ENCELTO revakinagene taroretcel-lwey 440000 [arb'U]/1 Implant, 1 capsule — NDC 82958-501-01 (Billing 82958-0501-01)
This is a package of 1 capsule of ENCELTO revakinagene taroretcel-lwey 440000 [arb'U]/1 Implant from Neurotech Pharmaceuticals, Inc., marketed since Mar 2025 and currently FDA-listed. It is this product's only package size.
NDC database record
One package, one record: these facts belong to NDC 82958-501-01 alone.
- Record
- FDA NDC Directory package listing · Human prescription drug
- Code segments
- 82958 labeler · 501 product · 01 package
- Package marketed since
- Mar 12, 2025
- Sample package
- No — commercial package
- Listing certified through
- Dec 31, 2027
- Billing quantity
- 1 EA per package
- Barcode (UPC-A, from the NDC)
- 3 8295850101 4
- FDA record last changed
- Sep 24, 2026
Identity & classification
Regulatory identifiers FDA, NLM and CMS codes for this package
Drug-database identifiers Medi-Span GPI and First Databank GCN / HICL / AHFS classification
- GSN (GCN sequence number): 087457
- GCN: 57372
- HICL (First Databank): 050375
- AHFS class code: 26:12.00.00
- RxCUI (RxNorm): 2708837
Where does this data come from?
- FDA openFDA NDC Directory · synced Oct 1, 2026
- FDA label on DailyMed · label index refreshed Oct 3, 2026
- RxNorm (NLM RxNav) · catalog refreshed Oct 1, 2026
- Medi-Span GPI (licensed)
- First Databank (licensed) · refreshed Oct 1, 2026
Clinical
Revakinagene taroretcel-lwey is used to treat idiopathic macular telangiectasia type 2 (MacTel) (an eye disease of the retina). Revakinagene taroretcel-lwey is in a class of medications called gene therapy. It works by providing a protein that helps to protect light-sensing cells (photoreceptors) in the retina.
Read the full MedlinePlus article ↗- Encelto treats adults with idiopathic macular telangiectasia type 2, or MacTel. It is a small implant placed inside the eye that releases a protein thought to help protect light-se...
- It is placed in the eye during a single surgery by an ophthalmologist. You get one implant for each affected eye. Afterward you use antibiotic and steroid eye drops as directed.
- Eye-related effects are common. These include bleeding on the eye surface, slow adjustment to dim light, eye pain, a gritty feeling, and suture irritation. Mention anything bothers...
- Call right away for worsening eye pain, vision loss, a red eye, sudden flashing lights, or new floaters. These can mean infection or a retinal problem. Quick treatment matters.
Patient education
Supplement & herbal interactions
Where does this data come from?
- MedlinePlus (NLM) · refreshed Oct 1, 2026
- FDA label on DailyMed · label index refreshed Oct 3, 2026
Ask a licensed pharmacist directly — free, answered by our team.
Pricing
A drug doesn't have one price. Each row is a different public payment system, and none is what you'd pay at the counter — that depends on your insurance. The ⓘ on each row explains what it measures.
| Price system | Per each | Per package |
|---|---|---|
| Retail pharmacies payNADAC · weekly | Not in the retail survey — common for institutional, discontinued, or low-volume packs. | |
| Medicaid paysCMS SDUD · 12 mo | No recent Medicaid claims on file for this NDC — rare and low-volume NDCs are suppressed in the public data. | |
| Medicare drug plans payPart D · quarterly | No Part D plan price is available for this NDC in our data. | |
Where does this data come from?
- CMS NADAC weekly file
- CMS ASP pricing files · refreshed Sep 20, 2026
- CMS Medicaid State Drug Utilization Data · refreshed Oct 4, 2026
- CMS Part D plan pricing files · refreshed Sep 24, 2026
- VA National Acquisition Center price file
Packaging — all sizes for this product
| Package NDC | Description | Marketing start | Marketing end | Status |
|---|---|---|---|---|
| 82958-0501-01 You're viewing this Main listing | 1 CAPSULE in 1 CONTAINER / 1 IMPLANT in 1 CAPSULE | 2025-03-12 | — | Active |
Therapeutic equivalents
| Product | Labeler | Pack | NADAC/unit | TE | Status | Price vs. this |
|---|---|---|---|---|---|---|
| Encelto 440000 [arb'U]this 82958-0501-01 | Neurotech | 1 capsule | — | — | FDA listed | — |
Where does this data come from?
- FDA openFDA NDC Directory · synced Oct 1, 2026
- FDA Purple Book · refreshed Sep 5, 2026
- CMS NADAC weekly file
Availability & biosimilar status
Biologics have no small-molecule generics; biosimilar competition is tracked in the FDA Purple Book.
