Allogeneic processed thymus tissue, marketed as Rethymic, is a tissue-based therapy made from donor thymus tissue that is processed and cultured before being surgically implanted into a patient. It is used to treat congenital athymia, a rare pediatric condition in which children are born without a functioning thymus gland, leaving them with severely compromised immune systems. In a one-time surgical procedure, slices of the processed tissue are implanted into the quadriceps muscle, and immune reconstitution typically takes six months or longer to develop. Rethymic received United States Food and Drug Administration approval in October 2021, becoming the first thymus tissue product approved by the agency. Its safety and efficacy were established through clinical studies of 105 pediatric participants aged one month to sixteen years, followed from 1993 to 2020, which showed improved survival with most treated patients surviving at least two years.
Facts
Approved UseImmune reconstitution in pediatric patients with congenital athymia 3 First Approved / Isolated Year Significant RiskGraft versus host disease occurred in 10% of treated patients in clinical studies, and 55% of those patients died 4 Partially Attested
Route of AdministrationThe label says the tissue is surgically implanted into the quadriceps muscle, which is an intramuscular site but not an injection, so the closest allowed value is used. Classification
Approval Status ATC ClassSourced to the subject's own accountL: Antineoplastic and Immunomodulating Agents 2 Connections
Sources
1. Allogeneic processed thymus tissue (Wikipedia)
Lead section, approval-status statementQuote, Lead section, approval-status statement
Allogeneic processed thymus tissue was approved for medical use in the United States in October 2021.
View the Source 2. Anatomical Therapeutic Chemical Classification System (Wikipedia)
WikipediaFirst-level anatomical group codes, Code LQuote, First-level anatomical group codes, Code L
Antineoplastic and immunomodulating agents
View the Source 3. RETHYMIC (FDA)
Indication fieldQuote, Indication field
For immune reconstitution in pediatric patients with congenital athymia.
View the Source 4. RETHYMIC prescribing information (DailyMed)
Section 2.2 Dosage and Administration
RETHYMIC should be implanted in the quadriceps muscle in accordance with the instructions provided below.
Section 5.2 Graft versus Host Disease
In clinical studies with RETHYMIC, GVHD occurred in 11 (10%) RETHYMIC-treated patients of whom 6 (55%) died.
Section 11 Description
RETHYMIC consists of yellow to brown slices of allogeneic processed thymus tissue
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