In 2018, the FDA approved cemiplimab-rwlc as the first programmed cell death-1 monoclonal antibody for the treatment of patients with advanced CSCC. We previously reported that from a US perspective, cemiplimab is a cost-effective treatment option vs historical standard of care for advanced CSCC. What this study addsTARRYTOWN, N.Y., Jan. 19, 2022 /PRNewswire/ -- Regulatory filing recently submitted in the European Union. Regeneron Pharmaceuticals, Inc. (NASDAQ: REGN) today announced that the U.S. Food and Drug Administration (FDA) has accepted for review the supplemental Biologics License Application (sBLA) for PD-1 inhibitor Libtayo ® (cemiplimab-rwlc) in combination with chemotherapy as first-line ...Jun 6, 2022 · In 2018, cemiplimab-rwlc became the first Food and Drug Administration-approved systemic therapy for advanced CSCC. 6 Cemiplimab approval was based on data from the phase 2 EMPOWER-CSCC 1 trial and 2 phase 1 expansion cohorts.7, 8, 9 Together, these trials included 108 patients (mCSCC, n = 75; laCSCC, n = 33). FDA's approval of cemiplimab-rwlc on February 22, 2021, follows prior approvals of pembrolizumab and atezolizumab for similar indications as first-line treatment for patients with programmed death ligand-1 (PD-L1)-high advanced non-small cell lung cancer (NSCLC). Approvals of these anti-PD-L1 agents …Sep 12, 2022 · Neoadjuvant cemiplimab, administered at a dose of 350 mg every 3 weeks for up to four doses before surgery with curative intent, was associated with a pathological complete response in 51% of ... Nov 8, 2022 · On November 8, 2022, the Food and Drug Administration approved cemiplimab-rwlc (Libtayo, Regeneron Pharmaceuticals, Inc.) in combination with platinum-based chemotherapy for adult patients with... Feb 22, 2021 · The PD-1 inhibitor cemiplimab-rwlc, sold as Libtayo, was FDA approved as a monotherapy for patients with first-line advanced non–small cell lung cancer (NSCLC) with PD-L1 expression of at least 50%. Cemiplimab-rwlc plus platinum-based chemotherapy demonstrated a statistically significant and clinically meaningful improvement in overall survival compared to placebo plus chemotherapy. Median ...The Food and Drug Administration (FDA) has approved the drug cemiplimab (Libtayo) for patients with an advanced form of cutaneous squamous cell carcinoma (SCC), a common type of skin cancer. This is the first agent to be approved by FDA specifically for advanced SCC. Cemiplimab belongs to a class of agents known as immune checkpoint inhibitors ...Contraindications. None. Cautions. Based on cemiplimab’s mechanism of action, can cause fetal harm when administered to pregnant women. Severe or life-threatening infusion-related reactions reported; monitor patients for signs and symptoms of infusion-related reactions; common symptoms of infusion-related reaction include nausea, pyrexia, and vomiting; interrupt or slow rate of infusion or ... Using synthetic versions of natural immune system chemicals, or by inhibiting proteins that suppress immune functions, immunotherapies boost the immune system’s ability to fight disease. Approved by the FDA in 2018, cemiplimab-rwlc (Libtayo®) is an intravenously infused checkpoint blockade therapy.Contraindications. None. Cautions. Based on cemiplimab’s mechanism of action, can cause fetal harm when administered to pregnant women. Severe or life-threatening infusion-related reactions reported; monitor patients for signs and symptoms of infusion-related reactions; common symptoms of infusion-related reaction include nausea, pyrexia, and vomiting; interrupt or slow rate of infusion or ...The active substance in Libtayo, cemiplimab, is a monoclonal antibody (a type of protein) that has been designed to recognise and attach to a receptor (target) called PD-1 found on certain cells of the immune system called T cells. Cancer cells can make proteins (PD-L1 and PD-L2) that attach to this receptor and switch off the activity of the T ...Cemiplimab-rwlc (Libtayo) is considered MEDICALLY NECESSARY for the treatment of Non–small cell lung cancer, locally advanced or metastatic as first-line treatment in patients whose tumors have high PD-L1 expression (Tumor Proportion Score ≥ 50%) as determined by an approved test, with