Why the date isn’t exact: Biosimilar timing can change because patents may be challenged, settled, licensed, added or removed, and litigation can move the real date earlier or later.
🛈 What do these terms mean?
- Biologic patent
- A patent the reference product’s maker has publicly listed. A biosimilar generally can’t launch until these expire — unless they’re invalidated or resolved in a settlement.
- Reference-product exclusivity
- A flat 12 years of FDA market protection from the biologic’s first licensure (the BPCIA). No biosimilar can be licensed before it ends, regardless of patents.
- Interchangeable exclusivity
- The first interchangeable biosimilar can earn a period as the only interchangeable version (pharmacists can substitute it without the prescriber).
- Earliest biosimilar (LOE)
- The latest of all the dates above — the soonest a biosimilar can realistically reach the market. Litigation and settlements can move it earlier.
Biologics have no small-molecule “generics” — competition comes from FDA-licensed biosimilars, tracked in the FDA Purple Book.
| Code | What it grants | Expires |
|---|---|---|
| RefProduct | Reference-product exclusivity (12-year, BPCIA) — no biosimilar can be licensed before this date | Mar 5, 2037 |
Is there a biosimilar for ENCELTO IMPLANT?
Why do different websites show different biosimilar dates?
Can a biosimilar launch before the last patent expires?
What does “current Purple Book estimate” mean?
What does “FDA listed” mean?
What does a patent or protection date mean here?
Where does this data come from?
- FDA Purple Book · refreshed Sep 5, 2026
What it looks like
Where does this data come from?
- FDA label on DailyMed · label index refreshed Oct 3, 2026
Inactive Ingredients / Excipients
Inactive ingredients, also called excipients, are components of the drug product other than the active ingredient. They may include fillers, dyes, coatings, preservatives, flavors, or other formulation ingredients.
Where does this data come from?
IACT rows and label-wide narrative are kept separate; availability and product-level specificity depend on the submitted label.- FDA label on DailyMed · label index refreshed Oct 3, 2026
- FDA openFDA NDC Directory · synced Oct 1, 2026
Inactive ingredient FAQ
Are inactive ingredients the same for every manufacturer?
Why might an inactive ingredient be missing?
Can inactive ingredients matter?
Manufacturer & labeler
Where does this data come from?
- FDA openFDA NDC Directory · synced Oct 1, 2026
- Drugs@FDA
Full prescribing information FDA SPL
🎯 Indications and Usage ▾
1 INDICATIONS AND USAGE ENCELTO is indicated for the treatment of adults with idiopathic macular telangiectasia type 2 (MacTel). ENCELTO is an allogeneic encapsulated cell-based gene therapy indicated for the treatment of adults with idiopathic macular telangiectasia type 2 (MacTel).
⏱️ Dosage and Administration ▾
2 DOSAGE AND ADMINISTRATION For intravitreal implantation only. ENCELTO is intended for surgical intravitreal implantation under aseptic conditions by a qualified ophthalmologist. ( 2.1 ) The recommended dose is one ENCELTO implant per affected eye containing 200,000 to 440,000 allogeneic retinal pigment epithelial cells expressing recombinant human ciliary neurotrophic factor (rhCNTF).
( 2.1 ) Carefully inspect ENCELTO prior to use and refer to the Instructions for Use when preparing for and performing surgical placement or removal of ENCELTO. ( 2.2 , 2.3 )
2.1Recommended Dose For intravitreal implantation only • ENCELTO is administered by a single surgical intravitreal procedure performed by a qualified ophthalmologist. • The recommended dose is one ENCELTO implant per affected eye. Each ENCELTO implant contains 200,000 to 440,000 allogeneic retinal pigment epithelial cells expressing recombinant human ciliary neurotrophic factor (rhCNTF) (NTC-201-6A cell line), a neurotrophic factor.
2.2ENCELTO Surgical Placement The ENCELTO implant insertion is a surgical procedure performed in an operating room under aseptic conditions by a qualified ophthalmologist. Pre-Surgical Preparation Inspect the ENCELTO packaging for any signs of damage or leakage. Verify the use-by date.
Confirm that the disposable temperature recording device displays a checkmark at the top of the screen. Ensure the liquid medium is at the correct pH using the provided pH color guide reference card. Prepare the surgical field properly.
Surgical Steps 1. Preparing the Surgical Site a. Create a 7x7 mm peritomy of the conjunctiva and Tenon’s capsule at the selected implantation site. b.
Place a corneal-limbal traction suture in the selected surgical quadrant (either inferotemporal or inferonasal) ( Figure 1 ). c. Maintain hemostasis of the underlying sclera and conjunctiva ( Figure 1 ). d. Using an MVR and 15-degree blade, create a 3.0 mm full-thickness sclerotomy 3.75 mm posterior and parallel to the limbus ( Figure 2 ).
