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Data updated: Mar 10, 2026

REVCOVI

ELAPEGADEMASE-LVLR
Immunology Approved 2018-10-05

REVCOVI (elapegademase-lvlr) is a recombinant adenosine deaminase indicated for the treatment of adenosine deaminase severe combined immune deficiency (ADA-SCID). The therapy is approved for use in both pediatric and adult patient populations. It serves as an exogenous enzyme replacement to manage a rare, inherited metabolic disorder that affects the development and function of immune cells.

Source: FDA Label β€’ CHIESI USA INC

How REVCOVI Works

The medication provides an exogenous source of the ADA enzyme to facilitate the metabolism of adenosine and deoxyadenosine into inosine and deoxyinosine. In patients with ADA deficiency, the accumulation of these compounds leads to the death of thymocytes and a failure in immune cell differentiation. By lowering these toxic nucleotide levels, the drug helps increase lymphocyte counts and supports proper immune system function.

Source: FDA Label
1
Indication
--
Phase 3 Trials
7
Years on Market

Details

Status
Prescription
First Approved
2018-10-05
Routes
INJECTION
Dosage Forms
INJECTABLE

Companies

Active Ingredient: ELAPEGADEMASE-LVLR

REVCOVI Approval History

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What REVCOVI Treats

1 indications

REVCOVI is approved for 1 conditions since its original approval in 2018. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Adenosine Deaminase Severe Combined Immunodeficiency
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.

REVCOVI FDA Label Details

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Indications & Usage

FDA Label (PDF)

REVCOVI is indicated for the treatment of adenosine deaminase severe combined immune deficiency (ADA-SCID) in pediatric and adult patients. REVCOVI is a recombinant adenosine deaminase indicated for the treatment of adenosine deaminase severe combined immune deficiency (ADA-SCID) in pediatric and adult patients.

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Data Sources

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