no EGFR, ALK, or ROS1 aberrations, and locally advanced ...Jun 6, 2022 · In 2018, cemiplimab-rwlc became the first Food and Drug Administration-approved systemic therapy for advanced CSCC. 6 Cemiplimab approval was based on data from the phase 2 EMPOWER-CSCC 1 trial and 2 phase 1 expansion cohorts.7, 8, 9 Together, these trials included 108 patients (mCSCC, n = 75; laCSCC, n = 33). Cemiplimab-rwlc injection is also used alone as a first-line treatment for non-small cell lung cancer (NSCLC) that has not spread and cannot be removed by surgery or radiation (locally advanced), or that has spread (metastatic) in patients whose tumors express high PD-L1 and do not have an abnormal EGFR, ALK , or ROS1 gene.Cemiplimab-rwlc Development Program Overview Cemiplimab-rwlc is being jointly developed by Regeneron and Sanofi under a global collaboration agreement. In April 2018 , the European Medicines Agency (EMA) accepted for review the Marketing Authorization Application for Libtayo for the treatment of patients with metastatic CSCC or with locally ...LIBTAYO® (cemiplimab-rwlc) injection, for intravenous use Initial U.S. Approval: 2018 ——————————— RECENT MAJOR CHANGES ——————————— Indications and Usage (1.2) 04/2023 Indications and Usage (1.3) 11/2022 Dosage and Administration (2.1) 11/2022 Dosage and Administration (2.2) 04/2023Cemiplimab (anti-PD-1) (Libtayo, REGN-2810, cemiplimab-rwlc) is an intravenous human monoclonal antibody directed against programmed cell death-1 receptor (PD-1) and blocks its interaction with programmed death ligands 1 (PD-L1) and 2 (PD-L2). Cemiplimab blocks T-cell inactivation and enhances the immune system's anti-tumor response. Size.FDA Approved: Yes (First approved September 28, 2018) Brand name: Libtayo. Generic name: cemiplimab-rwlc. Dosage form: Injection. Company: Sanofi. Treatment for: Squamous Cell Carcinoma, Basal Cell Carcinoma, Non-Small Cell Lung Cancer. Libtayo (cemiplimab-rwlc) is a programmed death receptor-1 (PD-1) blocking antibody for the treatment of ...Cemiplimab, a PD-1 antibody, is approved for treatment of advanced cutaneous squamous cell carcinoma and has shown clinical activity as monotherapy in first-line non-small-cell lung cancer. Here, we present the primary analysis data of cemiplimab in patients with locally advanced basal cell carcinoma after HHI therapy. The most common adverse reactions (>10%) with cemiplimab-rlwc as a single agent in Study 1624 were musculoskeletal pain, rash, anaemia, fatigue, decreased appetite, pneumonia and cough. The recommended cemiplimab-rwlc dose for treatment of NSCLC is 350 mg every 3 weeks, intravenously over 30 minutes.Instead, cemiplimab-rwlc is only available as the brand-name drug Libtayo. A healthcare professional will give you Libtayo as an intravenous (IV) infusion, which is an injection into your vein ...Mar 16, 2021 · Cemiplimab (cemiplimab-rwlc in the US) is approved for the treatment of patients with advanced CSCC who are not candidates for curative surgery or curative radiation. It is also approved in the US for patients with locally advanced and metastatic basal cell carcinoma (BCC), post hedgehog inhibitors (HHIs) or for whom HHIs are not appropriate. Mar 16, 2021 · Cemiplimab (cemiplimab-rwlc in the US) is approved for the treatment of patients with advanced CSCC who are not candidates for curative surgery or curative radiation. It is also approved in the US for patients with locally advanced and metastatic basal cell carcinoma (BCC), post hedgehog inhibitors (HHIs) or for whom HHIs are not appropriate. It is currently approved by regulatory authorities in more than two dozen countries, including by the U.S. Food and Drug Administration (FDA) as cemiplimab-rwlc monotherapy treatment for certain patients with advanced basal cell carcinoma (BCC), advanced cutaneous squamous cell carcinoma (CSCC) and advanced non-small cell lung cancer (NSCLC ...Jan 19, 2022 · TARRYTOWN, N.Y., Jan. 19, 2022 /PRNewswire/ -- Regulatory filing recently submitted in the European Union. Regeneron Pharmaceuticals, Inc. (NASDAQ: REGN) today announced that the U.S. Food and Drug Administration (FDA) has accepted for review the supplemental Biologics License Application (sBLA) for PD-1 inhibitor