:1373518, PubMed:16672701, PubMed:2463100). Activates signaling pathways that lead to the activation of phosphatidylinositol 3-kinase and the mobilization of intracellular Ca(2+) stores (PubMed:12387743, PubMed:16672701, PubMed:9317126, PubMed:9382888). Is not required for early steps during B cell differentiation in the blood marrow (PubMed:9317126). Required for normal differentiation of B-1 cells (By similarity). Required for normal B cell differentiation and proliferation in response to antigen challenges (PubMed:1373518, PubMed:2463100). Required for normal levels of serum immunoglobulins, and for production of high-affinity antibodies in response to antigen challenge (PubMed:12387743, PubMed:16672701, PubMed:9317126). {ECO:0000250|UniProtKB:P25918, ECO:0000269|PubMed:12387743, ECO:0000269|PubMed:1373518, ECO:0000269|PubMed:16672701, ECO:0000269|PubMed:2463100, ECO:0000269|PubMed:29523808, ECO:0000269|PubMed:9317126, ECO:0000269|PubMed:9382888}.

9 of the 14 drugs recorded against CD19 are approved, and 1 more reached Phase 3

Each band is a group of drugs. It runs from the kind of drug on the left to the furthest stage that drug has reached in any disease on the right. Thicker bands mean more drugs.

4 gene drugs at Approved: OBECABTAGENE AUTOLEUCEL, BREXUCABTAGENE AUTOLEUCEL, LISOCABTAGENE MARALEUCEL, AXICABTAGENE CILOLEUCEL3 antibody drugs at Approved: TAFASITAMAB, INEBILIZUMAB, BLINATUMOMAB1 antibody drug at Phase 3: OBEXELIMAB1 antibody drug conjugate drug at Approved: LONCASTUXIMAB TESIRINE2 antibody drug conjugate drugs at Phase 2: DENINTUZUMAB MAFODOTIN, COLTUXIMAB RAVTANSINE2 unknown drugs at Phase 2: MDX-1342, ONCOLYSIN B1 cell drug at Approved: TISAGENLECLEUCELGene 4Antibody 4Antibody drug conjugate 3Unknown 2Cell 1Approved 9Phase 3 1Phase 2 4

Approved bands are highlighted. Withdrawn means the drug was pulled from the market or from development. A combined phase counts as the later one (Phase 1/2 is shown as Phase 2). Hover a band for the drug names. Source: Open Targets Platform, fetched live.

CD19: inherited and tumour-mutation evidence across 15 cancers

Each row is a cancer, strongest overall evidence first. The two dots show how strong the inherited (germline) and tumour-mutation (somatic) evidence is; the line between them is the gap.

Inherited (germline) variantsMutations in tumours (somatic)
00.250.50.751diffuse large B-cell lymphomadiffuse large B-cell lymphomaacute lymphoblastic leukemiaacute lymphoblastic leukemiamantle cell lymphomamantle cell lymphomafollicular lymphomafollicular lymphomaB-cell acute lymphoblastic leukemiaB-cell acute lymphoblastic leukemiaB-cell non-Hodgkin lymphomaB-cell non-Hodgkin lymphomalymphomalymphomanon-Hodgkin lymphomanon-Hodgkin lymphomaprecursor B-cell acute lymphoblastic le…precursor B-cell acute lymphoblastic leukemianeoplasm of mediastinumneoplasm of mediastinummixed phenotype acute leukemiamixed phenotype acute leukemiaB-cell chronic lymphocytic leukemiaB-cell chronic lymphocytic leukemiamarginal zone lymphomamarginal zone lymphomaacute myeloid leukemia by FAB classific…acute myeloid leukemia by FAB classificationhigh grade B-cell lymphomahigh grade B-cell lymphoma

Scores run from 0 (no evidence) to 1 (strongest). A missing dot at 0 means Open Targets holds no evidence of that kind. Source: Open Targets Platform, fetched live.

