Alemtuzumab (Lemtrada): Risks of immune-mediated reactions and serious cardiovascular adverse events occurring in close temporal association with Lemtrada infusions

A Dear Healthcare Professional Letter has been issued by Sanofi-aventis to inform healthcare professionals of new safety information on the risks of immune-mediated reactions (e.g. autoimmune hepatitis and haemophagocytic lymphohistiocytosis) and serious cardiovascular adverse events (e.g. myocardial ischemia, stroke and cervicocephalic arterial dissection) occurring in close temporal association with Lemtrada (alemtuzumab) infusions. In light of this emerging data, healthcare professionals are advised to follow the new risk minimisation measures before and during treatment with alemtuzumab. These new measures include the monitoring of vital signs before and periodically during alemtuzumab infusion and the evaluation of liver function prior to starting treatment and periodically thereafter, as per clinical judgment. Patients should be informed about the signs and symptoms of these adverse reactions and to seek medical attention should they occur. Sanofi-aventis will be working with HSA to incorporate the new safety information into the Singapore Lemtrada package insert. Please refer to the letter for details.
Healthcare professional, Therapeutic Products
Published:

Dear Healthcare Professional Letters

12 Dec 2019

Only abstracts of the Dear Healthcare Professional Letters (DHCPL) are provided on this website. Details of the letters can be found on the MOH Alert System, which is accessible via the Health Professionals Portal (HPP). HPP is a one-stop portal for all healthcare professionals in Singapore. Dentists, medical doctors and pharmacists may access HPP at https://www.moh.gov.sg/hpp/, and follow the procedures below to access the MOH Alert system.

Step 1: On the top navigation ribbon of webpage, select 'For Healthcare Professionals' followed by 'Health Professionals Portal' and click on the choice of profession. User will be redirected to the specific HPP webpage for the selected profession.

Step 2: Click on the Restricted Content icon on the left panel of webpage and login via SingPass.

Step 3: Click on the MOH Alert icon under ‘Applications’ section

Step 4: Click on the Drug Alert tab to view the DHCPLs.