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JADPRO / Education / FDA Focus / Unloxcyt cosibelimab-ipdl for metastatic or locally advanced cutaneous squamous cell carcinoma

Unloxcyt (cosibelimab-ipdl) for metastatic or locally advanced cutaneous squamous cell carcinoma

December 13, 2024

Initial US Approval:

2024

Key Clinical Studies:

Study CK-301-101 (NCT03212404)

Drug Class/Description:

Programmed death ligand-1 (PD-L1) blocking antibody

Indications and Usage:

Treatment of adults with metastatic cutaneous squamous cell carcinoma (mCSCC) or locally advanced CSCC (laCSCC) who are not candidates for curative surgery or curative radiation.

Dosage Administration:

The recommended dosage of UNLOXCYT is 1,200 mg as an intravenous infusion over 60 minutes every 3 weeks

Dosage Forms and Strengths:

Injection: 300 mg/5 mL (60 mg/mL) solution in a single-dose vial.

Contraindications:

None.

Warnings and Precautions:

  • Immune-Mediated Adverse Reactions:
    • Immune-mediated adverse reactions can occur in any organ system or tissue, including the following: immune-mediated pneumonitis, immune-mediated colitis, immune-mediated hepatitis, immunemediated endocrinopathies, immune-mediated dermatologic adverse reactions, immune-mediated nephritis and renal dysfunction, and solid organ transplant rejection.
    • Monitor for early identification and management. Evaluate liver enzymes, creatinine, and thyroid function at baseline and periodically during treatment.
    • Withhold or permanently discontinue UNLOXCYT based on the severity of reaction.
  • Infusion-Related Reactions: Interrupt, slow the rate of infusion, or permanently discontinue based on severity of reaction.
  • Complications of Allogeneic Hematopoietic Stem Cell Transplantation (HSCT): Fatal and other serious complications can occur in patients who receive allogeneic HSCT before or after being treated with a PD-1/PDL1 blocking antibody.
  • Embryo-Fetal Toxicity: Can cause fetal harm. Advise females of reproductive potential of the potential risk to a fetus and to use effective contraception.

Adverse Reactions:

The most common adverse reactions (≥10%) were fatigue, musculoskeletal pain, rash, diarrhea, hypothyroidism, constipation, nausea, headache, pruritus, edema, localized infection, and urinary tract infection.

Use in Specific Populations:

Lactation: Advise not to breastfeed.

Adapted From:

https://checkpointtx.com/wp-content/uploads/2024/12/uspi-unloxcyt.pdf 

Every health-care provider should make their own determination regarding specific safe and appropriate patient care practices, including drug dosages and indications. The provider should always consult the most recent prescribing/product information. FDA Focus information is not guaranteed to be accurate, complete, or current. JADPRO and its editors, authors, reviewers, and commentators cannot be held responsible for any liability incurred as a consequence of the application of any of the information listed within.

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