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Molecule

Mosunetuzumab

Available on requestBiologicOrphanCold chainOncology
Presentations
4
Brands
2
Manufacturers
1
Available from stock
0

Mosunetuzumab is a prescription medicine indicated for the treatment of adult patients with relapsed or refractory follicular lymphoma after two or more lines of systemic therapy. It is available as injection for intravenous and subcutaneous use. MedsAcross supplies Mosunetuzumab for export from India to licensed hospitals, importers and physicians acting for named patients, with the documents each country requires.

Information from the US FDA prescribing information, retrieved 12 November 2026. Not yet medically reviewed.How we review

Key facts

ATC classification
L01FX25 Mosunetuzumab · Cancer medicines (antineoplastics), subgroup L01F, subgroup L01FX
US FDA first approval
22 December 2022
EU status
Authorised
Orphan designation
Yes
WHO essential medicine
Not recorded
India (CDSCO)
Not yet confirmed against CDSCO approval lists
Routes
Intravenous, Subcutaneous
Dosage forms
Injection
Biologic
Yes
Identifiers
UNII LDJ89SS0YGCAS 1905409-39-3Q111697913

Clinical information

From the regulator-approved product information. Each section names its source.

Uses

LUNSUMIO VELO is a bispecific CD20-directed CD3 T-cell engager indicated for the treatment of adult patients with relapsed or refractory follicular lymphoma after two or more lines of systemic therapy. This indication is approved under accelerated approval based on response rate. Continued approval for this indication may be contingent upon verification and description of clinical benefit in a confirmatory trial(s).

Source: US FDA prescribing information

How it works

Mosunetuzumab-axgb is a T-cell engaging bispecific antibody that binds to the CD3 receptor expressed on the surface of T-cells and CD20 expressed on the surface of lymphoma cells and some healthy B-lineage cells. In vitro, mosunetuzumab-axgb activated T-cells, caused the release of proinflammatory cytokines, and induced lysis of B-cells.

Source: US FDA prescribing information

Dosing overview

LUNSUMIO VELO and LUNSUMIO have different dosage and route of administration instructions. Administer LUNSUMIO VELO only as a subcutaneous injection. Premedicate to reduce risk of CRS. Recommended dosage for LUNSUMIO VELO for subcutaneous injection: Day of Treatment Cycle length = 21 days Subcutaneous Dose of LUNSUMIO VELO Cycle 1 Day 1 5 mg Day 8 45 mg Day 15 45 mg Cycles 2+ Day 1 45 mg See Full Prescribing Information for instructions on preparation and administration.

Source: US FDA prescribing information

Warnings and precautions

Boxed warning (cytokine release syndrome): Cytokine release syndrome (CRS), including serious or life-threatening reactions, can occur in patients receiving LUNSUMIO VELO. Initiate treatment with the LUNSUMIO VELO step-up dosing schedule to reduce the risk of CRS. Withhold LUNSUMIO VELO until CRS resolves or permanently discontinue based on severity. Neurologic Toxicity, including Immune Effector Cell-Associated Neurotoxicity Syndrome: Can cause serious and life-threatening neurologic toxicity, including immune effector cell-associated neurotoxicity syndrome (ICANS). Monitor patients for signs and symptoms of neurologic toxicity during treatment, withhold or permanently discontinue based on severity. Infections: Can cause serious or fatal infections. Monitor patients for signs and symptoms of infection, including opportunistic infections, and treat as needed.

Source: US FDA prescribing information

Side effects

The following adverse reactions are described elsewhere in the labeling: Cytokine Release Syndrome Neurologic Toxicity, including Immune Effector Cell-Associated Neurotoxicity Syndrome Infections Hemophagocytic Lymphohistiocytosis Cytopenias Tumor Flare The most common adverse reactions (≥ 20%) are injection site reactions, fatigue, rash, CRS, COVID-19 infection, musculoskeletal pain, and diarrhea. The most common Grade 3 to 4 laboratory abnormalities (≥ 15%) are decreased lymphocyte count, decreased neutrophil count, and increased uric acid.

