WHO SYMDEKO® IS FOR

Check Your Eligibility

SYMDEKO is for the treatment of cystic fibrosis (CF) in patients age 6 years and older who have two copies of the F508del mutation, or who have at least one mutation in the CF gene that is responsive to treatment with SYMDEKO. Enter both of your mutations below to see if you're eligible for SYMDEKO.

 

6 years and older

    Most people with CF have 2 CF mutations, 1 on each copy of the CF gene. However, in rare instances, 1 copy of the CF gene can have more than 1 mutation. This is called a compound, or complex, mutation.

    To enter 2 or more mutations into 1 entry field, separate them with a semicolon, space, comma, or forward slash. For example, if your mutations are R74W/V201M/D1270N and W1282R, use the Mutation 1 field to enter: R74W; V201M; D1270N and the Mutation 2 field to enter: W1282R.

     

    If you don’t know your CF gene mutations, it’s important to work with your healthcare provider to identify them. Knowing your mutations can help determine if SYMDEKO could be right for you.

    Based on the information you entered, you may be eligible for SYMDEKO.

    Talk with your healthcare provider to see if SYMDEKO is right for you.

    Here is some information about SYMDEKO that may be helpful:

    Neither CF gene mutation you entered is eligible for SYMDEKO.

    Talk with your healthcare provider to discuss your CF care plan and treatment options that may be right for you.

    One of the CF gene mutations you entered is not eligible for SYMDEKO.

    Please note, if you only have 1 copy of the F508del mutation, your second CF gene mutation must also be eligible for SYMDEKO.

    Talk with your healthcare provider to discuss your CF care plan and treatment options that may be right for you.

    We’re sorry, we do not recognize 1 or both of the mutations you entered.

    Talk to your healthcare provider to discuss your CF care plan. They can help determine what treatment option is right for you at this time.

     

    See which mutations SYMDEKO is indicated for

     

    SYMDEKO is for the treatment of CF in people age 6 years and older who have two copies of the F508del mutation or one of the following CF gene mutations. If you don't see your mutation in this chart, try using the tool above.

    View Eligible Mutations

    546insCTA E92K G576A;R668C L967S R117H S737F
    711+3A→G* E116K G622D L997F R117L S912L
    2789+5G→A* E193K G970D L1324P R117P S945L*
    3272-26A→G* E403D G1069R L1335P R170H S977F*
    3849+10kbC→T* E588V G1244E L1480P R258G S1159F
    A120T E822K G1249R M152V R334L S1159P
    A234D E831X G1349D M265R R334Q S1251N
    A349V F191V H939R M952I R347H* S1255P
    A455E* F311del H1054D M952T R347L T338I
    A554E F311L H1375P P5L R347P T1036N
    A1006E F508C I148T P67L* R352Q* T1053I
    A1067T F508C;S1251N I175V P205S R352W V201M
    D110E F575Y I336K Q98R R553Q V232D
    D110H* F1016S I601F Q237E R668C V562I
    D192G F1052V I618T Q237H R751L V754M
    D443Y F1074L I807M Q359R R792G V1153E
    D443Y;G576A;
    R668C
    F1099L I980K Q1291R R933G V1240G
    D579G* G126D I1027T R31L R1066H V1293G
    D614G G178E I1139V R74Q R1070Q W1282R
    D836Y G178R I1269N R74W R1070W* Y109N
    D924N G194R I1366N R74W;D1270N R1162L Y161S
    D979V G194V K1060T R74W;V201M R1283M Y1014C
    D1152H* G314E L15P R74W;V201M;
    D1270N
    R1283S Y1032C
    D1270N G551D L206W* R75Q S549N  
    E56K G551S L320V R117C* S549R  
    E60K G576A L346P R117G S589N  
    546insCTAL346P
    711+3A→G*L967S
    2789+5G→A*L997F
    3272-26A→G*L1324P
    3849+10kbC→T *L1335P
    A120TL1480P
    A234DM152V
    A349VM265R
    A455E*M952I
    A554EM952T
    A1006EP5L
    A1067TP67L*
    D110EP205S
    D110H*Q98R
    D192GQ237E
    D443YQ237H
    D443Y;G576A;
    R668C
    Q359R
    D579G*Q1291R
    D614GR31L
    D836YR74Q
    D924NR74W
    D979VR74W;D1270N
    D1152H*R74W;V201M
    D1270NR74W;V201M;
    D1270N
    E56KR75Q
    E60KR117C*
    E92KR117G
    E116KR117H
    E193KR117L
    E403DR117P
    E588VR170H
    E822KR258G
    E831XR334L
    F191VR334Q
    F311delR347H*
    F311LR347L
    F508CR347P
    F508C;S1251NR352Q*
    F575YR352W
    F1016SR553Q
    F1052VR668C
    F1074LR751L
    F1099LR792G
    G126DR933G
    G178ER1066H
    G178RR1070Q
    G194RR1070W*
    G194VR1162L
    G314ER1283M
    G551DR1283S
    G551SS549N
    G576AS549R
    G576A;R668CS589N
    G622DS737F
    G970DS912L
    G1069RS945L*
    G1244ES977F*
    G1249RS1159F
    G1349DS1159P
    H939RS1251N
    H1054DS1255P
    H1375PT338I
    I148TT1036N
    I175VT1053I
    I336KV201M
    I601FV232D
    I618TV562I
    I807MV754M
    I980KV1153E
    I1027TV1240G
    I1139VV1293G
    I1269NW1282R
    I1366NY109N
    K1060TY161S
    L15PY1014C
    L206W*Y1032C
    L320V 