Libtayo ® (cemiplimab-rwlc) in combination with chemotherapy as first-line ... Jul 11, 2023 · Cemiplimab-rwlc, which is a highly potent, hinged, stabilized, human IgG 4 monoclonal antibody directed against PD-1, is a newly FDA-approved immunotherapy option in treating metastatic NSCLC, either as monotherapy or in combination with chemotherapy, based on the EMPOWER-Lung 1 and EMPOWER-Lung 3 trials, respectively. throughout the draft labels and labeling to cemiplimab-rwlc. 4.1 RECOMMENDATION FOR REGENERON PHARMACEUTICALS, INC. We find the nonproprietary name, cemiplimab-rwlc, conditionally acceptable for your proposed product. Should your 351(a) BLA be approved during this review cycle, cemiplimab-rwlc willLIBTAYO (Lib-TIE-oh) is a prescription medicine used to treat adults with a type. of lung cancer called non–small cell lung cancer (NSCLC) that has not spread outside. your chest (locally advanced lung cancer) and you cannot have surgery or chemotherapy. with radiation, or your lung cancer has spread to other areas of your body (metastatic ... Cemiplimab-rwlc is a type of monoclonal antibody therapy, which works to stimulate the immune system to destroy cancer cells. Cemiplimab-rwlc works as a form of immunotherapy by binding to the “programmed death receptor” (PD1) found on T-cells to stimulate the immune system to find and kill cancer cells.Cemiplimab-rwlc is a type of drug called an immune checkpoint inhibitor (a type of immunotherapy). It is a monoclonal antibody that binds to the protein PD-1 on the surface of immune cells called T cells. It works by keeping cancer cells from suppressing the immune system.Jul 11, 2023 · Cemiplimab-rwlc, which is a highly potent, hinged, stabilized, human IgG 4 monoclonal antibody directed against PD-1, is a newly FDA-approved immunotherapy option in treating metastatic NSCLC, either as monotherapy or in combination with chemotherapy, based on the EMPOWER-Lung 1 and EMPOWER-Lung 3 trials, respectively. Libtayo ( cemiplimab ) is a member of the anti-PD-1 and PD-L1 monoclonal antibodies (immune checkpoint inhibitors) drug class and is commonly used for Basal Cell Carcinoma, Non-Small Cell Lung Cancer, and Squamous Cell Carcinoma. The cost for Libtayo intravenous solution (rwlc 350 mg/7 mL) is around $10,331 for a supply of 7 milliliters ... Analyses were done as per the intention-to-treat principle. The safety analysis comprised all patients who received at least one dose of cemiplimab. This study is registered with ClinicalTrials.gov, number NCT02760498. Findings: Between June 14, 2016, and April 25, 2018, 78 patients were enrolled and treated with cemiplimab. The median duration ...The data reported in this Article further support the approval of cemiplimab-rwlc by the US Food and Drug Administration (FDA) in September, 2018, and the conditional approval of cemiplimab by the European Commission in June, 2019, for the treatment of patients with metastatic cutaneous squamous cell carcinoma or locally advanced cutaneous ...The most common adverse reactions (>10%) with cemiplimab-rlwc as a single agent in Study 1624 were musculoskeletal pain, rash, anaemia, fatigue, decreased appetite, pneumonia and cough. The recommended cemiplimab-rwlc dose for treatment of NSCLC is 350 mg every 3 weeks, intravenously over 30 minutes.Learn about LIBTAYO® (cemiplimab-rwlc). Review Important safety Information & Full Prescribing Information including Med Guide. Cemiplimab-rwlc has an approximate molecular weight of 146 kDa. LIBTAYO (cemiplimab-rwlc) injection for intravenous use is a sterile, preservative-free, clear to slightly opalescent, colorless to pale yellow solution with a pH of 6. The solution may contain trace amounts of translucent to white particles. Each vial contains 350 mg of cemiplimab ...