Cancer [cancer (nos)] case narrative: initial information received on 09-feb-2024 regarding a solicited valid serious case received from the patient, in the scope of post-marketing sponsored study "spon_i_synvisc one".Patient id: unknown; country: canada study title: patient support program involving synvisc one.The case is cross referred to the case (b)(4) (multiple device suspect used for the same patient).This case involves adult female patient who was diagnosed with cancer, after being treated with hylan g-f 20, sodium hyaluronate [synvisc one].The patient's past medical history, medical treatment(s), concomitant medications, vaccination(s) and family history were not provided.On 08-jun-2023, the patient started taking synvisc one (hylan g-f 20, sodium hyaluronate) injection in the right knee (strength: 48 mg/6ml) at a dose of 6 ml 1x (lot - drsl009) (with unknown route and expiry date) for osteoarthritis.On an unknown date after unknown latency the patient diagnosed with cancer (neoplasm malignant; seriousness criteria: medically significant).It was reported that when asked the patient to provide more information about cancer she did not confirm and advised that only the doctor would know and he already knows.It was unknown if patient experienced any additional symptoms/events.It was unknown if there were lab data/results available.Action taken: not applicable.It was not reported if the patient received a corrective treatment for the event (cancer).At time of reporting, the outcome was not recovered for the event cancer.Reporter causality: not reported company causality: not reportable.
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Cancer [cancer (nos)].Case narrative: initial information received on 09-feb-2024 regarding a solicited valid serious case received from the patient, in the scope of post-marketing sponsored study "spon_i_synvisc one".Patient id: unknown; country: canada.Study title: patient support program involving synvisc one.The case is cross referred to the case (b)(4) (multiple device suspect used for the same patient).This case involves adult female patient who was diagnosed with cancer, after being treated with hylan g-f 20, sodium hyaluronate [synvisc one].The patient's past medical history, medical treatment(s), concomitant medications, vaccination(s) and family history were not provided.On (b)(6) 2023, the patient started taking hylan g-f 20, sodium hyaluronate injection in the right knee (strength: 48 mg/6ml) at a dose of 6 ml 1x (lot - drsl009;expiry date: 31-jan-2026) (route: intra-articular) for osteoarthritis.On an unknown date after unknown latency the patient diagnosed with cancer (neoplasm malignant; seriousness criteria: medically significant).It was reported that when asked the patient to provide more information about cancer she did not confirm and advised that only the doctor would know and he already knows.It was unknown if patient experienced any additional symptoms/events.It was unknown if there were lab data/results available.Action taken: not applicable.It was not reported if the patient received a corrective treatment for the event (cancer).At time of reporting, the outcome was not recovered for the event cancer.Reporter causality: not reported.Company causality: not reportable.A product technical complaint (ptc) was initiated on 09-feb-2024 for hylan g-f 20, sodium hyaluronate.Batch number; drsl009, expiry date: 31-jan-2026.Global ptc number: 100400229.Sample status of ptc was not available, and ptc stated preliminary assessment: based on the complaint from intake team, there is no quality related defect that would attribute to a malfunction a death or serious injury.Sanofi global pharmacovigilance and epidemiology continuously monitors adverse event reports with or without lot numbers, and assesses possible associations with their corresponding product lot, as part of routine safety surveillance effort to detect safety signals.The defect class has been updated to ii - (dp (unspecified) 12feb24).The production and quality control documentation for lot # drsl009 expiration date (2026-01) was manufactured on 27feb23 packaged 5000 singles were reviewed.The investigation showed that the product met specifications.No associated non-conformances were noted.Based on the lot # batch record review & lot # frequency analysis for lot # drsl009 no capa (corrective and preventive actions) is required.As of 14feb24 there are 6 complaints on file for lot# drsl009 and all related sublots.6 complaints are on file for lot#drsl009: (1) syringe broken before use and (5) adverse event reports.Sanofi will continue to monitor complaints and trending "product event handling" to determine if a capa (corrective and preventive actions) was required.The final investigation was completed on 21-feb-2024 with summarized conclusion as no assessment possible.Additional information was received on 12-feb-2024 from quality department: ptc details with global ptc number added.Text was amended accordingly.Additional information was received on 21-feb-2024 from quality department (other healthcare professional).Expiry date was added.Ptc results were received and added in the case.
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