Tractability

Antibody
Approved Drug, UniProt loc high conf, GO CC high conf, UniProt SigP or TMHMM
PROTAC
Half-life Data
Other modalities
Approved Drug

gnomAD loss of function constraint: o/e 0.4581499993801117 (upper bound 0.6153900027275085). Low values mean loss of function is poorly tolerated, a safety flag for inhibition.

Who runs trials of these drugs

Principal investigators and study chairs on 343 registry trials, updated in the last three years, of the most advanced drugs against CD19 (tisagenlecleucel, obecabtagene autoleucel, tafasitamab, brexucabtagene autoleucel, loncastuximab tesirine, lisocabtagene maraleucel, inebilizumab, axicabtagene ciloleucel, blinatumomab, obexelimab, MDX-1342, oncolysin b), ranked by Phase 2+ trials. Live from ClinicalTrials.gov.

143 of 321 trials of drugs against CD19 have sites only in United States

Registry trials of tisagenlecleucel, obecabtagene autoleucel, tafasitamab, brexucabtagene autoleucel, loncastuximab tesirine, lisocabtagene maraleucel, inebilizumab, axicabtagene ciloleucel, blinatumomab, obexelimab, MDX-1342, oncolysin b updated in the last three years, counted by the country group of their listed sites. A trial with sites in several groups counts in each; 217 of 321 have all sites in one country.

Sites only in this groupSites here and elsewhere
United StatesUnited States: 143 trials with sites only hereUnited States: 79 trials with sites here and elsewhere222ChinaChina: 38 trials with sites only hereChina: 15 trials with sites here and elsewhere53EuropeEurope: 30 trials with sites only hereEurope: 72 trials with sites here and elsewhere102JapanJapan: 5 trials with sites only hereJapan: 24 trials with sites here and elsewhere29OtherOther: 10 trials with sites only hereOther: 72 trials with sites here and elsewhere82

Site counts are not patients per country, and trials registered only outside ClinicalTrials.gov are not covered. Where sites are is a fact about the record, not a judgement of its quality. Europe is the EU and EEA, the UK and Switzerland. 22 trials list no sites and are left out. Source: ClinicalTrials.gov, fetched live.

63 trials of drugs against CD19 were stopped early; 3 give no reason

Terminated, withdrawn and suspended interventional trials of tisagenlecleucel, obecabtagene autoleucel, tafasitamab, brexucabtagene autoleucel, loncastuximab tesirine, lisocabtagene maraleucel, inebilizumab, axicabtagene ciloleucel, blinatumomab, obexelimab, MDX-1342, oncolysin b, newest update first, live from ClinicalTrials.gov. Each reason is quoted exactly as the registry gives it; we do not sort reasons into safety, efficacy or business. Dates are the last registry update. Showing the 25 most recent of 63.