(cemiplimab-rwlc) injection, for intravenous use Initial U.S. Approval: 09/2018 . INDICATIONS AND USAGE . LIBTAYO is a programmed death receptor-1 (PD-1) blocking antibody indicated for the treatment of patients with metastatic cutaneous squamous cell carcinoma (CSCC) or locally advanced CSCC who are not candidates forCemiplimab-rwlc Development Program Overview Cemiplimab-rwlc is being jointly developed by Regeneron and Sanofi under a global collaboration agreement. In April 2018 , the European Medicines Agency (EMA) accepted for review the Marketing Authorization Application for Libtayo for the treatment of patients with metastatic CSCC or with locally ...The generic name for Libtayo in its approved U.S. indications is cemiplimab-rwlc, with rwlc as the suffix designated in accordance with Nonproprietary Naming of Biological Products Guidance for Industry issued by the U.S. FDA. Libtayo is being jointly developed by Regeneron and Sanofi under a global collaboration agreement.The Food and Drug Administration (FDA) has approved the drug cemiplimab (Libtayo) for patients with an advanced form of cutaneous squamous cell carcinoma (SCC), a common type of skin cancer. This is the first agent to be approved by FDA specifically for advanced SCC. Cemiplimab belongs to a class of agents known as immune checkpoint inhibitors ...This is a limited distribution drug and is generally not available at a pharmacy. This drug is only available at select specialty pharmacies, which usually means: It may be expensive. You cannot fill this in a regular pharmacy. This drug has a complex regimen to manage. Patients in need of this drug may have the cost paid by an insurance ... Neoadjuvant cemiplimab, administered at a dose of 350 mg every 3 weeks for up to four doses before surgery with curative intent, was associated with a pathological complete response in 51% of ...The recommended dosage of LIBTAYO is 350 mg administered as an intravenous infusion over 30 minutes every 3 weeks. Treatment should be continued until 1: aNSCLC: Disease progression or unacceptable toxicity. aCSCC and aBCC: Disease progression, unacceptable toxicity, or up to 24 months.Libtayo contains the active ingredient cemiplimab-rwlc, which is a biologic. Biologics are drugs made using living cells. Libtayo is a type of immunotherapy drug called a programmed death receptor ...Cemiplimab-rwlc injection comes as a solution (liquid) to inject intravenously (into a vein) over 30 minutes by a doctor or nurse in a medical facility or infusion center. It is usually given every 3 weeks. Your doctor may need to slow down your infusion, or interrupt or stop your treatment if you experience certain side effects. Cemiplimab-rwlc has an approximate molecular weight of 146 kDa. LIBTAYO (cemiplimab-rwlc) injection for intravenous use is a sterile, clear to slightly opalescent, colorless to pale yellow solution with a pH of 6. The solution may contain trace amounts of translucent to white particles. Each vial contains 350 mg of cemiplimab-rwlc.The pandemic has also increased the demand for Cemiplimab-rwlc in a variety of settings as below, Overall, while the COVID-19 pandemic has had a mixed impact on the Cemiplimab-rwlc market, the ...Cemiplimab-rwlc injection concentrate must be diluted prior to administration. Administer using a sterile, 0.2- to 5-μm inline or add-on filter. Dilution. Undiluted solution should be clear to slightly opalescent and colorless to pale yellow.The data reported in this Article further support the approval of cemiplimab-rwlc by the US Food and Drug Administration (FDA) in September, 2018, and the conditional approval of cemiplimab by the European Commission in June, 2019, for the treatment of patients with metastatic cutaneous squamous cell carcinoma or locally advanced cutaneous ...Cemiplimab (cemiplimab-rwlc in the US) is approved for the treatment of patients with advanced CSCC who are not candidates for curative surgery or curative radiation. It is also approved in the US for patients with locally advanced and metastatic basal cell carcinoma (BCC), post hedgehog inhibitors (HHIs) or for whom HHIs are not appropriate.One ml of concentrate contains 50 mg of cemiplimab. Each vial contains 350 mg of cemiplimab in 7 ml. Cemiplimab is produced by recombinant DNA technology in Chinese hamster ovary (CHO) cell suspension culture. For the full list of excipients, see section 6.1. 