Do not insert ENCELTO outside of the pars plana. e. Confirm: • The incision is full thickness. • There is adequate hemostasis. • There is no spanning uveal tissue. 2.
Preparing the ENCELTO Implant a. Open the inner container and expose the upper compartment and luer lock cap ( Figure 3 ). b. Unlock the luer lock cap by turning it counterclockwise once. c.
Lift the luer lock cap vertically to remove ENCELTO (attached to the gripper). d. Rinse ENCELTO with at least 5 mL of sterile Balanced Saline Solution (BSS). e. Keep ENCELTO moist by applying BSS every 10 minutes until insertion. f.
While holding the luer lock cap, pass a double-armed 9-0 polypropylene suture needle through ENCELTO’s fixation loop ( Figure 4 ). 3. Implantation of ENCELTO a.
Gently open the sclerotomy incision and insert ENCELTO perpendicularly into the eye ( Figure 5 ). b. Ensure only the fixation loop is exposed. c. Release ENCELTO from the gripper by squeezing the indicated region with forceps or a fine needle holder ( Figure 6 ).
4. Securing the Implant a. Secure ENCELTO by creating a 3-1-1 anchor knot with the polypropylene suture at the apex of the fixation loop ( Figure 7 ). b.
Confirm ENCELTO is centered in the incision. c. Pass each suture arm centrally through either side of the wound at 90-99% scleral depth ( Figure 8 ). d. Pull up the suture ends and confirm that the fixation loop is at the proper depth (90-99%). e.
Tie down the suture to the sclera with a 3-1-1 knot, ensuring the knot is placed away from the incision. f. If a suture breaks, leave the tail as long as possible and lay it flat. g. Take a 2.0 mm scleral bite at 50-75% depth beyond the sclerotomy on each side ( Figure 9 ).
5. Closing the Incision a. Close the scleral incision with 9-0 nylon sutures ( Figure 10 ), ensuring: The polypropylene suture is captured to prevent irritation and erosion.
All nylon suture knots are rotated into the sclera. The closure is watertight. b. Pull the polypropylene suture… [Excerpted — this section continues on DailyMed.]
💊 Dosage Forms and Strengths ▾
3 DOSAGE FORMS AND STRENGTHS ENCELTO is a single-dose implant that contains 200,000 to 440,000 allogeneic retinal pigment epithelial cells expressing recombinant human ciliary neurotrophic factor (rhCNTF) (NTC-201-6A cell line) for intravitreal surgical placement. ENCELTO is an opaque semi-permeable capsule that is white to off-white, capped on both ends, and has a titanium loop on one end. The ENCELTO width is 1.2 ± 0.1 mm, its length is 6.1 ± 0.4 mm, and its internal diameter is 0.88 ± 0.02 mm ( Figure 17 ).
One single-dose implant containing 200,000 to 440,000 allogeneic retinal pigment epithelial cells expressing rhCNTF.
⛔ Contraindications ▾
4 CONTRAINDICATIONS ENCELTO is contraindicated in patients with: Active or suspected ocular or periocular infections. Known hypersensitivity to Endothelial Serum Free Media (Endo-SFM) Ocular or periocular infections. ( 4 ) Known hypersensitivity to Endothelial Serum Free Media (Endo-SFM). ( 4 )
⚠️ Warnings and Cautions ▾
5 WARNINGS AND PRECAUTIONS ENCELTO implantation has been associated with severe vision loss, infectious endophthalmitis, retinal tears and/or detachment, vitreous hemorrhage, implant extrusion, cataract formation, suture related complications, and delayed dark adaptation. Patients should be instructed to report signs or symptoms that could be associated with these events without delay. Additional surgical and/or medical management may be required.
( 5.1 , 5.2 , 5.3 , 5.4 , 5.5 , 5.6 , 5.7 , 5.8 ) Vitreous Hemorrhage: Temporarily discontinue antithrombotic medication prior to ENCELTO insertion surgery to reduce the risk of implantation related vitreous hemorrhage. Vitreous hemorrhages occurring greater than one year from implantation could be a sign of ENCELTO extrusion. The surgical site should be examined closely and the ENCELTO should be surgically repositioned if indicated.
( 5.4 )
5.1Severe Vision Loss Severe vision loss defined as three or more lines of visual acuity loss [≥15 Early Treatment Diabetic Retinopathy Study (ETDRS) letters] has occurred following ENCELTO implantation [ see Adverse Reactions (6) ]. Monitor patients for signs and symptoms of vision loss and manage as clinically indicated.
5.2Infectious Endophthalmitis Infectious endophthalmitis may occur following ENCELTO implantation. Signs and symptoms of infectious endophthalmitis include progressively worsening eye pain, vision loss, or scleral and conjunctival injection. To mitigate the risk of endophthalmitis, use proper aseptic surgical technique for ENCELTO implantation [ see Dosage and Administration (2.2) ].
