FDA-filed SPL labeling · retrieved through openFDA

Vusolimogene Oderparepvec-Wtpg

Vusolimogene oderparepvec-wtpg is a genetically modified oncolytic virus (a virus that attacks cancer cells), given by injection into tumors together with nivolumab, for adults with advanced melanoma that can't be surgically removed and has grown despite anti-PD-1 treatment.

Brand name Tudriqev
Rx Form 1 Route Intratumor
Dr. Brian Staiger, PharmD, BCPS
Reviewed by Last reviewed Sep 29, 2026
🧬 Where this information comes from Click to expand

The clinical label records used on this page are FDA-filed Structured Product Labeling (SPL) retrieved through openFDA. We identified 1 clinical label set within the page’s selected clinical scope after exact ingredient or ingredient-combination matching and applicable route/form matching. Forms, routes, brands, labelers, strengths, and NDC product-record counts are built separately from matching FDA National Drug Code Directory records. The linked DailyMed document is a representative official source for verification, not the page’s only clinical source. View the linked label on DailyMed →

At a glance
Linked label effectiveSep 1, 2026
AvailabilityRx
Earliest approval/marketing year ⓘ2026
FDA-listed product records ⓘ4
Boxed warningNone found in compared labels
How we combine label and product data →
✓No current FDA shortage listed · checked Sep 30, 2026
⭐ Vusolimogene Oderparepvec-Wtpg at a glance The quick version — the full detail is in the Patient Information Guide below.
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HelloPharmacist Editorial Team Bottom Line
Tudriqev, given with nivolumab, is an injected option for adults with unresectable advanced cutaneous melanoma that progressed after anti-PD-1 treatment. It carries real risks, including herpes-related infection, spread to close contacts, injection complications, and immune-related side effects. Keep injection sites covered and follow your care team's directions closely.

📖 Vusolimogene Oderparepvec-Wtpg: Patient Information Guide

A plain-language walkthrough of Vusolimogene Oderparepvec-Wtpg — what it treats, how it works, how it’s taken, side effects, warnings and interactions. Tap any section to expand it.

🎯What it's used for▾

Vusolimogene oderparepvec-wtpg is an oncolytic viral therapy used in one setting:

  • Tudriqev, given by injection into tumors together with nivolumab, treats adults with unresectable advanced cutaneous melanoma whose disease progressed after a PD-1-blocking antibody-based regimen.
  • This use has accelerated approval based on response rate and duration of response. Continued approval may depend on a confirmatory trial.
⚙️How it works▾

Tudriqev is a modified virus that multiplies mainly inside tumors. This breaks down tumor cells and releases tumor and viral material that alerts the immune system. T cells then move into the area.

The virus also makes two added proteins. One boosts direct tumor killing. The other, GM-CSF, is meant to activate and mature immune cells. With nivolumab, this may promote an anti-tumor immune response in melanoma that no longer responds to anti-PD-1 treatment.

💊How it's taken▾

Tudriqev is injected straight into tumors by a healthcare professional. It is never given into a vein.

  • It is given every two weeks for 8 doses in a row.
  • The volume depends on the size of the tumor, with a set maximum per visit.
  • Nivolumab is given separately by vein starting at Week 3.
  • Some people without confirmed progression may be retreated.

Your care team schedules each visit, so missed-visit questions should go to them.

🤒Side effects — in detail▾

Common side effects seen in the study included:

  • Fatigue (most common)
  • Fever and chills
  • Infections
  • Musculoskeletal pain and joint pain
  • Nausea, diarrhea, vomiting, constipation, and decreased appetite
  • Injection site reactions
  • Headache, dizziness, and cough
  • Flu-like illness, rash, and itching

Serious reactions included herpes infections, bleeding, lung or organ injury from the injection, immune-related problems, and heart events. About 1 in 6 people stopped treatment because of side effects.

⚠️Warnings & precautions▾
  • Accidental exposure: The virus can pass to others through injected tumors, dressings, or body fluids and may cause herpes infection. Wash any exposed area with soap and water.
  • Herpes infection or reactivation: Contact your provider about any suspected herpes sores for assessment and antiviral treatment.
  • Injection complications: Bleeding, infection, and organ injury (such as pneumothorax, a collapsed lung) can occur. You are monitored after injection.
  • Immune-related events with nivolumab: These include colitis, hepatitis, myocarditis, neuropathy, capillary leak syndrome, dermatitis, and vitiligo.
🔀What it interacts with▾

The main interaction is with antiviral medicines.