3. PHARMACEUTICAL FORM . Concentrate for solution for infusion (sterile concentrate). Libtayo™ (cemiplimab-rwlc) is medically necessary when the criteria above have been met. COVERAGE Benefits may vary between groups and contracts. Please refer to the appropriate Benefit Booklet, Evidence of Coverage or Subscriber Agreement for applicable physician administered drug medically necessary benefits/coverage. BACKGROUNDInstead, cemiplimab-rwlc is only available as the brand-name drug Libtayo. A healthcare professional will give you Libtayo as an intravenous (IV) infusion, which is an injection into your vein ...Using synthetic versions of natural immune system chemicals, or by inhibiting proteins that suppress immune functions, immunotherapies boost the immune system’s ability to fight disease. Approved by the FDA in 2018, cemiplimab-rwlc (Libtayo®) is an intravenously infused checkpoint blockade therapy.Mar 16, 2021 · Cemiplimab (cemiplimab-rwlc in the US) is approved for the treatment of patients with advanced CSCC who are not candidates for curative surgery or curative radiation. It is also approved in the US for patients with locally advanced and metastatic basal cell carcinoma (BCC), post hedgehog inhibitors (HHIs) or for whom HHIs are not appropriate. Regeneron Pharmaceuticals, Inc. (NASDAQ: REGN) and Sanofi today announced that the U.S. Food and Drug Administration (FDA) approved the PD-1 inhibitor Libtayo ® (cemiplimab-rwlc) as the first immunotherapy treatment indicated for patients with advanced basal cell carcinoma (BCC) previously treated with a hedgehog pathway inhibitor (HHI) or for ...Cemiplimab-rwlc injection is also used to treat a type of skin cancer called basal cell carcinoma (BCC) that cannot be removed by surgery (locally advanced) or that has spread (metastatic) in patients who have received previous treatment with a hedgehog pathway inhibitor (HHI) or who cannot receive treatment with a HHI.LIBTAYO® (cemiplimab-rwlc) is a prescription medicine used to treat people with a type of skin cancer called cutaneous squamous cell carcinoma that has spread or cannot be cured by surgery or radiation. Review Important Safety Information & Full Prescribing Information including Med Guide.The generic name for Libtayo in its approved U.S. indications is cemiplimab-rwlc, with rwlc as the suffix designated in accordance with Nonproprietary Naming of Biological Products Guidance for Industry issued by the U.S. FDA. Libtayo is being jointly developed by Regeneron and Sanofi under a global collaboration agreement.Cemiplimab-rwlc is available as Libtayo (Regeneron Pharmaceuticals, Inc.) and is a recombinant human immunoglobulin G4 (IgG4) monoclonal antibody that binds to programmed death receptor-1 (PD-1) and blocks its interaction with PD-ligand 1 (PD-L1) and PD-ligand 2 (PD-L2) resulting in the inhibition of T-cell proliferation and cytokine production. Common side effects of cemiplimab may include: tiredness; hair loss; numbness, pain, tingling or burning in your hands or feet; muscle or bone pain; rash; or. nausea, diarrhea, loss of appetite. This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects.Jan 19, 2022 · TARRYTOWN, N.Y., Jan. 19, 2022 /PRNewswire/ -- Regulatory filing recently submitted in the European Union. Regeneron Pharmaceuticals, Inc. (NASDAQ: REGN) today announced that the U.S. Food and Drug Administration (FDA) has accepted for review the supplemental Biologics License Application (sBLA) for PD-1 inhibitor Libtayo ® (cemiplimab-rwlc) in combination with chemotherapy as first-line ... Dec 5, 2022 · Cemiplimab-rwlc plus platinum-based chemotherapy demonstrated a statistically significant and clinically meaningful improvement in overall survival compared to placebo plus chemotherapy. Median ... Sanofi and Regeneron provide regulatory update on Libtayo ® (cemiplimab-rwlc) in advanced cervical cancer. January 28, 2022. Sanofi and Regeneron today announced the voluntary withdrawal of the supplemental Biologics License Application (sBLA) for Libtayo ® (cemiplimab-rwlc) as a second-line treatment for patients with advanced cervical cancer.PARIS and TARRYTOWN, N.Y. – February 9, 2021 - The U.S. Food and Drug Administration (FDA) has approved the PD-1 inhibitor Libtayo® (cemiplimab-rwlc) as the first immunotherapy indicated for patients with advanced basal cell carcinoma (BCC) previously treated with a hedgehog pathway inhibitor (HHI) or for whom an HHI is not appropriate. Full ...On February 9, 2021, the Food and Drug Administration