Manufacturing Failure
Ensure that the patient and/or caregiver understand the risk of manufacturing failure. In case of manufacturing failure or the need for additional cells, additional cell collection and manufacturing of KRESLADI would be needed [see Dosage and Administration (2.2)].
Serious Infections
Inform the patient and/or caregiver that patients are at increased risk of developing a variety of infections, which may be due to administration of myeloablative conditioning prior to treatment with KRESLADI. Advise the patient and/or caregiver to contact their healthcare provider if the patient develops any symptoms of infection such as fever, sweats or chills, cough or flu-like symptoms, muscle aches, or warm, red, painful areas on the skin [see Warnings and Precautions (5.1)].
Veno-Occlusive Disease
Inform the patient and/or caregiver of the risk of veno-occlusive disease, which may be due to administration of myeloablative conditioning prior to treatment with KRESLADI. Advise the patient and/or caregiver of the plan to monitor liver function following treatment with KRESLADI [see Warnings and Precautions (5.2)].
Neutrophil Engraftment Failure
Inform the patient and/or caregiver of the potential risk of neutrophil engraftment failure and the need for rescue treatment with their back-up collection of CD34+ cells, if engraftment failure occurs [see Warnings and Precautions (5.3)].
Delayed Platelet Engraftment
Inform the patient that a risk of bleeding or bruising exists after myeloablative conditioning and before platelet engraftment occurs [see Warnings and Precautions (5.4)].
LVV-mediated insertional oncogenesis
Inform the patient and/or caregiver that the risk for insertional oncogenesis is lifelong and the patient will need monitoring for hematologic malignancies via blood tests at least annually for at least 15 years after treatment with KRESLADI. Advise patients that they may require more frequent blood tests and invasive bone marrow biopsies if routine blood tests are concerning for the development of malignancy. Advise patients to have their treating physician contact Rocket Pharmaceuticals, Inc. at 1-800-982-2410 if they are diagnosed with a malignancy [see Warnings and Precautions (5.5)].
Hypersensitivity Reactions
Inform patients to seek immediate medical attention for signs or symptoms associated with hypersensitivity reactions [see Warnings and Precautions (5.6)].
Laboratory Test Interference
Advise patients that they may test positive for HIV if tested using a PCR assay after being treated with KRESLADI [see Warnings and Precautions (5.8)]. Advise the patient and/or caregiver that they should notify any healthcare provider about this possibility prior to being tested for HIV.
Inform patients that they should not donate blood, organs, tissues, or cells at any time in the future [see Dosage and Administration (2.3), Warnings and Precautions (5.9)].