  • Antivirals may reduce how well Tudriqev works.
  • If you take a systemic antiviral for a herpes infection, Tudriqev should be delayed until 72 hours after you finish.

This is not a complete list of interactions. Always talk with your doctor or pharmacist before starting, stopping, or changing any medication.

📋Before taking it▾
  • There are no listed contraindications.
  • Pregnancy status should be verified before starting. Use effective contraception during treatment and for 90 days after the last dose.
  • Men with a female partner who could become pregnant should use contraception and not donate sperm during treatment and for 90 days afterward.
  • Breastfeeding: discuss risks and benefits with your doctor, since there are no data.
  • Not established in children.
  • Adults 65 and older had no overall difference in safety or effectiveness.
  • Tumors in the brain or spinal cord are not injected.
🔬Pharmacokinetics — how your body processes it▾

In a study, the virus's DNA showed up briefly in the blood of about 1 in 5 people within 6 hours of injection, then dropped. It was rarely found in urine. Blood and urine were clear by 30 days.

Viral DNA was often found on the surface of injected tumors, sometimes for up to 15 days. Live virus was rarely detected on swabs, and no spread to close contacts was reported. Results were similar whether or not people had prior herpes (HSV-1) exposure.

📦How to store it▾

Store in the original carton until use. Store TUDRIQEV at -70°C to -90°C (-94°F to -130°F). refrigeration guidelines.

📄 Written from Vusolimogene Oderparepvec-Wtpg’s FDA-approved label information, summarized in plain language with AI, and reviewed by our pharmacy team before publication. Every point is grounded in that labeling — nothing is invented. How we use AI →

🩺 Pharmacist Counseling Corner

Quick, plain-English answers to the questions patients ask most about Vusolimogene Oderparepvec-Wtpg — the kind of thing our pharmacy team would talk through with you at the counter.

What is Tudriqev used for? ▾
It's used together with nivolumab for adults with advanced skin melanoma that can't be surgically removed and got worse after anti-PD-1 treatment. It has accelerated approval, so more study is needed to confirm the benefit.
How will I receive it? ▾
A healthcare professional injects it right into your tumor(s), usually every two weeks for 8 doses. Nivolumab is given separately through a vein starting at Week 3. Your team decides the volume based on tumor size.
What should I do about the injection site? ▾
Your team will cover it with a dressing, and you should keep it covered for at least 48 hours. Avoid touching or scratching it. If you or someone else touches it, wash with soap and water.
Can I pass the virus to my family? ▾
It's possible in theory, and it could cause a herpes infection. In the study, no transmission to close contacts was reported. Still, caregivers should wear gloves for dressings, and pregnant women and newborns should avoid contact with the site.
What side effects should I expect? ▾
Fatigue, fever, chills, nausea, diarrhea, pain, and injection site reactions were common. Call your team for herpes-like sores, bleeding, trouble breathing, severe diarrhea, chest pain, or signs of liver or heart problems.
Do I need contraception? ▾
Yes, if you or your partner could become pregnant. Use effective contraception during treatment and for 90 days after the last dose. Men shouldn't donate sperm during that time either.
Is Vusolimogene Oderparepvec-Wtpg available over the counter? ▾
Vusolimogene Oderparepvec-Wtpg is dispensed by prescription according to its FDA labeling, so it isn't sold over the counter. Your prescriber and pharmacist will determine if it's appropriate for you.
When was Vusolimogene Oderparepvec-Wtpg first available? ▾
Vusolimogene Oderparepvec-Wtpg has been available in the United States since at least 2026, based on FDA approval history (Drugs@FDA) and product marketing records.

💬 Answers drafted from Vusolimogene Oderparepvec-Wtpg’s FDA-approved label information, summarized in plain language with AI, and reviewed by our pharmacy team before publication. Grounded in that labeling — nothing is made up. How we use AI →

🧰 Keep exploring

💊 How Vusolimogene Oderparepvec-Wtpg comes

Vusolimogene Oderparepvec-Wtpg is available in 1 form. Different forms and brands can have different approved uses, doses, schedules, and directions. Follow the instructions for your exact product, and do not switch forms without guidance from your prescriber or pharmacist.

