Ciltacabtagene autoleucel 3.2million-100million cells dispersion for infusion bags
Requires a prescription from a doctor or prescriber
Multiple myeloma is a malignancy involving the plasma cells of the bone marrow.
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Suspected adverse reactions reported for Ciltacabtagene autoleucel
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1 branded products available
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View all licensed products for Ciltacabtagene autoleucel on the MHRA register
Carvykti 3.2million-100million cells dispersion for infusion bags
Therapeutically similar medicines
Similarity based on WHO Anatomical Therapeutic Chemical (ATC) classification and NHS BNF section grouping. Source data: NHS dm+d via TRUD (OGL v3.0), WHO ATC/DDD Index.
Clinical guidelines and formulary information
British National Formulary
Ciltacabtagene autoleucel
Source: British National Formulary, NICE. Joint Formulary Committee. Contains public sector information licensed under the Open Government Licence v3.0.
NICE clinical guidance(1)
Source: National Institute for Health and Care Excellence (NICE). Contains public sector information licensed under the Open Government Licence v3.0.
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Active and completed clinical studies from ClinicalTrials.gov
Source: ClinicalTrials.gov, a database of the U.S. National Library of Medicine (NLM), National Institutes of Health (NIH). Data accessed via ClinicalTrials.gov API v2. Trial information is provided for research purposes and does not constitute medical advice.
Pharmacology and chemical data from DrugBank
Key facts
Drug status
Approved
Major interactions
None known
Half-life
15.3 days
Mechanism
Ciltacabtagene autoleucel is a chimeric antigen receptor (CAR) T-cell therapy in…
Food interactions
None known
Human targets
1 target
Data: DrugBank · CC BY-NC 4.0
Pharmacokinetics at a glance
Absorption
12.7 days
[L40739]…
Half-life
15.3 days
Pharmacokinetic data: DrugBank · CC BY-NC 4.0
B-cell maturation antigen (BCMA) is a transmembrane glycoprotein member of the tumor necrosis factor receptor superfamily 17 (TNFRSF17) which is used as a biomarker for multiple myeloma.[A245854] While normally expressed on plasma blasts and plasma cells, BCMA is widely expressed on malignant plasma cells and most multiple myeloma cell lines, making it a choice target in the development of immunotherapies against multiple myeloma.[A245854]
Ciltacabtagene autoleucel (Carvykti, Jannsen Biotech Inc.) is a BCMA-directed genetically modified autologous T-cell immunotherapy.[L40739] Patient T-cells are reprogrammed with a transgene encoding a specific chimeric antigen receptor (CAR) which features two BCMA-targeting single-domain antibodies.[L40739] Re-infusion of these modified T-cells leads to the targeted elimination of malignant plasma cells, on which BCMA is highly expressed.[A245854] Carvykti was first approved by the FDA in February 2022 for the treatment of relapsed or refractory multiple myeloma in treatment-experienced patients.[L40744]
[L52475]
In Canada, it is approved for the treatment of adult patients with multiple myeloma, who have received at least three prior lines
of therapy, including a proteasome inhibitor, an immunomodulatory agent and an anti-CD38 antibody, and who are refractory to their last treatment.
[L52660]
Known interactions with other medications. Always consult a healthcare professional.
Showing 38 of 38 interactions
The genetically modified CAR T-cells are then expanded, washed, and cryopreserved for shipping back to the patient. When the product is infused back into the patient, the anti-BCMA CAR T-cells are able to recognize and eliminate BCMA-expressing target cells, including malignant plasma cells involved in multiple myeloma.[L40739]
Patients receiving treatment with ciltacabtagene autoleucel are required to undergo monitoring through a Risk Evaluation and Mitigation Strategy (REMS) called the Carvykti REMS.[L40739] There are a number of potentially serious adverse reactions related to ciltacabtagene autoleucel therapy which require close monitoring and intervention. Cytokine Release Syndrome (CRS), which may be fatal, may be mitigated with the use of [tocilizumab] and/or corticosteroids.[L40739] Similarly, significant neurologic toxicities (including Immune Effector Cell-Associated Neurotoxicity Syndrome ICANS) may occur and can be treated with supportive care and/or corticosteroid therapy as required.[L40739] Serious hematologic adverse effects - including hemophagocytic lymphohistiocytosis (HLH), macrophage activation syndrome (MAS), and various recurrent/prolonged cytopenias - have also been observed in patients following treatment with ciltacabtagene autoleucel.[L40739]
How the body processes this drug — absorption, distribution, metabolism, and elimination
[L40739]
The median Tmax was 12.7 days.
[L40739]
[L40739]
Proteins and enzymes this drug interacts with in the body
ATC L01XL05
Chemical identifiers
CAS, UNII, InChI Key and database cross-references
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Chemical identifiers
CAS, UNII, InChI Key and database cross-references
Linked compound data from DrugBank Open Data (CC BY-NC 4.0)
Ciltacabtagene autoleucel
DrugBank citations
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