Source: US FDA prescribing information

Interactions

Effect of LUNSUMIO VELO on CYP450 Substrates LUNSUMIO VELO causes release of cytokines that may suppress activity of CYP450 enzymes, resulting in increased exposure of CYP450 substrates. Increased exposure of CYP450 substrates is more likely to occur after the first dose of LUNSUMIO VELO on Cycle 1 Day 1 and up to 14 days after the 45 mg dose on Cycle 1 Day 8 and during and after CRS. Monitor for toxicity or concentrations of drugs that are CYP450 substrates where minimal concentration changes may lead to serious adverse reactions. Consult the concomitant CYP450 substrate drug prescribing information for recommended dosage modification.

Source: US FDA prescribing information

Storage

Store refrigerated at 2°C to 8°C (36°F to 46°F) in the original carton to protect from light. Do not freeze. Do not shake.

Source: US FDA prescribing information

For healthcare professionals and buyers. This is not medical advice. Treatment decisions belong to the prescriber.

All presentations

4 presentations of Mosunetuzumab, sorted by availability.

MedicineManufacturerRegisterAvailability
Lunsumio 1 mg/1 mL injectionIntravenous Cold chainGenentechUS FDAAvailable on request
Lunsumio 30 mg/30 mL injectionIntravenous Cold chainGenentechUS FDAAvailable on request
Lunsumio Velo 45 mg/1 mL injectionSubcutaneous Cold chainGenentechUS FDAAvailable on request
Lunsumio Velo 5 mg/0.5 mL injectionSubcutaneous Cold chainGenentechUS FDAAvailable on request

Brands by market

2 brand names across 1 markets.

Brand names by country

Manufacturers

Regulatory status

Approval facts from US FDA, EMA and CDSCO data, and registration status by country where we hold register data.

RegisterStatusSource
US FDAFirst approved 22 December 2022Drugs@FDA
EU (EMA)AuthorisedEMA medicines data
India (CDSCO)Not yet confirmed against CDSCO approval lists—
AustriaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
BelgiumRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
BulgariaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CroatiaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CyprusRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CzechiaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
DenmarkRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
EstoniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
FinlandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
FranceRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
GermanyRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
GreeceRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
HungaryRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
IcelandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
IrelandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
ItalyRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LatviaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LiechtensteinRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LithuaniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LuxembourgRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
MaltaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
NetherlandsRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
NorwayRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
PolandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
PortugalRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
RomaniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SlovakiaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SloveniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SpainRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SwedenRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
United StatesRegisteredUS FDA (NDC directory, openFDA)Checked 12 November 2026

Questions and answers

Is Mosunetuzumab available for export from India?

Yes, on request. MedsAcross lists 4 presentations of Mosunetuzumab and sources them for licensed hospitals, importers and physicians against valid import documents.

What brand names does Mosunetuzumab have?

The catalogue lists 2 brand names for Mosunetuzumab, including Lunsumio, Lunsumio Velo.

Is Mosunetuzumab approved by the US FDA?

Yes. The US FDA first approved Mosunetuzumab on 22 December 2022, according to Drugs@FDA.

Is Mosunetuzumab authorised in the European Union?

Yes. Mosunetuzumab has a central EU marketing authorisation (status: authorised), according to European Medicines Agency data.

Does Mosunetuzumab need cold chain shipping?

At least one listed presentation of Mosunetuzumab must be kept cold, so it is shipped in temperature-controlled packaging. Check the storage line on each presentation.

Which ATC class is Mosunetuzumab in?

Mosunetuzumab is classified under ATC code L01FX25 (Mosunetuzumab).

References

  1. Lunsumio Velo prescribing information (Genentech). U.S. National Library of Medicine, DailyMed. Retrieved 29 June 2026
  2. Lunsumio: European public assessment report (EPAR). European Medicines Agency. Retrieved 7 October 2026

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