Monitor patients for signs or symptoms of infectious endophthalmitis. Remove ENCELTO implant if infectious endophthalmitis occurs and manage symptoms according to clinical practice.
5.3Retinal Tear and Detachment Retinal tears and retinal detachment may occur following ENCELTO implantation. Signs and symptoms of retinal tears include acute onset of flashing lights, floaters, and/or loss of visual acuity. Signs and symptoms of retinal detachment may include progressive visual field loss and/or loss of visual acuity.
Use standard vitreoretinal surgical techniques during ENCELTO implantation to minimize the risk of retinal tears and retinal detachment. Monitor for any signs or symptoms of retinal tear and/or retinal detachment. Treat rhegmatogenous retinal detachment and retinal tears promptly.
Remove ENCELTO implant, if vitrectomy with a complete gas fill or silicone oil fill is required [ see Dosage and Administration (2.3) ].
5.4Vitreous Hemorrhage Vitreous hemorrhage, which may result in temporary vision loss, has occurred following ENCELTO implantation [ see Adverse Reactions (6) ]. Patients receiving antithrombotic medication (e.g., oral anticoagulants, aspirin, nonsteroidal anti-inflammatory drugs) may be at increased risk of vitreous hemorrhage. To reduce the risk of vitreous hemorrhage, interrupt antithrombotic medications prior to the ENCELTO implantation.
Vitrectomy surgery may be necessary to clear severe, recurrent, or non-clearing vitreous hemorrhage. If the patient has a late onset vitreous hemorrhage (greater than one year following ENCELTO implantation surgery), examine the ENCELTO implantation site for possible implant extrusion. If implant extrusion has occurred, surgically reposition ENCELTO [ see Implant Extrusion (5.5) ].
5.5Implant Extrusion Implant extrusion through the initial scleral wound has occurred following ENCELTO implantation [ see Adverse Reactions (6) ]. Signs and symptoms of implant extrusion include recurrent uveitis, vitreous hemorrhage, eye pain more than one year after implantation, or visibility of titanium fixation loop under the conjunctiva. To reduce the risk of implant extrusion, carefully follow the specific surgical steps for ENCELTO implantation [ see Dosage and Administration (2.2) ].
Evaluate patients after 6 months to confirm proper positioning of ENCELTO and then annually. If ENCELTO begins to e… [Excerpted — this section continues on DailyMed.]
🤒 Adverse Reactions ▾
6 ADVERSE REACTIONS The most common adverse reactions (incidence ≥2%) were conjunctival hemorrhage, delayed dark adaptation, foreign body sensation, eye pain, suture related complications, miosis, conjunctival hyperemia, eye pruritus, ocular discomfort, vitreous hemorrhage, blurred vision, headache, dry eye, eye irritation, cataract progression or formation, vitreous floaters, severe vision loss, eye discharge, anterior chamber cell, iridocyclitis. ( 6.1 ) To report SUSPECTED ADVERSE REACTIONS, contact Neurotech at 1- 833-963-9275 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch .
6.1Clinical Trials Experience Because clinical trials are conducted under widely varying conditions, adverse reaction rates observed in the clinical trials of a drug cannot be directly compared to rates in the clinical trials of another drug and may not reflect the rates observed in practice. The safety data described in this section reflects exposure to ENCELTO in two clinical trials, Study 1 (NTMT-03-A) and Study 2 (NTMT-03-B) and are pooled for analysis. A total of 117 patients received ENCELTO, and 111 patients underwent a sham procedure and were followed for a duration of 24 months [ see Clinical Studies (14) ].
Serious adverse reactions occurred in six patients (5%) including suture related complications (n=5) and implant extrusion (n=1). Table 1 lists the most common adverse reactions that occurred in > 2% patients and with higher frequency in ENCELTO group compared to Sham group in Study 1 and Study 2. Table 1.