granted regular approval to cemiplimab-rwlc (Libtayo, Regeneron Pharmaceuticals, Inc.) for patients with locally advanced basal cell...LIBTAYO (Lib-TIE-oh) is a prescription medicine used to treat adults with a type. of lung cancer called non–small cell lung cancer (NSCLC) that has not spread outside. your chest (locally advanced lung cancer) and you cannot have surgery or chemotherapy. with radiation, or your lung cancer has spread to other areas of your body (metastatic ... Generic Name: cemiplimab-rwlc. Cemiplimab is used to treat certain types of skin cancer (cutaneous squamous cell carcinoma - CSCC, basal cell carcinoma - BCC) and lung cancer. It works by changing ... Learn about LIBTAYO® (cemiplimab-rwlc). Review Important safety Information & Full Prescribing Information including Med Guide.Using synthetic versions of natural immune system chemicals, or by inhibiting proteins that suppress immune functions, immunotherapies boost the immune system’s ability to fight disease. Approved by the FDA in 2018, cemiplimab-rwlc (Libtayo®) is an intravenously infused checkpoint blockade therapy. Jan 14, 2020 · The data reported in this Article further support the approval of cemiplimab-rwlc by the US Food and Drug Administration (FDA) in September, 2018, and the conditional approval of cemiplimab by the European Commission in June, 2019, for the treatment of patients with metastatic cutaneous squamous cell carcinoma or locally advanced cutaneous ... Introduction: In September of 2018, the United States Federal Drug Administration (FDA) approved cemiplimab-rwlc (Libtayo) for advanced cutaneous squamous cell carcinoma (CSCC). Cemiplimab is an intravenous human monoclonal antibody directed against programmed cell death-1 receptor (PD-1). FDA approves cemiplimab-rwlc in combination with platinum-based chemotherapy for non-small cell lung cancer: On November 8, 2022, the Food and Drug Administration approved cemiplimab-rwlc (Libtayo ...Cemiplimab-rwlc is a recombinant human immunoglobulin G4 monoclonal antibody that targets and blocks the PD-1 pathway, thus helping the immune system to fight cancer cells. 7,8 Cemiplimab-rwlc binds to the PD-1 receptor found on T-cells, blocking its interaction with PD ligand 1 (PD-L1) and PD-L2, thereby inhibiting T-cell proliferation and ...Sep 20, 2022 · Serious side effects of Cemiplimab. Along with its needed effects, cemiplimab may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention. Check with your doctor or nurse immediately if any of the following side effects occur while taking cemiplimab: More common. Chills ... May 28, 2021 · 9562 Background: Anti-PD1 (aPD1) monotherapy with cemiplimab-rwlc or pembrolizumab is now considered standard of care for first-line management of advanced CSCC not amenable to surgery or curative radiotherapy. Previously chemotherapy or anti-EGFR agents were commonly used for these patients albeit with modest efficacy and limited duration of response. In prospective evaluation, the overall ... One ml of concentrate contains 50 mg of cemiplimab. Each vial contains 350 mg of cemiplimab in 7 ml. Cemiplimab is produced by recombinant DNA technology in Chinese hamster ovary (CHO) cell suspension culture. For the full list of excipients, see section 6.1. 3. PHARMACEUTICAL FORM . Concentrate for solution for infusion (sterile concentrate). Libtayo ( cemiplimab ) is a member of the anti-PD-1 and PD-L1 monoclonal antibodies (immune checkpoint inhibitors) drug class and is commonly used for Basal Cell Carcinoma, Non-Small Cell Lung Cancer, and Squamous Cell Carcinoma. The cost for Libtayo intravenous solution (rwlc 350 mg/7 mL) is around $10,331 for a supply of 7 milliliters ...On November 8, 2022, the Food and Drug Administration approved cemiplimab-rwlc (Libtayo, Regeneron Pharmaceuticals, Inc.) in combination with platinum-based chemotherapy for adult patients with...Cemiplimab-rwlc is available as Libtayo (Regeneron Pharmaceuticals, Inc.) and is a recombinant human immunoglobulin G4 (IgG4) monoclonal antibody that binds to programmed death receptor-1 (PD-1) and blocks its interaction with PD-ligand 1 (PD-L1) and PD-ligand 2 (PD-L2) resulting in the inhibition of T-cell proliferation and cytokine production..