FDA OKs ‘Major’ Yescarta, Tecartus REMS Changes

FDA has approved a major modification to the Risk Evaluation and Mitigation Strategy (REMS) for Kite Pharma’s lymphoma drugs Yescarta (axicabtagene ciloleucel) and Tecartus (brexucabtagene autoleucel). An agency notice says FDA has determined that the REMS must be modified to minimize the burden on the healthcare delivery system of complying with it. These are the required modifications:

  • modification to REMS goals to remove the goal for “ensuring those who prescribe, dispense, or administer Yescarta and/or Tecartus are aware of how to manage the risks of CRS (cytokine release system) and neurological toxicities”;
  • removal of the requirement for specified educational and training materials; and
  • removal of the requirement to report any serious adverse events suggestive of CRS or neurological toxicities to the REMS.

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