Adverse Reactions occurring in ≥2% of Patients and with higher frequency in ENCELTO group compared to Sham group in ENCELTO studies* Adverse Reactions ENCELTO (N=117) n (%) Sham (N=111) n (%) Conjunctival hemorrhage 36 (31) 29 (26) Delayed dark adaptation 27 (23.1) 1 (1) Foreign body sensation in eyes 18 (15) 15 (13.5) Eye pain 18 (15) 10 (9) Suture related complication** 18 (15.4) 3 (2.7) Miosis 18 (15.4) 0 (0.0) Conjunctival hyperemia 13 (11) 9 (8) Eye pruritus 10 (9) 4 (3.6) Ocular discomfort 10 (9) 1 (1) Vitreous hemorrhage 10 (8.5) 0 (0.0) Vision blurred 8 (7) 4 (4) Headache 8 (7) 1 (1) Dry eye 7 (6) 2 (2) Eye irritation 6 (5.1) 2 (2) Cumulative cataract incidence 6 (5) 0 (0) Vitreous floaters 6 (5) 0 (0.0) Severe visual loss>15 letters*** 4 (3) 0 (0) Eye discharge 4 (3.4) 1 (0.9) Anterior chamber cell 4 (3.4) 0 (0.0) Iridocyclitis 3 (2.6) 0 (0) * Pooled data from Study 1 and Study 2; Adverse reaction rates were comparable between the two studies **Suture related complications include exposed suture, foreign body sensation, conjunctival wound dehiscence, painful sutures, suture irritation, suture granuloma, scleral wound opening, and itchy suture *** Includes one case of visual loss due to cataract formation which remained unresolved at the end of the study
👥 Use in Specific Populations ▾
8 USE IN SPECIFIC POPULATIONS
8.1Pregnancy Risk Summary There are no data on the use of ENCELTO in pregnant women. Endogenous CNTF is naturally found in maternal plasma, placental cells, and umbilical cord blood. It is not known if the use of ENCELTO increases CNTF above naturally occurring levels in these tissues.
In animal reproduction studies, subcutaneous administration of rhCNTF to pregnant rats and rabbits demonstrated no evidence of teratogenic effects on the fetus. However, when administered to rabbits at a dose level of 10ug/kg/day, a decrease in implantations and live fetuses was observed. When administered to rats at a dose level of 100ug/kg/day a decrease in corpora lutea was observed.
The estimated background risk of major birth defects and miscarriage in the indicated population is unknown. All pregnancies have a background risk of birth defect, loss, or other adverse outcomes. In the U.S. general population, the estimated background risk of major birth defects is 2% to 4% and of miscarriage is 15% to 20% of clinically recognized pregnancies.
Data Animal Data See Risk Summary for details on data .
8.2Lactation Risk Summary There is no data on the presence of ENCELTO in human milk, its effects on the breastfed infant, or its impact on milk production. The developmental and health benefits of breastfeeding should be considered along with the mother's clinical need for ENCELTO and any potential adverse effects on the breastfed infant from rhCNTF or from the underlying maternal condition.
8.4Pediatric Use The safety and effectiveness of ENCELTO have not been established in pediatric patients.
8.5Geriatric Use There were 38 patients (32%) 65 years of age and older and two patients (1%) 75 years of age and older in Study 1 and Study 2 who received ENCELTO [ see Clinical Studies (14) ]. Clinical studies of ENCELTO did not include sufficient numbers of patients aged 65 and over to determine whether they respond differently than younger patients.
🧬 Clinical Pharmacology ▾
12 CLINICAL PHARMACOLOGY
12.1Mechanism of Action ENCELTO secretes recombinant human ciliary neurotrophic factor (rhCNTF), which is one of several neurotrophic factors endogenously produced by neurons and supporting glial cells. Exogenous CNTF is thought to initially target Müller glia to trigger a cascade of signaling events that may promote photoreceptor survival; however, the mechanism of action for ENCELTO is not completely understood.
12.3Pharmacokinetics Systemic exposure of rhCNTF was measured in 2 distribution studies in rabbits and in 2 toxicology studies in minipigs. Overall, there was no evidence of systemic exposure to rhCNTF after implantation of ENCELTO in rabbits for periods up to 9 months or in minipigs for periods of up to 6 months. Following intraocular implantation of a single ENCELTO dose in rabbits at 12 weeks, the mean C max of rhCNTF in the vitreous and aqueous was 2.0 and 0.3 ng/mL, respectively, and below the level of quantitation (LLOQ) in the serum and contralateral, untreated eye.
Similarly in human patients, rhCNTF levels were below the limit for LLOQ in the serum.
12.6Immunogenicity The observed incidence of anti-drug antibodies is highly dependent on the sensitivity and specificity of the assay. Differences in assay methods preclude meaningful comparisons of the incidence of anti-drug antibodies in the studies described below with the incidence of anti-drug antibodies in other studies, including those of ENCELTO or of other products. In a six-month Study NTMT-02B in which patients received ENCELTO in a single eye, one out of 31 patients (3%) tested positive for serum antibodies against the ENCELTO secreted product protein rhCNTF and one patient (3%) tested positive to serum non-secreted intracellular protein DHFR.
Because of the low occurrence of anti-drug antibodies, the effect of serum anti-rhCNTF and anti-DHFR antibodies on the safety or efficacy of ENCELTO is unknown.
