Sargramostim
Clinical data | |
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Trade names | Leukine; Sargmalin |
AHFS/Drugs.com | Monograph |
MedlinePlus | a693005 |
ATC code | |
Legal status | |
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Identifiers | |
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CAS Number | |
DrugBank | |
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Chemical and physical data | |
Formula | C639H1006N168O196S8 |
Molar mass | 14434.54 g·mol−1 |
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Sargramostim (tradename Leukine) is a
Medical uses
Sargramostim is primarily used for myeloid reconstitution after autologous or allogeneic bone marrow transplantation. It is also used to treat neutropenia induced by chemotherapy during the treatment of acute myeloid leukemia. Additionally, it is used as a medical countermeasure for treating people who have been exposed to sufficient radiation to suppress bone marrow myelogenesis.[1]
It is administered via intravenous infusion or via subcutaneous injection.[1]
Contraindications
Sargramostim should not be used in people with known hypersensitivity to GM-CSF, yeast-derived products or any component of the product and for concomitant use with chemotherapy and radiotherapy.[1]
There is a formulation with benzyl alcohol, which is toxic to babies; other formulations should be used. Sargramostim has not been tested in pregnant women but appears to be toxic to fetuses. There is no data as to whether sargramostim is expressed in breast milk.[1]
Adverse effects
Some people have experienced
Pharmacology
Sargramostim is a version of GM-CSF, which has a normal role in human biology, causing
Chemistry
Sargramostim is a
History
The sequence of human GM-CSF was first identified in 1985 and soon three recominbant human GM-CSFs were produced, one in bacteria, one in mammalian cells, and one in yeast;
It was approved by the FDA in March 1991 under the trade name Leukine for acceleration of white blood cell recovery following autologous
In January 2008, Bayer informed healthcare professionals of the market withdrawal of the current liquid formulation of sargramostim. The liquid formulation was withdrawn because of an upward trend in spontaneous reports of adverse reactions, including
In 2009, Genzyme acquired the rights to Leukine from Bayer, including the manufacturing facility in the Seattle area.[4][10][11]
In March 2018 the label was extended to use as a countermeasure for acute radiation syndrome.[12]
On February 1, 2018, Partner Therapeutics, Inc. acquired the global rights to develop, manufacture, and commercialize Leukine (sargramostim) from Sanofi.[13]
References
- ^ a b c d e f g h "US Sargramostim label" (PDF). FDA. March 2018. Retrieved 30 March 2018. For label updates see FDA index page for BLA 103362
- PMID 9845514.
- ^ a b c d Staff (May 2008). "Back to the Future: Original Liquid Leukine® Coming Soon" (PDF). Oncology Business Review. Archived from the original (PDF) on 25 August 2016.
- ^ a b c "Immunex Corporation". Company Histories & Profiles. FundingUniverse.com. Retrieved 12 November 2011.
- ^ Schmeck HM (1987-11-02). "Radiation Team Sent to Brazil Saves Two With a New Drug". New York Times. Retrieved 2012-06-20.
- ^ "Approval Summary for sargramostim". Oncology Tools. U.S. Food and Drug Administration, Center for Drug Evaluation and Research. 1991-03-05. Archived from the original on 2007-06-24. Retrieved 20 September 2009.
- ^ "Newly Approved Drug Therapies (179): Leukine (sargramostim), Immunex". CenterWatch. Retrieved 2008-10-12.
- ^ "MedWatch Safety Alerts for Human Medical Products" (PDF). Fda.gov. 2008-11-06. Retrieved 2012-07-07.
- ^ Chi J (May 21, 2008). "Bayer launches Leukine without EDTA". Drug Topics.
- ^ "Bayer Healthcare Pharmaceuticals Plant, Snohomish County, Washington State". pharmaceutical-technology.com. Retrieved 12 November 2011.
- ^ "Genzyme and Bayer HealthCare Enter New Strategic Agreement". Genzyme. March 31, 2009. Archived from the original on 25 April 2012. Retrieved 12 November 2011.
- ^ Medical Countermeasures Initiative Update (PDF) (Report). 29 March 2018. FDA approves Leukine for Acute Radiation Syndrome. Retrieved 29 March 2018.
- ^ "Partner Therapeutics (PTx) Acquires Leukine® from Sanofi". www.prnewswire.com (Press release). Retrieved 2023-11-07.