CTL019 Out of Specification MAP for ALL or DLBCL Patients

The purpose of this Managed Access Program (MAP) Treatment Plan is to provide access to
CTL019, for acute lymphoblastic leukemia (ALL) or diffuse large b-cell lymphoma (DLBCL)
patients with out of specification leukapheresis product and/or manufactured tisagenlecleucel
out of specification for commercial release where no overwhelming safety concerns has been
identified for manufacture and release of the out of specification product.

Inclusion Criteria:

- Written informed consent must be obtained prior to any screening procedures or
treatment assignment.

- Has a patient specific batch of CTL019 which is out of specification either due to out
of specification incoming apheresis or final product not meeting commercial release.

- Not excluded from commercial manufacturing under the prescribing guidelines for their
country

- Out of specification material has not been deemed to pose an undue safety risk to the
patient

- Is suffering from a serious or life-threatening disease or condition

- Repeat leukapheresis is not feasible per the treating physician assessment

- Does not have access to a comparable or satisfactory alternative treatment

- Is not eligible for participation in any of the IMP's ongoing clinical trials or has
recently completed a clinical trial that has been terminated and, after considering
other options, the clinical team has determined that treatment is necessary and there
are no other feasible alternatives for the patient

- Meets any other relevant medical criteria for compassionate use of the investigational
product

- Is not being transferred from an ongoing clinical trial for which they are still
eligible

Exclusion Criteria:

- Product can be commercially manufactured per the specification of the country in which
treatment will occur.

- Patients who are able to repeat leukapheresis.

- Evidence of CD19 negative disease

- HIV positive patients

- Patients with active replication of Hep B or active or latent Hep C

- History of hypersensitivity to any drugs or metabolites of similar chemical classes as
tisagenlecleucel.

- Uncontrolled active infection or inflammation

- History of unstable angina or MI within 6 months prior to screening

- Any medical condition identified by the investigator that may impact the assessment of
the safety or efficacy outcomes in relation to study treatment