📦 How Supplied / Storage and Handling ▾
16 HOW SUPPLIED/STORAGE AND HANDLING
16.1How Supplied ENCELTO is supplied as a sterile, single-dose, implant that contains 200,000 to 440,000 allogeneic retinal pigment epithelial cells expressing rhCNTF (NTC-201-6A cell line). ENCELTO is packaged in a protective inner container within an Endothelial Serum Free Media (Endo-SFM), which is maintained sterile by a sealed outer container. ENCELTO is provided attached to a gripper that both suspends ENCELTO in the Endo-SFM and facilitates intraocular insertion.
ENCELTO contains no preservatives. NDC: 82958-501-01 See Table 4 , ( Figure 16 ) and ENCELTO “Instructions for Use” for additional details. Table 4.
ENCELTO Corepack Contents Components Description Inner container This is provided sterile. It is a cylindrical plastic container with a lower compartment filled with liquid medium. It has an upper compartment connected to it via a narrow channel that is secured shut with a luer lock cap.
Outer container This is a plastic container with a foil lid hermetically sealed. It maintains the sterility of the inner container until ready to use. Disposable temperature recording device A disposable device that measures and records the temperature in the package.
If ENCELTO has been stored within the acceptable range, a “✓” will be shown at the top of the screen. If an “X” is displayed, ENCELTO has been exposed to temperatures outside of the acceptable range and must not be used. ENCELTO Medium pH Color Guide A card that provides a color scale to indicate the acceptable pH range for the liquid medium.
ENCELTO Instructions for Use A booklet that contains the full instructions and includes the ENCELTO patient card. ENCELTO Inspection Checklist An information sheet that contains instructions for inspection prior to use. USPI United States Prescribing Information.
Figure 16. ENCELTO Corepack Contents Figure 17. ENCELTO Figure 18.
ENCELTO Inner Container Figure 19. pH Color Guide image description image description image description image description
16.2Storage and Handling 1. Using the handle, remove the corepack from the larger shipping box ( Figure 16 ). 2.
Store ENCELTO in the corepack at 16º to 37ºC (61º to 99ºF) until ready for use. 3. Do not freeze or refrigerate.
4. Inspect the disposable temperature recording device. If a check mark is displayed, the ENCELTO has remained within the acceptable temperature range and may be used.
If a “X” is displayed, the ENCELTO was exposed to temperatures outside the acceptable range and must not be used. Contact Neurotech immediately at (833)-963-9275. • Protect ENCELTO from light. 5.
Handle inner container ( Figure 18 ) using sterile technique. 6. Do not use beyond the “use by” date identified on the corepack label.
7. Do not use ENCELTO if the pH is not within the acceptable range ( Figure 19 ). Contact Neurotech immediately at (833)-963-9275. • Prior to disposal of an ENCELTO implant per local institutional protocols, call 1-833-963-9275 for assessment of ENCELTO return or replacement.
Orange to pink liquid hold medium referred to as Endothelial Serum Free Media (Endo-SFM) within packaging inner container may contain visible particles. Particle general description fiber, solid, white, or metallic in appearance.
📋 Description ▾
11 DESCRIPTION ENCELTO (revakinagene taroretcel-lwey) implant, is single-dose, sterile, nonpyrogenic and retrievable. ENCELTO is an allogeneic encapsulated cell-based gene therapy that contains 200,000 to 440,000 allogeneic retinal pigment epithelial cells expressing recombinant human ciliary neurotrophic factor (rhCNTF) (NTC-201-6A cell line) for surgical intravitreal placement. ENCELTO consists of an opaque, semi-permeable white to off-white capsule surrounding a scaffold of polyethylene terephthalate (PET) yarn, loaded with rhCNTF secreting allogeneic retinal pigment epithelial cells (NTC-201-6A cell line).
Each end of the semi-permeable capsule is sealed with medical grade methacrylate adhesive, and to one end a titanium fixation loop is attached. ENCELTO width is 1.2 ± 0.1 mm, length is 6.1 ± 0.4 mm, and its internal diameter is 0.88 ± 0.02 mm ( Figure 17 ). ENCELTO is packaged in a protective inner container within an orange to pink liquid hold medium referred to as Endothelial Serum Free Media (Endo-SFM), which is maintained sterile by a sealed outer container.
ENCELTO is provided attached, by the fixation loop, to a gripper that both suspends ENCELTO in the Endo-SFM and facilitates intraocular insertion. The Endo-SFM within the packaging inner container may contain visible particles generally described as fiber, solid, white, or metallic in appearance. ENCELTO is manufactured using animal and human derived reagents.
