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The Therakos Institute

Introducing

The Therakos Institute

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23 June 2021

Management of cGvHD: How supportive care can help

Hosted by

Dr. Zinaida Perić

University Hospital Centre Zagreb, Zagreb, Croatia


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Our Upcoming
Webinars

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Our On Demand Webinars

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12 May 2021

Role of Microbiota on GvHD

20 January 2021

Combinational Therapies in GvHD

Upcoming

Events

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therakos institute

DISCOVER OUR
CELLEXTM SYSTEM

The world’s only fully integrated and validated ECP system

cellex system
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cellex photopheresis
cellex system

OUR
LEGACY

We are the pioneers of ECP, and have been for over 30 years. Find out what this means for you.

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HEALTHCARE
PROFESSIONALS

Find out about our full range of services tailored to you.

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PATIENTS AND
CAREGIVERS

Discover more about extracorporeal photopheresis and see our patient support materials.

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Upcoming Congresses

International Society for Heart and Lung Transplantation

April 24–28, 2021

Virtual

ISHLT 2021 41st Annual Meeting & Scientific Sessions

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European Renal Association – European Dialysis and Transplant Association

June 5–8, 2021

Berlin & Virtual

ERA-EDTA 2021 58th Congress

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European Society for Organ Transplantation

August 29 – September 1, 2021

Milan

ESOT 2021 20th Edition

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European Society for Photobiology

August 30 – September 3, 2021

Salzburg

ESP 2021 19th Congress

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European Respiratory Society

September 5–8, 2021

Virtual

ERS International Congress 2021

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European Organisation for
Research and Treatment of Cancer

October 14–16, 2021

Marseille

EORTC CLTF - 2021

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Important Safety Information
For the TherakosTM Photopheresis
Procedure

Indications

The THERAKOSTM CELLEXTM Photopheresis System is indicated for the administration of photopheresis. Please refer to the appropriate product labelling for a complete list of warnings and precautions.

Contraindications

THERAKOSTM Photopheresis is contraindicated in:

  • Patients possessing a specific history of a light sensitive disease.
  • Patients who cannot tolerate extracorporeal volume loss or who have white blood cell counts greater than 25,000 / mm3.
  • Patients who have coagulation disorders or who have previously had a splenectomy.

Warnings and Precautions

THERAKOSTM Photopheresis treatments should always be performed in locations where standard medical emergency equipment is available. Volume replacement fluids and/or volume expanders should be readily available throughout the procedure. Safety in children has not been established.

  • Do not expose the device to a magnetic resonance (MR) environment. The device may present a risk of projective injury, and thermal injury and burns may occur. The device may generate artifacts in the MR image, or may not function properly.
  • Thromboembolic events, including pulmonary embolism and deep vein thrombosis, have been reported in the treatment of Graft versus Host Disease (GvHD). Special attention to adequate anticoagulation is advised when treating patients with GvHD.
  • When prescribing and administering THERAKOSTM Photopheresis for patients receiving concomitant therapy, exercise caution when changing treatment schedules to avoid increased disease activity that may be caused by abrupt withdrawal of previous therapy.

Adverse Events

  • Hypotension may occur during any treatment involving extracorporeal circulation. Closely monitor the patient during the entire treatment for hypotension.
  • Transient pyretic reactions, 37.7–38.9°C (100–102°F), have been observed in some patients within six to eight hours of reinfusion of the photoactivated leukocyte-enriched blood. A temporary increase in erythroderma may accompany the pyretic reaction.
  • Treatment frequency exceeding labelling recommendations may result in anaemia.
  • Venous access carries a small risk of infection and pain.

Please refer to the THERAKOSTM CELLEXTM Photopheresis System Operator Manual for a complete list of warnings and precautions.

IMPORTANT SAFETY INFORMATION FOR METHOXSALEN USED IN CONJUNCTION WITH THERAKOSTM PHOTOPHERESIS

Contraindications

Methoxsalen is contraindicated in:

  • Patients exhibiting idiosyncratic or hypersensitivity reactions to methoxsalen, psoralen compounds, or any of the excipients
  • Patients with co-existing melanoma, basal cell or squamous cell skin carcinoma
  • Patients who are pregnant, and sexually active men and women of childbearing potential unless adequate contraception is used during treatment
  • Patients with aphakia because of the significantly increased risk of retinal damage due to the absence of a lens

Warnings and Precautions

  • Special care should be exercised in treating patients who are receiving concomitant therapy (either topically or systemically) with known photosensitizing agents.
  • Oral administration of methoxsalen followed by cutaneous UVA exposure (PUVA therapy) is carcinogenic.
  • Patients should be told emphatically to wear UVA absorbing, wrap-around sunglasses for twenty-four (24) hours after methoxsalen treatment. They should wear these glasses any time they are exposed to direct or indirect sunlight, whether they are outdoors or exposed through a window.
  • Safety in children has not been established.

Refer to the package insert for methoxsalen sterile solution (20 micrograms / mL) or the oral 8-methoxypsoralen dosage formulation for a list of all warnings and precautions.

Please refer to the THERAKOSTM CELLEXTM Photopheresis System Operator Manual for a complete list of warnings, precautions and adverse events.

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The winner of the 2021 ECP Immunomodulation Investigator Award was submitted by Dr Etienne Daguindau from the RIGHT institute (UMR1098) in collaboration with the University Hospital of Besançon, France.

Full details are available on our press release page.

The 2022 edition will open later this year. Visit us again for more details.

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