Injection

Intratumor
Brands Tudriqev
How this form is used
What it may be used for
  • Tudriqev is used with nivolumab for adults with unresectable advanced cutaneous melanoma that progressed after a PD-1-blocking antibody-based regimen.
Important instructions
  • Tudriqev is for intratumor injection only and must not be given into a vein.
  • Tudriqev is given every two weeks for 8 consecutive doses, with nivolumab by vein starting at Week 3.
  • Tudriqev injection sites should stay covered with a dressing for at least 48 hours.
  • Tudriqev is prepared and given by a healthcare professional experienced in anticancer therapy.
Available strengths 2 strengths
4 FDA-listed product records ⓘ

📊 Vusolimogene Oderparepvec-Wtpg across the U.S. market

How Vusolimogene Oderparepvec-Wtpg appears in the FDA’s National Drug Code Directory — including its dosage forms, strengths, brand names, manufacturers, and FDA-listed product records. These are directory records, not sales or prescription volume.

1
Dose forms ⓘ
1
Manufacturers
1
Brand names
4
FDA-listed product records ⓘ
2026
First marketed ⓘ

🔍 Compare Vusolimogene Oderparepvec-Wtpg products

A representative set of FDA-listed product records for Vusolimogene Oderparepvec-Wtpg — across manufacturers, strengths, and dosage forms, grouped by form with each product’s manufacturer and how the FDA approved it. The same medicine may be made and packaged by different companies, so a single drug can have many directory entries. (It’s also why a refill can look different — a new shape, color, or box — even though it contains the same medication.)

Strength Route Manufacturer / Labeler Category ⓘ Details
💊Injection
1000000 [PFU]/mL Intratumor Replimune, Inc. × 2 listings BLA View NDC →
10000000 [PFU]/mL Intratumor Replimune, Inc. × 2 listings BLA View NDC →

Showing 4 of 4 products — FDA National Drug Code Directory. See every product, package size and price: browse all 4 Vusolimogene Oderparepvec-Wtpg NDCs →

🏷️ Sold under these brand names

Tudriqev

🏭 Manufacturers & labelers

Replimune, Inc. 4

🔬 Where this comes from

Core label, product, RxNorm, safety, and utilization data on this page come from the sources identified below. AI-written, editorial, and licensed sections are labeled separately.

📄
FDA-filed drug labels (SPL) Uses, dosing, warnings & side effects from SPL records retrieved through openFDA; the linked representative set can be verified on DailyMed. ✓ Linked label effective Sep 1, 2026
🏭
Forms, brands & labelersAggregated from ingredient-matched FDA National Drug Code Directory product records for Vusolimogene Oderparepvec-Wtpg.
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Real-world reportsThe FDA Adverse Event Reporting System (FAERS), served through openFDA.
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Recalls & shortagesopenFDA drug-enforcement reports and the FDA drug-shortage database.
🧾 Clinical label set — FDA-filed SPL labels retained for Vusolimogene Oderparepvec-Wtpg after exact ingredient or ingredient-combination matching and applicable route/form matching
Clinical labels in scope
1
NDC products indexed
4
Distinct labelers/manufacturers represented
1
Linked representative label ⓘ
Replimune, Inc.
Linked label effective
Sep 1, 2026
Composite sections available
21
Linked SPL Set ID
26627b8d-91ac-4f76-a213-7e25efd024d1
Linked SPL Document ID
5a6cd8e9-9d15-d428-e063-6294a90a4dfb
Open the linked representative label on DailyMed ↗

How we combine label and product data

HelloPharmacist combines public FDA and NLM records; we don’t author the underlying clinical facts. We identified 1 FDA-filed SPL label set within the page’s selected clinical scope after exact ingredient or ingredient-combination matching and applicable route/form matching. The representative label is the starting point for the displayed reference monograph; the 12 largest stored in-scope SPL records, which may include that representative, are compared section by section, and the longest available version of each section is retained. Forms, routes, brands, labelers, product-listed strengths, and product-record counts are aggregated separately from ingredient-matched FDA NDC Directory records; package records listed above are associated with the linked SPL; and the normalized concept hierarchy comes from NLM RxNorm.

For canonical ingredient pages, bounded product-attributed indication and administration excerpts may be added to the AI evidence, and the generator is instructed to preserve available product, brand, route, and form qualifiers instead of treating one label as universal. Where a section is identified as AI-written, its plain-language text is generated from bounded label evidence. New draft drug pages remain in the admin review queue before first publication. Replimune, Inc. is the representative DailyMed label linked for verification and dates; it is not the sole source used for the page.

This is general education, not medical advice — always consult your doctor or pharmacist about your medications and any medical condition. For the exact wording of the linked representative label, view that label on DailyMed; some displayed composite sections may come from other in-scope SPL labels. Learn how we use AI and our data sources & update cadence.