🔬 Clinical Studies ▾
14 CLINICAL STUDIES The efficacy of ENCELTO was evaluated in two studies, Study NTMT-03-A ( NCT03316300 ; Study 1) and Study NTMT-03-B ( NCT03319849 ; Study 2) as described below. Study 1 Study 1 was a randomized, multi-center, sham-controlled study which enrolled adults with MacTel. For enrollment, the patients were required to have a photoreceptor inner segment/outer segment (IS/OS PR) break (loss) in ellipsoid zone (EZ) between 0.16 and 2.00 mm 2 measured by spectral domain-optical coherence tomography (SD-OCT) and best corrected visual acuity (BCVA) of 54-letter score or better (20/80 or better) as measured by the Early Treatment Diabetic Retinopathy Study (ETDRS) chart at screening.
Patients with neovascular MacTel were excluded. Patients were randomized to receive either ENCELTO intravitreal implant or sham procedure under standard operative procedures. Patients in ENCELTO group underwent conjunctival peritomy, implant placement in the vitreous cavity via sclerotomy and closure with sutures.
Patients in the Sham group underwent conjunctival peritomy, scleral pressure, and conjunctival closure with sutures. One hundred and fifteen (96%) of 120 patients underwent the assigned procedure and were included in the analysis of efficacy. A total of 120 patients were randomized and of these, 115 patients (ENCELTO group: 58; Sham group: 57) comprise the efficacy analysis population.
The demographic characteristics of the efficacy analysis population were as follows: the mean age was 61 years (range 40 to 78 years), 79 patients (69%) were female, 98 patients (85%) were White, 5 patients (4%) were Asian, 3 patients (3%) were Black or African American, 1 patient (1%) was American Indian, and 8 patients (7%) were of “other” race. Six patients (5%) were Hispanic. The median (min, max) baseline EZ area loss was 0.35 (0.15, 1.99) mm 2 for the ENCELTO group and 0.36 (0.16, 1.7) mm 2 for the Sham group.
The median (min, max) baseline aggregate sensitivity of microperimetry within the EZ break area 35.2 (0.75, 398.8) dB for the ENCELTO group and 35.5 (2, 281.3) dB for the Sham group. The primary efficacy outcome measure was the rate of change in the area of EZ loss (IS/OS, macular PR loss) over 24 months, as measured by SD-OCT. The secondary outcome measure was the mean change in aggregate sensitivity loss of microperimetry within the EZ break area from baseline to Month 24.
The efficacy outcome results for Study 1 are summarized in Table 2 . Table 2. Efficacy Results for Study 1 (N=115) Efficacy endpoints ENCELTO n= 58 Sham n=57 Difference ENCELTO-Sham P-value c Rate of change in EZ area loss from baseline over 24 months a mm 2 (95% CI) 0.075 (0.05, 0.10) 0.166 (0.14, 0.19) -0.091 (-0.13, -0.06) <0.0001 Mean change in aggregate retinal sensitivity loss from baseline to 24-months b dB (95% CI) 25.27 (15.88, 34.67) 43.02 (31.78, 54.26) -17.75 (-32.58, -2.91)
0.02CI = confidence interval, EZ=ellipsoid zone a Estimated by using a longitudinal mixed model including EZ area loss as the dependent variable, patient-specific random intercepts, treatment group, time (continuous), and interaction between treatment and time as covariates. The baseline and Months 12, 16, 20, and 24 visits were included. b Estimated by using two-sample t-test; seven ENCELTO and four Sham patients were excluded due to missing data. c Statistically significant at two-sided alpha of 0.05. Study 2 Study 2 was a randomized, multi-center, sham-controlled study which enrolled adult with MacTel.
For enrollment, the patients were required to have an IS/OS PR break in EZ between 0.16 and 2.00 mm 2 measured by SD-OCT and BCVA of 54-letter score or better (20/80 or better) as measured by the ETDRS chart at screening. Patients with neovascular MacTel were excluded. Patients were randomized to receive either ENCELTO intravitreal implant or sham procedure under standard peri-operative procedures.
Patients in ENCELTO group underwent conjunctival peritomy, implant placement in the vitr… [Excerpted — this section continues on DailyMed.]
🧪 Nonclinical Toxicology ▾
13 NONCLINICAL TOXICOLOGY
13.1Carcinogenesis, Mutagenesis, Impairment of Fertility Carcinogenesis and Mutagenesis No carcinogenicity or mutagenicity studies have been conducted with rhCNTF. Impairment of Fertility In male rats, fertility was unaffected at subcutaneous doses of rhCNTF up to 300 μg/kg/day. See Pregnancy (8.1) for data regarding effects on female fertility.
📄 Patient Package Insert ▾
PATIENT INFORMATION ENCELTO (En-SEL-toh) A surgical implant for use in the eye What is ENCELTO? ENCELTO is an encapsulated cell-based gene therapy. It is a small capsule, about the size of a grain of rice, that is placed inside the eye to release a protein called recombinant human ciliary neurotrophic factor (rhCNTF) that can directly reach the retina, the light sensitive part of the eye.
