Novartis Recalls 2 Sandimmune Lots

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Novartis has recalled two lots of its Sandimmune oral solution (cyclosporine) 100 mg/mL due to crystal formation observed in some bottles, which could result in incorrect dosing. The issue was identified during an investigation of crystallization in a different Sandimmune lot, according to a recall notice. The drug is indicated for the prophylaxis of organ rejection in kidney, liver, and heart allogeneic transplants.

“Crystallization of cyclosporine in Sandimmune Oral Solution is likely to result in non-uniform distribution of the cyclosporine in the product, resulting in under-dosing or over-dosing,” the notice says. “There is a reasonable probability that under-dosing may result in lower exposures and a decrease in efficacy which could ultimately lead to graft rejection and graft loss in transplant patients. Furthermore, over-dosage may manifest itself as cyclosporine toxicity in the long term if overexposure continues.”

Novartis says it has not received any adverse event reports related to the recall.

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