Dosages
Side effects in children
Warnings & precautions in children
Contra-indications in children

Interactions
PK
Renal impairment
References

Tisagenlecleucel

Generic name
Tisagenlecleucel
Brand name
ATC Code
L01XL04

Pharmacokinetics in children

 

  Responding patients (n=105) Non-responding patients (n=12)
Cmax (geometric mean and (CV%)) 35.300 (154,0) copies/microg
(n=103)
21.900 (80,7) copies/microg (n=10)
Tmax (median and [min;max]) 9,83 [5,70;27,8] days (n=103) 20,1 [12,6;62,7] days
(n=10)
t1/2 (geometric mean and (CV%)) 25,2 (307,8) days
(n=71)
3,80 (182,4) days
(n=4)

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dose recommendation of formulary compared to licensed use (on-label versus off-label)

No information is present at this moment.

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Available formulations

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Dosages

Recurrent/refractory B-cell acute lymphoblastic leukaemia (ALL)
  • Intravenous
    • ≥ 1 month and < 50 kg
      • 0.2 - 5 x106 cells/kg

    • ≥ 1 month and ≥ 50 kg
      • 0.1 - 2.5 x108 cells

Oncological conditions
  • Intravenous
    • 0 years up to 18 years
      • Dose and dose frequency of cytostatics depend on the condition and are highly subject to new insights. Cytostatics are often used in combination in oncology/hematology. For these reasons, reference is made to the detailed treatment protocols.

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Renal impaiment in children > 3 months

No information available on dose adjustment in renal impairment.

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The complete list of all undesirable drug reactions can be found in the national Summary of Product Characteristics (SmPC) – click here

Side effects

No information is present at this moment.

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The complete list of all contra-indications can be found in the national Summary of Product Characteristics (SmPC) – click here

Contra-indications

No information available on specific contra indications in children.

The complete list of all warnings and precautions can be found in the national Summary of Product Characteristics (SmPC) – click here

Warnings & precautions in children

In almost all cases, development of cytokine release syndrome occurred between 1 to 10 days (median onset 3 days) after Tisagenlecleucel infusion in paediatric and young adult B-cell ALL patients. [SmPC Kymriah]

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Interactions

The complete list of all interactions can be found in the national Summary of Product Characteristics (SmPC) – click here

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Reference

  1. Novartis Europharm Limited, SmPC Kymriah (EU/1/18/1297/001) 06-07-2021, www.ema.europa.eu

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Changes

Changes