Idecabtagene vicleucel (Abecma)

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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