Drug interactions
Ciltacabtagene autoleucel + Dacarbazine
Severity: Major
Ciltacabtagene autoleucel and Dacarbazine: major interaction.
Last updated
For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.
Summary
Dacarbazine is a myelosuppressive agent. Given around the time of CAR T-cell therapy it may impair T-cell collection, expansion and persistence and adds to cytopenias and infection risk.
What this interaction means in plain words
Ciltacabtagene autoleucel and Dacarbazine can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.
Ciltacabtagene autoleucel belongs to Miscellaneous; Dacarbazine belongs to Oncology.
Why it happens
Additive immunosuppression and myelosuppression, with possible cytotoxic effects on CAR T cells.
What to do
Avoid dacarbazine before leukapheresis and after infusion unless part of a planned protocol. Monitor blood counts and infections closely.
What to ask your pharmacist
- Does the benefit of taking both outweigh the risk in my case?
- Do I need any blood test, ECG or other check while on both?
- What early warning signs should I watch for, and what should I do if they appear?
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Other interactions of Dacarbazine
Other interactions of Ciltacabtagene autoleucel
Frequently asked questions
Can I take Ciltacabtagene autoleucel with Dacarbazine?
MediHelp rates the interaction as major. Ciltacabtagene autoleucel and Dacarbazine can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Dacarbazine is a myelosuppressive agent. Given around the time of CAR T-cell therapy it may impair T-cell collection, expansion and persistence and adds to cytopenias and infection risk.
How serious is the interaction between Ciltacabtagene autoleucel and Dacarbazine?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid dacarbazine before leukapheresis and after infusion unless part of a planned protocol. Monitor blood counts and infections closely.
What other medicines interact with Dacarbazine?
MediHelp also lists interactions of Dacarbazine with, for example, Adenovirus types 4 and 7 live, Axicabtagene ciloleucel, Belatacept. The full list is on the Dacarbazine page.
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