    *Clinical data exists for these mutations. See clinical studies.

    Complex/compound mutations. Most people with CF have 2 CF mutations, 1 on each copy of the CF gene. However, in rare instances, 1 copy of the CF gene can have more than 1 mutation. This is called a compound, or complex, mutation.

    If you don't know your mutation, talk to your healthcare provider to learn if you have an indicated CF gene mutation.
    It is not known if SYMDEKO is safe and effective in children under 6 years of age.

    Important safety information

    Important Safety Information

    Before taking SYMDEKO, tell your doctor about all of your medical conditions, including if you:

    • have or have had liver problems
    • are allergic to SYMDEKO or any ingredients in SYMDEKO. See the Patient Information for a list of ingredients
    • have kidney problems
    • are pregnant or plan to become pregnant. It is not known if SYMDEKO will harm your unborn baby. You and your doctor should decide if you will take SYMDEKO while you are pregnant
    • are breastfeeding or planning to breastfeed. It is not known if SYMDEKO passes into your breast milk. You and your doctor should decide if you will take SYMDEKO while you are breastfeeding

    What is SYMDEKO?

    What is SYMDEKO® (tezacaftor/ivacaftor and ivacaftor)?

    SYMDEKO is a prescription medicine used for the treatment of cystic fibrosis (CF) in patients age 6 years and older who have two copies of the F508del mutation, or who have at least one mutation in the CF gene that is responsive to treatment with SYMDEKO.

    Talk to your doctor to learn if you have an indicated CF gene mutation.

    It is not known if SYMDEKO is safe and effective in children under 6 years of age.

    Tell your doctor about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements.

    SYMDEKO may affect the way other medicines work and other medicines may affect how SYMDEKO works. The dose of SYMDEKO may need to be adjusted when taken with certain medicines. Ask your doctor or pharmacist for a list of these medicines if you are not sure.

    Especially tell your doctor if you take:

    • antibiotics such as rifampin (RIFAMATE®, RIFATER®) or rifabutin (MYCOBUTIN®)
    • seizure medicines such as phenobarbital, carbamazepine (TEGRETOL®, CARBATROL®, EQUETRO®), or phenytoin (DILANTIN®, PHENYTEK®)
    • St. John’s wort
    • antifungal medicines such as ketoconazole, itraconazole (such as SPORANOX®), posaconazole (such as NOXAFIL®), voriconazole (such as VFEND®), or fluconazole (such as DIFLUCAN®)
    • antibiotics such as telithromycin, clarithromycin (such as BIAXIN®), or erythromycin (such as ERY-TAB®)

    What should I avoid while taking SYMDEKO?

    • SYMDEKO can cause dizziness in some people who take it. If you experience dizziness, do not drive or operate machines until symptoms improve.
    • Avoid food or drink that contains grapefruit while you are taking SYMDEKO

    What are the possible side effects of SYMDEKO?

    SYMDEKO can cause serious side effects, including:

    • High liver enzymes in the blood have been reported in people treated with SYMDEKO or treated with ivacaftor alone. Your doctor will do blood tests to check your liver:
      • before you start SYMDEKO
      • every 3 months during your first year of taking SYMDEKO
      • every year while you are taking SYMDEKO

    Your doctor may do blood tests to check the liver more often if you have had high liver enzymes in your blood in the past.