  • suspended · 2026-11-04 · Masonic Cancer Center, University of Minnesota · Tisagenlecleucel, Axicabtagene Ciloleucel, Lisocabtagene Maraleucel Intravenous Suspension
    “Accrual met”
  • terminated · 2026-10-16 · Nektar Therapeutics · matched by the registry's drug synonyms
    “Sponsor decided to end the study”
  • suspended · 2026-10-08 · M.D. Anderson Cancer Center · Blinatumomab
    “PI requested”
  • suspended · 2026-09-11 · Fred Hutchinson Cancer Center · Lisocabtagene Maraleucel
    “Insufficient funding”
  • withdrawn · 2026-07-22 · University of Pennsylvania · matched by the registry's drug synonyms
    “Lack of Eligible Subjects”
  • terminated · 2026-07-20 · ADC Therapeutics S.A. · Loncastuximab Tesirine
    “This decision to close the study was made following interactions with regulatory authorities and in consideration of the challenges associated with this patient population. No safety information contributed to this decision.”
  • terminated · 2026-06-15 · University of Washington · Loncastuximab Tesirine
    “The trial closed early due to slow accrual.”
  • withdrawn · 2026-04-07 · Memorial Sloan Kettering Cancer Center · Tafasitamab
    “Lack of accrual”
  • withdrawn · 2026-03-18 · Juno Therapeutics, Inc., a Bristol-Myers Squibb Company · matched by the registry's drug synonyms
    “Replaced with another clinical trial.”
  • terminated · 2026-03-10 · Kite, A Gilead Company · Brexucabtagene Autoleucel
    “Sponsor decision to terminate study.”
  • terminated · 2026-03-06 · Imugene Limited · Blinatumomab
    “Portfolio prioritization”
  • terminated · 2026-02-27 · Jonsson Comprehensive Cancer Center · Axicabtagene Ciloleucel
    “slow accrual”
  • terminated · 2026-02-04 · Incyte Corporation · tafasitamab
    “A business decision was made to discontinue further enrollment. There were no safety concerns that contributed to this decision.”
  • suspended · 2025-11-13 · City of Hope Medical Center · Tafasitamab
    “pending funding”
  • withdrawn · 2025-10-03 · Karyopharm Therapeutics Inc · Tafasitamab
    “Sponsor decision”
  • terminated · 2025-09-05 · Pfizer · Tafasitamab
    “The trial terminated due to the inability to recruit the planned number of subjects. The decision was not based on any safety and/or efficacy concerns”
  • terminated · 2025-09-04 · Universität Münster · Axicabtagene Ciloleucel
    “Funder of the study terminated contract”
  • terminated · 2025-05-25 · Memorial Sloan Kettering Cancer Center · Tafasitamab
    “Slow accrual rate”
  • terminated · 2025-05-23 · Massachusetts General Hospital · Blinatumomab
    “Study closed early due to slow accrual”
  • terminated · 2025-05-18 · Amgen · Blinatumomab
    “The decision to terminate is not based on safety or efficacy but due to slow enrollment impacting the ability to complete the study as planned.”
  • terminated · 2025-05-13 · Michael Burke · Blinatumomab
    “poor accrual”
  • terminated · 2025-01-30 · ADC Therapeutics S.A. · Loncastuximab Tesirine
    “The benefit-risk profile does not support continuation of the LOTIS-9 trial.”
  • withdrawn · 2024-11-12 · University Health Network, Toronto · matched by the registry's drug synonyms
    “recruitment challenges and sites who initially expressed interest declined.”
  • terminated · 2024-07-24 · IGM Biosciences, Inc. · matched by the registry's drug synonyms
    “Strategic Pipeline Prioritization: Clinical development of imvotamab in autoimmune diseases prioritized.”
  • terminated · 2024-06-28 · Kite, A Gilead Company · Axicabtagene Ciloleucel
    “Development program terminated”
Paediatric incentives and obligations for CD19's drugs

For tisagenlecleucel, obecabtagene autoleucel, tafasitamab, brexucabtagene autoleucel, loncastuximab tesirine, lisocabtagene maraleucel, inebilizumab, axicabtagene ciloleucel, blinatumomab, obexelimab, MDX-1342, oncolysin b: what EMA and FDA publish about paediatric plans, orphan status and pediatric approvals, and how many registered studies take children. Each line is a yes, no or not published fact from the record linked under it; none of it is a forecast.

