Difference between revisions of "Luspatercept (Reblozyl)"

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==History of changes in FDA indication==
 
==History of changes in FDA indication==
*11/8/2019: Initial FDA approval for adult patients with beta thalassemia who require regular red blood cell (RBC) transfusions. ''(Based on BELIEVE)''
+
*2019-11-08: Initial FDA approval for adult patients with [[beta thalassemia]] who require regular red blood cell (RBC) transfusions. ''(Based on BELIEVE)''
*4/3/2020: Approved for the treatment of anemia failing an erythropoiesis stimulating agent and requiring 2 or more red blood cell (RBC) units over 8 weeks in adult patients with very low- to intermediate-risk [[Myelodysplastic syndrome|myelodysplastic syndromes with ring sideroblasts (MDS-RS)]] or with myelodysplastic/myeloproliferative neoplasm with ring sideroblasts and thrombocytosis (MDS/MPN-RS-T). ''(Based on MEDALIST)''
+
*2020-04-03: Approved for the treatment of anemia failing an erythropoiesis stimulating agent and requiring 2 or more red blood cell (RBC) units over 8 weeks in adult patients with very low- to intermediate-risk [[Myelodysplastic syndrome|myelodysplastic syndromes with ring sideroblasts (MDS-RS)]] or with myelodysplastic/myeloproliferative neoplasm with ring sideroblasts and thrombocytosis (MDS/MPN-RS-T). ''(Based on MEDALIST)''
 
==History of changes in EMA indication==
 
==History of changes in EMA indication==
*6/25/2020: Initial authorization
+
*2020-06-25: Initial authorization
 +
*Uncertain date: Reblozyl is indicated for the treatment of adult patients with transfusion-dependent anaemia due to very low, low and intermediate-risk [[Myelodysplastic syndrome|myelodysplastic syndromes (MDS) with ring sideroblasts]], who had an unsatisfactory response to or are ineligible for erythropoietin-based therapy.
 +
*Uncertain date: Reblozyl is indicated for the treatment of adult patients with transfusion-dependent anaemia associated with [[beta thalassemia|beta thalassaemia]].
 +
*2023-03-20: Reblozyl is indicated in adults for the treatment of anaemia associated with transfusion dependent and non transfusion dependent [[beta thalassemia|beta thalassaemia]].
 +
 
 
==Also known as==
 
==Also known as==
 
*'''Code name:''' ACE-536
 
*'''Code name:''' ACE-536

Revision as of 19:35, 17 April 2023

Mechanism of action

From the NCI Drug Dictionary: A soluble, recombinant fusion protein composed of a modified form of the extracellular domain of human activin receptor type IIb (ActRIIb) and linked to the human IgG1 Fc domain, with red blood cell stimulating activity. Upon subcutaneous administration, luspatercept inhibits several ligands in the transforming growth factor (TGF)-beta superfamily. This prevents activation of a variety of TGF-beta superfamily members involved in late stage erythropoiesis and results in an increased differentiation and proliferation of erythroid progenitors. Luspatercept acts at a different, later stage than erythropoietin.

Diseases for which it is used

History of changes in FDA indication

  • 2019-11-08: Initial FDA approval for adult patients with beta thalassemia who require regular red blood cell (RBC) transfusions. (Based on BELIEVE)
  • 2020-04-03: Approved for the treatment of anemia failing an erythropoiesis stimulating agent and requiring 2 or more red blood cell (RBC) units over 8 weeks in adult patients with very low- to intermediate-risk myelodysplastic syndromes with ring sideroblasts (MDS-RS) or with myelodysplastic/myeloproliferative neoplasm with ring sideroblasts and thrombocytosis (MDS/MPN-RS-T). (Based on MEDALIST)

History of changes in EMA indication

  • 2020-06-25: Initial authorization
  • Uncertain date: Reblozyl is indicated for the treatment of adult patients with transfusion-dependent anaemia due to very low, low and intermediate-risk myelodysplastic syndromes (MDS) with ring sideroblasts, who had an unsatisfactory response to or are ineligible for erythropoietin-based therapy.
  • Uncertain date: Reblozyl is indicated for the treatment of adult patients with transfusion-dependent anaemia associated with beta thalassaemia.
  • 2023-03-20: Reblozyl is indicated in adults for the treatment of anaemia associated with transfusion dependent and non transfusion dependent beta thalassaemia.

Also known as

  • Code name: ACE-536
  • Generic name: luspatercept-aamt
  • Brand name: Reblozyl