TheraRadar

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Data updated: Mar 10, 2026

KEPIVANCE

PALIFERMIN
Approved 2004-12-15

Kepivance (palifermin) is a mucocutaneous epithelial human growth factor indicated to reduce the incidence and duration of severe oral mucositis. It is used as supportive care for patients with hematologic malignancies undergoing myelotoxic therapy in the setting of autologous hematopoietic stem cell support. The drug is specifically intended for use with preparative regimens predicted to result in WHO Grade 3 or higher mucositis in the majority of patients.

Source: FDA Label • BIOVITRUM AB • Mucocutaneous Epithelial Cell Growth Factor

How KEPIVANCE Works

Palifermin is a keratinocyte growth factor (KGF) that binds to KGF receptors found on epithelial cells in various tissues, including the tongue, buccal mucosa, and gastrointestinal tract. This binding stimulates the proliferation, differentiation, and migration of epithelial cells, which increases the thickness of the mucosal lining. By promoting these cellular processes, the drug helps protect against and repair tissue injury caused by chemotherapy and radiation.

Source: FDA Label
2
Indications
--
Phase 3 Trials
1
Priority Reviews
21
Years on Market

Details

Status
Prescription
First Approved
2004-12-15
Routes
INJECTION
Dosage Forms
INJECTABLE

Companies

Active Ingredient: PALIFERMIN

KEPIVANCE Approval History

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What KEPIVANCE Treats

2 indications

KEPIVANCE is approved for 2 conditions since its original approval in 2004. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Oral Mucositis
  • Hematologic Malignancies
Source: FDA Label
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Active Pipeline

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Ongoing clinical trials by development phase

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Key Completed Trials

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Completed studies with published results, ranked by significance

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Trial Timeline

Full development history with FDA approval milestones

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Understanding FDA Approval Types
Count Type What it means
- ORIG Original approval - drug first enters market
- SUPPL - Efficacy New indication (new disease/condition approved)
- SUPPL - Labeling Label text changes (warnings, dosing updates)
- SUPPL - Manufacturing Production changes (new facility)
- SUPPL - Chemistry Formulation changes (new dosage strength)

Green lines in the timeline show ORIG and Efficacy approvals - the clinically meaningful milestones.

KEPIVANCE FDA Label Details

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Indications & Usage

FDA Label (PDF)

Kepivance is a mucocutaneous epithelial human growth factor indicated to decrease the incidence and duration of severe oral mucositis in patients with hematologic malignancies receiving myelotoxic therapy in the setting of autologous hematopoietic stem cell support. Kepivance is indicated as supportive care for preparative regimens predicted to result in ≥ WHO Grade 3 mucositis in the majority of patients. Limitations of Use The safety and efficacy of Kepivance have not been established in patients with non-hematologic malignancies Kepivance was not effective in decreasing the incidence of sev...

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Data Sources

Data sourced from official FDA and NIH databases. Click links to verify on original sources.