  • FDA pediatric target list: yes · CD19 is on the list. Membership alone neither requires nor waives a pediatric study.
  • EU paediatric investigation plan: yes · EMA/PE/0000252649 (inebilizumab, Treatment of immunoglobulin G4-related disease): PM: decision on the application for modification of an agreed PIP, 10 Jul 2025; EMA/PE/0000221213 (blinatumomab, Treatment of B-lymphoblastic leukaemia/lymphoma): PM: decision on the application for modification of an agreed PIP, 3 Jan 2025; EMEA-002499-PIP03-24 (tafasitamab, Treatment of mature B-cell neoplasms excluding diffuse large B-cell lymphoma): W: decision granting a waiver in all age groups for all conditions or indications, 13 Sept 2024; EMA/PE/0000253573 (inebilizumab, Treatment of myasthenia gravis): PM: decision on the application for modification of an agreed PIP, 10 Jul 2025; +12 more
    Rule: An EMA PIP decision (agreement, modification or waiver) lists the drug as its active substance, exact name. Source: EMA data download (dated snapshot), 2026-11-11
  • EU orphan designation: yes · EU/3/22/2605 withdrawn 13 Apr 2022: Treatment of acute lymphoblastic leukaemia; EU/3/25/3027 positive 26 Feb 2025: Treatment of follicular lymphoma; EU/3/21/2481 withdrawn 20 Aug 2021: Treatment of diffuse large B-cell lymphoma; EU/3/14/1393 positive 16 Dec 2014: Treatment of diffuse large B-cell lymphoma; +20 more
    Rule: An EU orphan designation lists the drug as its active substance (exact name) or belongs to a medicine that does; withdrawn and expired designations are listed with their status. Source: EMA data download (dated snapshot), 2026-11-11
  • Authorised in the EU: yes · Blincyto: authorised since 23 Nov 2015, orphan medicine; Zynlonta: authorised since 20 Dec 2022, conditional; Kymriah: authorised since 23 Aug 2018, orphan medicine; Breyanzi: authorised since 4 Apr 2022; +5 more
    Rule: An EMA medicine record lists the drug as its active substance or INN, exact name; national-only authorisations are not in this file. Source: EMA data download (dated snapshot), 2026-11-11
  • FDA orphan designation: not published · FDA's orphan designation database turns away automated requests, so this app does not read it; search it by hand at the link
    Rule: Would be: an FDA orphan designation names the drug. Source: FDA orphan designations search
  • FDA pediatric oncology approval: yes · Tisagenlecleucel [Kymriah], 30 Aug 2017: Treatment of patients up to 25 years of age with B-cell precursor acute lymphoblastic leukemia (ALL) that is refractory or in second or later relapse; Blinatumomab [Blincyto], 14 Jun 2024: Treatment of CD19-positive Philadelphia chromosome-negative B-cell precursor acute lymphoblastic leukemia (ALL) in the consolidation phase of multiphase chemotherapy in adult and pediatric patients one month and older; Blinatumomab [Blincyto], 29 Mar 2018: Treatment of CD19-positive B-cell precursor acute lymphoblastic leukemia (ALL) in first or second complete remission with minimal residual disease (MRD) greater than or equal to 0.1% in adult and pediatric patients one month and older; +1 more
    Rule: FDA's Pediatric Oncology Drug Approvals table names the drug. Source: FDA Pediatric Oncology Drug Approvals (content current as of 2026-03-03), 2026-11-11
  • Registered studies open to children: yes · 98 interventional studies of tisagenlecleucel, obecabtagene autoleucel, tafasitamab, brexucabtagene autoleucel, loncastuximab tesirine, lisocabtagene maraleucel, inebilizumab, axicabtagene ciloleucel, blinatumomab, obexelimab, mdx-1342, oncolysin b include patients under 18; 71 are recruiting, not yet recruiting or active
    Rule: The registry's age group includes Child (birth to 17 years), which also counts studies that set no minimum age. Source: ClinicalTrials.gov search, 2026-11-11

Rare pediatric disease voucher. FDA, content current as of 29 Apr 2026: “As of February 3, 2026, enactment of the Consolidated Appropriations Act, 2026, the rare pediatric disease PRV program will sunset after September 30, 2029. FDA may not award any PRVs under this program after September 30, 2029.” Voucher sale prices are not shown here; they appear only as company-reported news. FDA: Rare Pediatric Disease Designation and Priority Review Voucher Programs

All 14 drugs and clinical candidates as a table

Each drug, stage and indication links to its Open Targets record, where the trials and approvals behind it are listed. Salt forms (for example a mesylate) are listed as Open Targets records them, as separate entries.

