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

Source: European Medicines Agency (EU)  Revision Year: 2024  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 (tisagenlecleucel) is a genetically modified autologous cell-based product containing T cells transduced ex vivo using a lentiviral vector expressing an anti-CD19 chimeric antigen receptor (CAR) comprising a murine anti-CD19 single chain variable fragment (scFv) linked via a human CD8 hinge and transmembrane region to an intracellular signalling chain of human 4-1BB (CD137) co-stimulatory domain and CD3-zeta signalling domain.

Each patient-specific infusion bag of Kymriah contains tisagenlecleucel at a batch-dependent concentration of autologous T cells genetically modified to express an anti-CD19 chimeric antigen receptor (CAR-positive viable T cells). The medicinal product is packaged in one or more infusion bags overall containing a cell dispersion of 1.2 × 106 to 6 × 108 CAR-positive viable T cells in a cryopreservative-solution.

The cellular composition and the final cell number varies between individual patient batches. In addition to T cells, natural killer (NK) cells may be present.

Each infusion bag contains 10–30 mL or 30–50 mL of cell dispersion.

The quantitative information of medicinal product, including the number of infusion bags (see section 6) to be administered, is presented on the batch specific documentation accompanying the medicinal product for treatment.

Excipients with known effect

This medicinal product contains 2.43 mg sodium per mL and 24.3 to 121.5 mg sodium per dose. Each bag contains 11 mg dextran 40 and 82.5 mg dimethyl sulfoxide (DMSO) per mL.

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
Dimethyl sulfoxide
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 a protective layer.

One individual treatment dose comprises 1 or more 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

Date of first authorisation: 23 August 2018
Date of latest renewal: 26 April 2023

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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