FDA Adverse Event Death Summary report: N

THERAKOS CELLEX PHOTOPHERESIS SYSTEM

MDR report key: 4326997 · Received December 11, 2014

Report

Report Number
2523595-2014-00323
Event Type
Death
Date Received
December 11, 2014
Date of Event
October 3, 2014
Report Date
December 8, 2014
Manufacturer
THERAKOS, INC.
Product Code
LNR
PMA / PMN Number
P680003
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
TU
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

NO LOT NUMBER WAS REPORTED; THEREFORE, NO BATCH RECORD REVIEW WAS PERFORMED. THERE WERE NO TRENDS DETECTED FOR COMPLAINT CATEGORIES, DEATH OR MULTI-ORGAN FAILURE. (B)(6)YEAR OLD MALE WITH GRADE 1 ACUTE GVHD OF FANCONI ANEMIA DIED OF MUCORMYCOSIS; EVOLVED INTO MILD CHRONIC GVHD. PATIENT ONLY HAD 6 ECP TREATMENTS. THIS CASE IS SERIOUS AND NOT RELATED TO ECP THERAPY. THERAKOS IS REPORTING THIS OUT OF ABUNDANCE OF CAUTION. KIT UNIQUE IDENTIFIER (UDI)#: (B)(4).

Description of Event or Problem · 1

EVENT REPORTED IN A LITERATURE ARTICLE: JOURNAL OF PEDIATRIC HEMATOLOGY/ONCOLOGY 2014;00:000-000. ACCEPTED FOR PUBLICATION OCTOBER 3, 2014. "SAFETY AND OUTCOMES OF EXTRACORPOREAL PHOTOPHERESIS WITH THE THERAKOS CELLEX SYSTEM FOR GRAFT-VERSUS-HOST-DISEASE IN PEDIATRIC PATIENTS." (B)(6) YEAR-OLD BOY, ONE OF FOUR PATIENTS (ALL FOUR WITH LIVER INVOLVEMENT) IN A RETROSPECTIVE REVIEW OF TWELVE PEDIATRIC PATIENTS THAT FAILED TO RESPOND TO THE TREATMENT AND DIED OF MUCORMYCOSIS, EVOLVED INTO MILD CHRONIC GVHD (SKIN). HSCT INDICATION: FA, FANCONI ANEMIA DONOR: (B)(6), MATCHED UNRELATED DONOR (B)(6). STEM CELL: BM, BONE MARROW. ONSET OF GVHD (WK): 8. GVHD TREATMENT (PRE-ECP): CSA (CYCLOSPORINE), TACR (TACROLIMUS), MMF (MYCOPHENOLATE MOFETIL), MP (METHYLPREDNISOLONE), SIROLIMUS INTERVAL BETWEEN ONSET OF GVHD AND ECP (WK): 13. GVHD TYPE: ACUTE (BIOPSY PROVEN). AFFECTED ORGANS (STAGE IN AGVHD, SCORE IN CGVHD): SKIN (2) DEGREE OF GVHD: GRADE 1 ACUTE GVHD. IMPROVEMENT: ACUTE: GRADE 1 TO 0. ECP PROCEDURES: 6. GVHD TREATMENT DURING ECP: SIROLIMUS. BEGINNING OF IMPROVEMENT (IF ANY) (NUMBER OF PROCEDURES): 4. SURVIVAL: EXPIRED. CURRENT STATUS: DIED OF MUCORMYCOSIS, EVOLVED INTO MILD CHRONIC GVHD (SKIN). THE DATE OF DEATH WAS NOT REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
804290 THERAKOS CELLEX PHOTOPHERESIS SYSTEM CELLEX LNR THERAKOS, INC.

Patients

Seq Age Sex Outcome Treatment
1 12 YR Death