Difference between revisions of "Idecabtagene vicleucel (Abecma)"

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==Mechanism of action==
 
==Mechanism of action==
Anti-BCMA CAR T-cells.
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From the [https://www.cancer.gov/publications/dictionaries/cancer-drug/def/idecabtagene-vicleucel NCI Drug Dictionary]: A preparation of autologous peripheral blood T lymphocytes (PBTLs) that have been genetically modified to express a chimeric antigen receptor (CAR) specific for the B-cell maturation antigen (BCMA), with potential immunostimulating and antineoplastic activities. Upon administration, idecabtagene vicleucel specifically recognizes and kills BCMA-expressing tumor cells.
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==Toxicity management==
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*[https://www.abecmarems.com Link to REMS program]
  
 
==Diseases for which it is used==
 
==Diseases for which it is used==
 
*[[Multiple myeloma]]
 
*[[Multiple myeloma]]
# '''CRB-401:''' Raje N, Berdeja J, Lin Y, Siegel D, Jagannath S, Madduri D, Liedtke M, Rosenblatt J, Maus MV, Turka A, Lam LP, Morgan RA, Friedman K, Massaro M, Wang J, Russotti G, Yang Z, Campbell T, Hege K, Petrocca F, Quigley MT, Munshi N, Kochenderfer JN. Anti-BCMA CAR T-cell therapy bb2121 in relapsed or refractory multiple myeloma. N Engl J Med. 2019 May 2;380(18):1726-1737. [https://www.nejm.org/doi/full/10.1056/NEJMoa1817226 link to original article] [https://pubmed.ncbi.nlm.nih.gov/31042825 PubMed]
 
# '''KarMMa:''' Munshi NC, Anderson LD Jr, Shah N, Madduri D, Berdeja J, Lonial S, Raje N, Lin Y, Siegel D, Oriol A, Moreau P, Yakoub-Agha I, Delforge M, Cavo M, Einsele H, Goldschmidt H, Weisel K, Rambaldi A, Reece D, Petrocca F, Massaro M, Connarn JN, Kaiser S, Patel P, Huang L, Campbell TB, Hege K, San-Miguel J. Idecabtagene Vicleucel in Relapsed and Refractory Multiple Myeloma. N Engl J Med. 2021 Feb 25;384(8):705-716. [https://doi.org/10.1056/nejmoa2024850 link to original article] [https://pubmed.ncbi.nlm.nih.gov/33626253/ PubMed] NCT03361748
 
  
 
==History of changes in FDA indication==
 
==History of changes in FDA indication==
*3/26/2021: Approved for the treatment of adult patients with relapsed or refractory [[multiple myeloma]] after four or more prior lines of therapy, including an immunomodulatory agent, a proteasome inhibitor, and an anti-CD38 monoclonal antibody.
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*2021-03-26: Approved for the treatment of adult patients with relapsed or refractory [[multiple myeloma]] after four or more prior lines of therapy, including an immunomodulatory agent, a proteasome inhibitor, and an anti-CD38 monoclonal antibody. ''(Based on KarMMa)''
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==History of changes in EMA indication==
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*2021-08-25: Initial conditional authorization for the treatment of adult patients with relapsed and refractory [[multiple myeloma]] who have received at least three prior therapies, including an immunomodulatory agent, a proteasome inhibitor and an anti CD38 antibody and have demonstrated disease progression on the last therapy. ''(Based on KarMMa)''
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==History of changes in Health Canada indication==
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*2021-05-26: Initial notice of compliance with conditions for the treatment of adult patients with [[multiple myeloma]] who have received at least three prior therapies, including an immunomodulatory agent, a proteasome inhibitor, and an anti-CD38 antibody and who are refractory to their last treatment.
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==History of changes in PMDA indication==
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*2022-01-20: Initial approval
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==Patient Drug Information==
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*[https://www.fda.gov/media/147055/download idecabtagene vicleucel (Abecma) Package Insert]<ref>[https://www.fda.gov/media/147055/download idecabtagene vicleucel (Abecma) Package Insert]</ref>
  
 
==Also known as==
 
==Also known as==
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*'''Brand name:''' Abecma
 
*'''Brand name:''' Abecma
  
[[Category:Chimeric antigen receptor T-cells]]
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==References==
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[[Category:Anti-BCMA CAR T-cells]]
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[[Category:Anti-BCMA cellular therapy]]
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[[Category:Intravenous medications]]
 
[[Category:Intravenous medications]]
 
[[Category:Multiple myeloma medications]]
 
[[Category:Multiple myeloma medications]]
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[[Category:REMS program]]
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[[Category:EMA approved in 2021]]
 
[[Category:FDA approved in 2021]]
 
[[Category:FDA approved in 2021]]
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[[Category:Health Canada approved in 2021]]
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[[Category:PMDA approved in 2022]]

Latest revision as of 15:34, 28 June 2023

Mechanism of action

From the NCI Drug Dictionary: A preparation of autologous peripheral blood T lymphocytes (PBTLs) that have been genetically modified to express a chimeric antigen receptor (CAR) specific for the B-cell maturation antigen (BCMA), with potential immunostimulating and antineoplastic activities. Upon administration, idecabtagene vicleucel specifically recognizes and kills BCMA-expressing tumor cells.

Toxicity management

Diseases for which it is used

History of changes in FDA indication

  • 2021-03-26: Approved for the treatment of adult patients with relapsed or refractory multiple myeloma after four or more prior lines of therapy, including an immunomodulatory agent, a proteasome inhibitor, and an anti-CD38 monoclonal antibody. (Based on KarMMa)

History of changes in EMA indication

  • 2021-08-25: Initial conditional authorization for the treatment of adult patients with relapsed and refractory multiple myeloma who have received at least three prior therapies, including an immunomodulatory agent, a proteasome inhibitor and an anti CD38 antibody and have demonstrated disease progression on the last therapy. (Based on KarMMa)

History of changes in Health Canada indication

  • 2021-05-26: Initial notice of compliance with conditions for the treatment of adult patients with multiple myeloma who have received at least three prior therapies, including an immunomodulatory agent, a proteasome inhibitor, and an anti-CD38 antibody and who are refractory to their last treatment.

History of changes in PMDA indication

  • 2022-01-20: Initial approval

Patient Drug Information

Also known as

  • Code name: bb2121
  • Generic name: ide-cel
  • Brand name: Abecma

References