Peringatan Keamanan

Data regarding overdose of idecabtagene vicleucel is not readily available.L32858 However, patients experiencing an overdose may experience and increased risk and severity of adverse effects including cytokine release syndrome, infection, fatigue, and musculoskeletal pain.L32858 Patients should be treated with symptomatic and supportive measures.

Idecabtagene vicleucel

DB16665

biotech approved

Deskripsi

Multiple myeloma is a cancer where plasma cells rapidly divide out of control.A232563 These cancerous cells generally express the B-cell maturation antigen, while it is rarely expressed on non-cancerous cells.A232563 Multiple myeloma is typically treated with an immunomodulatory agent like lenalidomide,A232593 a proteasome inhibitor like bortezomib, or an anti-CD38 monoclonal antibody like isatuximab.A232608

Idecabtagene vicleucel, also known as bb2121, is a chimeric antigen receptor (CAR) T-cell therapy like axicabtagene ciloleucel and brexucabtagene autoleucel.A232558,A232563,L32858 These therapies involve extracting and genetically manipulating T-cells from a patient to express a CAR for a tumor specific antigen.A232558 The chimeric antigen receptor of idecabtagene vicleucel includes an anti-B-cell maturation antigen scFv-targeting domain, CD3? T-cell activation domain, and 4-1BB costimulatory domain.L32858 Idecabtagene vicleucel is indicated as a fifth line treatment of adult patients with relapsed or refractory multiple myeloma.L32858

Idecabtagene vicleucel was approved by the FDA on March 26, 2021 L32863 and by the EMA on August 18, 2021.L51003

Struktur Molekul 2D

Struktur tidak tersedia

Peta Jejaring Molekuler
Legenda: ObatTargetGenEnzim(Panah → menunjukkan arah efek / relasi)TransporterCarrier

Profil Farmakokinetik

Waktu Paruh (Half-Life) -
Volume Distribusi -
Klirens (Clearance) -

Absorpsi

Idecabtagene vicleucel reaches a geometric mean Cmax of 256,333 copies/µg, with a median Tmax of 11 days, and a geometric mean AUC0-28 days of 3,088,455 days\*copies/µg.L32858

Metabolisme

Data metabolisme tidak tersedia.

Rute Eliminasi

Data eliminasi belum tersedia.

Interaksi Obat

38 Data
Darbepoetin alfa The risk or severity of Thrombosis can be increased when Darbepoetin alfa is combined with Idecabtagene vicleucel.
Erythropoietin The risk or severity of Thrombosis can be increased when Erythropoietin is combined with Idecabtagene vicleucel.
Peginesatide The risk or severity of Thrombosis can be increased when Peginesatide is combined with Idecabtagene vicleucel.
Methoxy polyethylene glycol-epoetin beta The risk or severity of Thrombosis can be increased when Methoxy polyethylene glycol-epoetin beta is combined with Idecabtagene vicleucel.
Lidocaine The risk or severity of methemoglobinemia can be increased when Idecabtagene vicleucel is combined with Lidocaine.
Ropivacaine The risk or severity of methemoglobinemia can be increased when Idecabtagene vicleucel is combined with Ropivacaine.
Bupivacaine The risk or severity of methemoglobinemia can be increased when Idecabtagene vicleucel is combined with Bupivacaine.
Cinchocaine The risk or severity of methemoglobinemia can be increased when Idecabtagene vicleucel is combined with Cinchocaine.
Dyclonine The risk or severity of methemoglobinemia can be increased when Idecabtagene vicleucel is combined with Dyclonine.
Procaine The risk or severity of methemoglobinemia can be increased when Idecabtagene vicleucel is combined with Procaine.
Prilocaine The risk or severity of methemoglobinemia can be increased when Idecabtagene vicleucel is combined with Prilocaine.
Proparacaine The risk or severity of methemoglobinemia can be increased when Idecabtagene vicleucel is combined with Proparacaine.
Meloxicam The risk or severity of methemoglobinemia can be increased when Idecabtagene vicleucel is combined with Meloxicam.
Oxybuprocaine The risk or severity of methemoglobinemia can be increased when Idecabtagene vicleucel is combined with Oxybuprocaine.
Cocaine The risk or severity of methemoglobinemia can be increased when Idecabtagene vicleucel is combined with Cocaine.
Mepivacaine The risk or severity of methemoglobinemia can be increased when Idecabtagene vicleucel is combined with Mepivacaine.
Levobupivacaine The risk or severity of methemoglobinemia can be increased when Idecabtagene vicleucel is combined with Levobupivacaine.
Diphenhydramine The risk or severity of methemoglobinemia can be increased when Idecabtagene vicleucel is combined with Diphenhydramine.
Benzocaine The risk or severity of methemoglobinemia can be increased when Idecabtagene vicleucel is combined with Benzocaine.
Chloroprocaine The risk or severity of methemoglobinemia can be increased when Idecabtagene vicleucel is combined with Chloroprocaine.
Phenol The risk or severity of methemoglobinemia can be increased when Idecabtagene vicleucel is combined with Phenol.
Tetrodotoxin The risk or severity of methemoglobinemia can be increased when Idecabtagene vicleucel is combined with Tetrodotoxin.
Benzyl alcohol The risk or severity of methemoglobinemia can be increased when Idecabtagene vicleucel is combined with Benzyl alcohol.
Capsaicin The risk or severity of methemoglobinemia can be increased when Idecabtagene vicleucel is combined with Capsaicin.
Etidocaine The risk or severity of methemoglobinemia can be increased when Idecabtagene vicleucel is combined with Etidocaine.
Articaine The risk or severity of methemoglobinemia can be increased when Idecabtagene vicleucel is combined with Articaine.
Tetracaine The risk or severity of methemoglobinemia can be increased when Idecabtagene vicleucel is combined with Tetracaine.
Propoxycaine The risk or severity of methemoglobinemia can be increased when Idecabtagene vicleucel is combined with Propoxycaine.
Pramocaine The risk or severity of methemoglobinemia can be increased when Idecabtagene vicleucel is combined with Pramocaine.
Butamben The risk or severity of methemoglobinemia can be increased when Idecabtagene vicleucel is combined with Butamben.
Butacaine The risk or severity of methemoglobinemia can be increased when Idecabtagene vicleucel is combined with Butacaine.
Oxetacaine The risk or severity of methemoglobinemia can be increased when Idecabtagene vicleucel is combined with Oxetacaine.
Ethyl chloride The risk or severity of methemoglobinemia can be increased when Idecabtagene vicleucel is combined with Ethyl chloride.
Butanilicaine The risk or severity of methemoglobinemia can be increased when Idecabtagene vicleucel is combined with Butanilicaine.
Metabutethamine The risk or severity of methemoglobinemia can be increased when Idecabtagene vicleucel is combined with Metabutethamine.
Quinisocaine The risk or severity of methemoglobinemia can be increased when Idecabtagene vicleucel is combined with Quinisocaine.
Ambroxol The risk or severity of methemoglobinemia can be increased when Idecabtagene vicleucel is combined with Ambroxol.
Etrasimod The risk or severity of immunosuppression can be increased when Idecabtagene vicleucel is combined with Etrasimod.

