KYMRIAH Dispersion for infusion Ref.[8681] Active ingredients: Tisagenlecleucel

Source: European Medicines Agency (EU)  Revision Year: 2018  Publisher: Novartis Europharm Limited, Vista Building, Elm Park, Merrion Road, Dublin 4, Ireland

Product name and form

Kymriah 1.2 × 106 – 6 × 108 cells dispersion for infusion.

Pharmaceutical Form

Dispersion for infusion.

A colourless to slightly yellow dispersion.

Qualitative and quantitative composition

Kymriah is an immunocellular therapy containing tisagenlecleucel, autologous T cells genetically modified ex vivo using a lentiviral vector encoding an anti-CD19 chimeric antigen receptor (CAR).

Each ethylene vinyl acetate (EVA) infusion bag of Kymriah contains tisagenlecleucel cell dispersion at a batch-dependent concentration of autologous T cells genetically modified to express an anti-CD19 chimeric antigen receptor (CAR-positive viable T cells) (see section 4.2).

The concentration of CAR-positive viable T cells is dependent on indication and patient body weight (for B-cell acute lymphoblastic leukaemia [ALL]). The cellular composition and the final cell number varies between individual patient batches. In addition to T cells, NK cells may be present. The quantitative information regarding CAR-positive viable T cells/mL and total cells in the product is presented in the batch-specific documentation accompanying Kymriah.

1-3 infusion bags containing a total of 1.2 × 10 6 to 6 × 10 8 CAR-positive viable T cells.

Excipient with known effect: This medicinal product contains 2.43 mg sodium per mL and 24.3 to 121.5 mg sodium per dose.

For the full list of excipients, see section 6.1.

Active Ingredient Description
Tisagenlecleucel

Tisagenlecleucel is an autologous, immunocellular cancer therapy which involves reprogramming a patient’s own T cells with a transgene encoding a chimeric antigen receptor (CAR) to identify and eliminate CD19 expressing cells.

List of Excipients

Glucose
Sodium chloride
Human albumin solution
Dextran 40 for injection
Dimethylsulfoxide
Sodium gluconate
Sodium acetate
Potassium chloride
Magnesium chloride
Sodium-N-acetyltryptophanate
Sodium caprylate
Aluminium
Water for injections

Pack sizes and marketing

Ethylene vinyl acetate (EVA) infusion bag with polyvinyl chloride (PVC) tubing and a luer spike interconnector closed by a luer-lock cap containing either 10–30 mL (50 mL bags) or 30–50 mL (250 mL bags) cell dispersion.

Each infusion bag is placed into an aluminum cassette, then put in a plastic overwrap bag with absorbent sheets and sealed in a protective envelope (Tyvek).

One individual treatment dose comprises 1 to 3 infusion bags.

Marketing authorization holder

Novartis Europharm Limited, Vista Building, Elm Park, Merrion Road, Dublin 4, Ireland

Marketing authorization dates and numbers

EU/1/18/1297/001

Drugs

Drug Countries
KYMRIAH Austria, Canada, Estonia, Spain, Finland, France, Hong Kong, Croatia, Ireland, Israel, Italy, Lithuania, Poland, Romania, United Kingdom

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