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Interactions médicamenteuses

Anti-thymocyte + Lisocabtagene maraleucel

Gravité: Majeure

Anti-thymocyte and Lisocabtagene maraleucel: major interaction.

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Résumé

Anti-thymocyte globulin depletes T cells and can destroy infused CAR-T cells, reducing their expansion and efficacy. It also adds to infection risk in patients who are already immunocompromised.

Ce que signifie cette interaction, en termes simples

Anti-thymocyte and Lisocabtagene maraleucel 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.

Anti-thymocyte belongs to Miscellaneous; Lisocabtagene maraleucel belongs to Oncology.

Niveau de preuve: Moderate

Pourquoi elle survient

Lympholytic activity of anti-thymocyte globulin against CAR-T cells and additive immunosuppression.

Conduite à tenir

Avoid anti-thymocyte globulin around CAR-T infusion and wait an adequate washout interval before infusion. Where it is needed, for example for severe toxicity, monitor for infection and CAR-T persistence.

Questions à poser à votre pharmacien

  • 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?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Questions fréquentes

Can I take Anti-thymocyte with Lisocabtagene maraleucel?

MediHelp rates the interaction as major. Anti-thymocyte and Lisocabtagene maraleucel 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. Anti-thymocyte globulin depletes T cells and can destroy infused CAR-T cells, reducing their expansion and efficacy. It also adds to infection risk in patients who are already immunocompromised.

How serious is the interaction between Anti-thymocyte and Lisocabtagene maraleucel?

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 anti-thymocyte globulin around CAR-T infusion and wait an adequate washout interval before infusion. Where it is needed, for example for severe toxicity, monitor for infection and CAR-T persistence.

What other medicines interact with Anti-thymocyte?

MediHelp also lists interactions of Anti-thymocyte with, for example, Bcg vaccine live, Influenza virus vaccine quadrivalent intranasal, Measles mumps and rubella vaccine live. The full list is on the Anti-thymocyte page.

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