The capsule contains living cells that have been genetically modified to continuously produce and release CNTF. This protein helps protect certain cells in your retina, supporting their health and reducing the loss of light-sensing cells known as photoreceptors. ENCELTO is used to treat adults with idiopathic macular telangiectasia type 2 (MacTel); a retinal disease that causes progressive vision loss.
Your ophthalmologist will assess your vision and review your medical history to determine if ENCELTO is the right treatment for you. Who should not receive an ENCELTO surgical implant? ENCELTO has not been tested in pediatric patients or pregnant women.
The outpatient surgical procedure should not be performed if you are currently experiencing an active or suspected eye infection. You should not receive ENCELTO if you have a known hypersensitivity to Endothelial Serum Free Media (Endo-SFM) Before receiving ENCELTO, tell your ophthalmologist about all your medical conditions, including: Are pregnant or plan to become pregnant. Although studies have shown that rhCNTF does not enter the bloodstream, its effects on an unborn baby have not been fully studied.
Are breastfeeding or plan to breastfeed. It is not known if rhCNTF passes into your breast milk. Any current infections Are currently taking or have recently taken medicines that lower the chance of blood clots forming in the body such as warfarin, low or regular doses of aspirin, or nonsteroidal anti-inflammatory drugs (NSAID) How is ENCELTO administered?
ENCELTO is inserted into the eye as an outpatient surgical procedure performed by an ophthalmologist experienced in retinal surgery. If removal of ENCELTO is necessary, the removal surgery must also be done by an ophthalmologist experienced in vitreoretinal surgery in an operating room as an outpatient surgery. What should I avoid after placement of ENCELTO?
Immediately post-operative: Avoid heavy lifting (over 20 pounds) for one week. Keep water out of the eye (e.g., close your eye while showering) for one week. Protect your eyes by wearing glasses or protective eyewear during the day and using an eye shield at night for one week.
Do not drive or use machinery until the eye shield has been removed and your ophthalmologist informs you that your vision has recovered to an acceptable level. Post operative care: Use a topical antibiotic solution at a frequency of 1 drop four times a day for 7 days. Use a steroid drop taper of prednisolone acetate 1% (or equivalent) starting the day after surgery with the following taper: 1 drop four times a day for the first 7 days; 1 drop three times a day for the next 7 days; 1 drop two times a day for the next 7 days; 1 drop once a day for the last 7 days.
Magnetic Resonance (MR) Conditional Information IMPORTANT: ENCELTO is MR conditional. You will receive an implant card, which should be shown to your imaging technician if you need Magnetic Resonance Imaging (MRI) at any time while the ENCELTO implant is in your eye. The card will include details about the ENCELTO implant, the date of insertion, and on the back, instructions for the imaging technician to access important MRI safety information.
Call your ophthalmologist for medical advice about side effects. You may report side effects to the Food and Drug Administration (FDA) at 1-800-FDA-1088. What are the possible side effects of ENCELTO?
Please follow all post-operative instructions given by your ophthalmologist and ensure you attend all follow-up visits as recommended. Potential side effects Please be advised that ENCELTO and the surgical insertion has… [Excerpted — this section continues on DailyMed.]
📖 Instructions for Use ▾
Instructions for Use image description image description image description image description image description image description image description image description image description image description image description image description image description image description image description image description image description image description image description image description image description image description image description image description image description image description image description image description image description image description image description image description image description image description image description image description image description image description image description image description image description image description image description image description image description image description image description image description image description image description image description image description
📄 Package Label / Principal Display Panel ▾
ENCELTO PRODUCT LABEL image description
ENCELTO COREPACK LABEL image description
Reported adverse events (FAERS)
Top reported reactions
Reporter sex
Serious outcomes
Where does this data come from?
About this NDC listing & data coverage
What data is (and isn’t) available for this NDC — tap to expand
| NDC identity (package / product / labeler codes) | ✓ Available |
| Labeler | ✓ Available |
| Product & package description | ✓ Available |
| Marketing category & status | ✓ Available |
| Active ingredient / dosage form / route | ✓ Available |
| FDA label (SPL via DailyMed) | ✓ Available |
| Package photos | ✓ Available |
| Inactive ingredients (structured) | — Not published for this NDC The labeler did not submit a structured excipient list, or no SPL is available. |
| NADAC pharmacy acquisition price (CMS) | — Not published for this NDC CMS publishes NADAC only for NDCs reported in its retail-pharmacy survey. |
| Orange Book / therapeutic-equivalence data | ✓ Available |
| HCPCS J-code billing crosswalk | — Not published for this NDC Most self-administered / retail products have no J-code — that is normal. |
| Medicaid utilization (CMS SDUD) | — Not published for this NDC CMS reports utilization only for NDCs with Medicaid claims above its privacy threshold. |