DrugTypeHighest stageIndicationsSource records
TISAGENLECLEUCELCellapprovaldiffuse large B-cell lymphoma, acute myeloid leukemia by FAB classification, acute lymphoblastic leukemia, non-Hodgkin lymphoma, high grade B-cell lymphoma, follicular lymphoma, Burkitt lymphoma, hematopoietic and lymphoid cell neoplasm, +11 moreOpen Targets · ChEMBL
OBECABTAGENE AUTOLEUCELGeneapprovalB-cell acute lymphoblastic leukemia, acute lymphoblastic leukemia, systemic lupus erythematosus, lupus nephritis, non-Hodgkin lymphoma, multiple sclerosis symptom measurement, neoplasmOpen Targets · ChEMBL
TAFASITAMABAntibodyapprovaldiffuse large B-cell lymphoma, lymphoma, neoplasm, follicular lymphoma, marginal zone lymphoma, type 1 diabetes mellitus, B-cell chronic lymphocytic leukemia, non-Hodgkin lymphoma, +19 moreOpen Targets · ChEMBL
BREXUCABTAGENE AUTOLEUCELGeneapprovalmantle cell lymphoma, hematopoietic and lymphoid cell neoplasm, hairy cell leukemia, Richter transformation, Burkitt lymphoma, Waldenstrom macroglobulinemia, acute lymphoblastic leukemia, B-cell acute lymphoblastic leukemia, +3 moreOpen Targets · ChEMBL
LONCASTUXIMAB TESIRINEAntibody drug conjugateapprovaldiffuse large B-cell lymphoma, B-cell non-Hodgkin lymphoma, neoplasm, follicular lymphoma, high grade B-cell lymphoma, Waldenstrom macroglobulinemia, mantle cell lymphoma, marginal zone lymphoma, +7 moreOpen Targets · ChEMBL
LISOCABTAGENE MARALEUCELGeneapprovaldiffuse large B-cell lymphoma, neoplasm of mediastinum, follicular lymphoma, non-Hodgkin lymphoma, B-cell chronic lymphocytic leukemia, primary central nervous system lymphoma, Richter transformation, high grade B-cell lymphoma, +9 moreOpen Targets · ChEMBL
INEBILIZUMABAntibodyphase 4neuromyelitis optica, myasthenia gravis, systemic sclerosis, autoimmune hepatitis, Encephalopathy, diffuse large B-cell lymphoma, B-cell chronic lymphocytic leukemia, plasma cell myeloma, +7 moreOpen Targets · ChEMBL
AXICABTAGENE CILOLEUCELGenephase 4diffuse large B-cell lymphoma, follicular lymphoma, mantle cell lymphoma, non-Hodgkin lymphoma, hematopoietic and lymphoid cell neoplasm, lymphoma, B-cell non-Hodgkin lymphoma, primary central nervous system lymphomaOpen Targets · ChEMBL
BLINATUMOMABAntibodyphase 4acute lymphoblastic leukemia, B-cell acute lymphoblastic leukemia, neoplasm, precursor B-cell acute lymphoblastic leukemia, mixed phenotype acute leukemia, diffuse large B-cell lymphoma, non-Hodgkin lymphoma, B-cell adult acute lymphocytic leukemia, +21 moreOpen Targets · ChEMBL
OBEXELIMABAntibodyphase 3immunoglobulin G4-related sclerosing disease, autoimmune hemolytic anemia, type 1 diabetes mellitus, systemic lupus erythematosus, multiple sclerosis symptom measurement, rheumatoid arthritisOpen Targets · ChEMBL
MDX-1342Unknownphase 2childhood leukemia, B-cell chronic lymphocytic leukemia, rheumatoid arthritisOpen Targets · ChEMBL
ONCOLYSIN BUnknownphase 2bone marrow transplantationOpen Targets · ChEMBL
DENINTUZUMAB MAFODOTINAntibody drug conjugatephase 2diffuse large B-cell lymphoma, follicular lymphoma, non-Hodgkin lymphoma, lymphoblastic lymphoma, acute lymphoblastic leukemia, Burkitt lymphomaOpen Targets · ChEMBL
COLTUXIMAB RAVTANSINEAntibody drug conjugatephase 2diffuse large B-cell lymphoma, non-Hodgkin lymphoma, acute lymphoblastic leukemiaOpen Targets · ChEMBL