Target Protein

Tumor necrosis factor receptor superfamily member 17 TNFRSF17

Referensi & Sumber

Artikel (PubMed)
  • PMID: 33777790
    Marzal-Alfaro MB, Escudero-Vilaplana V, Revuelta-Herrero JL, Collado-Borrell R, Herranz-Alonso A, Sanjurjo-Saez M: Chimeric Antigen Receptor T Cell Therapy Management and Safety: A Practical Tool From a Multidisciplinary Team Perspective. Front Oncol. 2021 Mar 11;11:636068. doi: 10.3389/fonc.2021.636068. eCollection 2021.
  • PMID: 32707894
    Abramson HN: B-Cell Maturation Antigen (BCMA) as a Target for New Drug Development in Relapsed and/or Refractory Multiple Myeloma. Int J Mol Sci. 2020 Jul 22;21(15). pii: ijms21155192. doi: 10.3390/ijms21155192.
  • PMID: 1351920
    Howard FD, Moingeon P, Moebius U, McConkey DJ, Yandava B, Gennert TE, Reinherz EL: The CD3 zeta cytoplasmic domain mediates CD2-induced T cell activation. J Exp Med. 1992 Jul 1;176(1):139-45. doi: 10.1084/jem.176.1.139.
  • PMID: 24499671
    Vinay DS, Kwon BS: 4-1BB (CD137), an inducible costimulatory receptor, as a specific target for cancer therapy. BMB Rep. 2014 Mar;47(3):122-9. doi: 10.5483/bmbrep.2014.47.3.283.
  • PMID: 22474489
    Ahmad ZA, Yeap SK, Ali AM, Ho WY, Alitheen NB, Hamid M: scFv antibody: principles and clinical application. Clin Dev Immunol. 2012;2012:980250. doi: 10.1155/2012/980250. Epub 2012 Mar 15.
  • PMID: 21426296
    Tageja N: Lenalidomide - current understanding of mechanistic properties. Anticancer Agents Med Chem. 2011 Mar;11(3):315-26. doi: 10.2174/187152011795347487.
  • PMID: 30102324
    Okazuka K, Ishida T: Proteasome inhibitors for multiple myeloma. Jpn J Clin Oncol. 2018 Sep 1;48(9):785-793. doi: 10.1093/jjco/hyy108.
  • PMID: 30858549
    Gandhi UH, Cornell RF, Lakshman A, Gahvari ZJ, McGehee E, Jagosky MH, Gupta R, Varnado W, Fiala MA, Chhabra S, Malek E, Mansour J, Paul B, Barnstead A, Kodali S, Neppalli A, Liedtke M, Narayana S, Godby KN, Kang Y, Kansagra A, Umyarova E, Scott EC, Hari P, Vij R, Usmani SZ, Callander NS, Kumar SK, Costa LJ: Outcomes of patients with multiple myeloma refractory to CD38-targeted monoclonal antibody therapy. Leukemia. 2019 Sep;33(9):2266-2275. doi: 10.1038/s41375-019-0435-7. Epub 2019 Mar 11.

Contoh Produk & Brand

Produk: 3 • International brands: 1
Produk
  • Abecma
    Suspension • 300000000 1/1 • Intravenous • US • Approved
  • Abecma
    Suspension • 380000000 cells • Intravenous • EU • Approved
  • Abecma
    Suspension • 520000000 cells • Intravenous • Canada • Approved
International Brands
  • Abecma — Bristol Myers Squibb; Bluebird Bio, Inc.

Sekuens Gen/Protein (FASTA)

Sekuens dimuat saat dibutuhkan agar halaman tetap ringan.
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