Donislecel

Donislecel, sold under the brand name Lantidra, is a cellular therapy medication used for the treatment of type 1 diabetes.^[3][5] Donislecel is an allogeneic (donor) pancreatic islet cellular therapy made from deceased donor pancreatic cells. Donislecel is administered as a single infusion into the hepatic (liver) portal vein.^[5]

Donislecel

Clinical data
Trade names	Lantidra
Other names	donislecel-jujn
License data	US DailyMed: Donislecel
Routes of administration	Islet cell transplantation via intravenous infusion[1][2]
ATC code	None
Legal status
Legal status	US: ℞-only[3][4][5]
Identifiers
KEGG	D12634

The most common adverse reactions include nausea, fatigue, anemia, diarrhea, and abdominal pain.^[5]

Donislecel was approved for medical use in the United States in June 2023.^[3][5]

Medical uses

Donislecel is indicated for the treatment of adults with type 1 diabetes who are unable to approach target glycated hemoglobin (average blood glucose levels) because of current repeated episodes of severe hypoglycemia (low blood sugar) despite intensive diabetes management and education.^[3][5]

The primary mechanism of action of donislecel is believed to be the secretion of insulin by the infused allogeneic islet beta cells. In some people with type 1 diabetes, these infused cells can produce enough insulin, so the recipient no longer needs to take insulin (by injections or pump) to control their blood sugar levels.^[5]

Adverse effects

The most common adverse reactions include nausea, fatigue, anemia, diarrhea, and abdominal pain.^[5]

History

The safety and effectiveness of donislecel was evaluated in two non-randomized, single-arm studies in which a total of 30 participants with type 1 diabetes and hypoglycemic unawareness received at least one infusion and a maximum of three infusions. Overall, 21 participants did not need to take insulin for a year or more, with eleven participants not needing insulin for one to five years and ten participants not needing insulin for more than five years. Five participants did not achieve any days of insulin independence.^[5]

The FDA granted marketing approval of Lantidra to CellTrans, Inc.^[5]

References

1. "Archived copy". Food and Drug Administration. Archived from the original on 9 December 2022. Retrieved 29 June 2023.{{cite web}}: CS1 maint: archived copy as title (link)
2. "Archived copy". Food and Drug Administration. Archived from the original on 19 May 2021. Retrieved 29 June 2023.{{cite web}}: CS1 maint: archived copy as title (link)
3. "Lantidra- donislecel solution". DailyMed. 10 July 2023. Retrieved 28 August 2023.
4. "Lantidra". U.S. Food and Drug Administration (FDA). 28 June 2023. Archived from the original on 5 July 2023. Retrieved 5 July 2023.
5. "FDA Approves First Cellular Therapy to Treat Patients with Type 1 Diabetes". U.S. Food and Drug Administration (FDA) (Press release). 28 June 2023. Retrieved 28 June 2023. This article incorporates text from this source, which is in the public domain.

 This article incorporates public domain material from the United States Department of Health and Human Services

External links

• FDA Briefing Document, U.S. Food and Drug Administration (FDA)
• Meeting Presentation - Clinical, U.S. FDA Cellular, Tissue, and Gene Therapies Advisory Committee