    Call your doctor right away if you have any of the following symptoms of liver problems:

    • pain or discomfort in the upper right stomach (abdominal) area
    • yellowing of your skin or the white part of your eyes
    • loss of appetite
    • nausea or vomiting
    • dark, amber-colored urine

     

    • Serious allergic reactions have happened to people who are treated with SYMDEKO. Call your doctor or go to the emergency room right away if you have any symptoms of an allergic reaction. Symptoms of an allergic reaction may include:
      • rash or hives
      • tightness of the chest or throat or difficulty breathing
      • light-headedness or dizziness

     

    • Abnormality of the eye lens (cataract) has happened in some children and adolescents treated with SYMDEKO or with ivacaftor alone. If you are a child or adolescent, your doctor should perform eye examinations before and during treatment with SYMDEKO to look for cataracts

    The most common side effects of SYMDEKO include headache, nausea, sinus congestion, and dizziness.

    Tell your doctor if you have any side effect that bothers you or that does not go away.

    These are not all the possible side effects of SYMDEKO. Call your doctor for medical advice about side effects.

    You may report side effects to FDA at 1-800-FDA-1088.

    For further information, please see full Prescribing Information, including Patient Information.

    Important safety information

    Important Safety Information

    Before taking SYMDEKO, tell your doctor about all of your medical conditions, including if you:

    • have or have had liver problems
    • are allergic to SYMDEKO or any ingredients in SYMDEKO. See the Patient Information for a list of ingredients
    • have kidney problems
    • are pregnant or plan to become pregnant. It is not known if SYMDEKO will harm your unborn baby. You and your doctor should decide if you will take SYMDEKO while you are pregnant
    • are breastfeeding or planning to breastfeed. It is not known if SYMDEKO passes into your breast milk. You and your doctor should decide if you will take SYMDEKO while you are breastfeeding

    What is SYMDEKO?

    What is SYMDEKO® (tezacaftor/ivacaftor and ivacaftor)?

    SYMDEKO is a prescription medicine used for the treatment of cystic fibrosis (CF) in patients age 6 years and older who have two copies of the F508del mutation, or who have at least one mutation in the CF gene that is responsive to treatment with SYMDEKO.

    Talk to your doctor to learn if you have an indicated CF gene mutation.

    It is not known if SYMDEKO is safe and effective in children under 6 years of age.

    Tell your doctor about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements.

    SYMDEKO may affect the way other medicines work and other medicines may affect how SYMDEKO works. The dose of SYMDEKO may need to be adjusted when taken with certain medicines. Ask your doctor or pharmacist for a list of these medicines if you are not sure.

    Especially tell your doctor if you take:

    • antibiotics such as rifampin (RIFAMATE®, RIFATER®) or rifabutin (MYCOBUTIN®)
    • seizure medicines such as phenobarbital, carbamazepine (TEGRETOL®, CARBATROL®, EQUETRO®), or phenytoin (DILANTIN®, PHENYTEK®)
    • St. John’s wort
    • antifungal medicines such as ketoconazole, itraconazole (such as SPORANOX®), posaconazole (such as NOXAFIL®), voriconazole (such as VFEND®), or fluconazole (such as DIFLUCAN®)
    • antibiotics such as telithromycin, clarithromycin (such as BIAXIN®), or erythromycin (such as ERY-TAB®)

    What should I avoid while taking SYMDEKO?

    • SYMDEKO can cause dizziness in some people who take it. If you experience dizziness, do not drive or operate machines until symptoms improve.
    • Avoid food or drink that contains grapefruit while you are taking SYMDEKO

    What are the possible side effects of SYMDEKO?

    SYMDEKO can cause serious side effects, including:

    • High liver enzymes in the blood have been reported in people treated with SYMDEKO or treated with ivacaftor alone. Your doctor will do blood tests to check your liver:
      • before you start SYMDEKO
      • every 3 months during your first year of taking SYMDEKO
      • every year while you are taking SYMDEKO

    Your doctor may do blood tests to check the liver more often if you have had high liver enzymes in your blood in the past.

    Call your doctor right away if you have any of the following symptoms of liver problems:

    • pain or discomfort in the upper right stomach (abdominal) area
    • yellowing of your skin or the white part of your eyes
    • loss of appetite
    • nausea or vomiting
    • dark, amber-colored urine

     

    • Serious allergic reactions have happened to people who are treated with SYMDEKO. Call your doctor or go to the emergency room right away if you have any symptoms of an allergic reaction. Symptoms of an allergic reaction may include:
      • rash or hives
      • tightness of the chest or throat or difficulty breathing
      • light-headedness or dizziness

     

    • Abnormality of the eye lens (cataract) has happened in some children and adolescents treated with SYMDEKO or with ivacaftor alone. If you are a child or adolescent, your doctor should perform eye examinations before and during treatment with SYMDEKO to look for cataracts

    The most common side effects of SYMDEKO include headache, nausea, sinus congestion, and dizziness.

    Tell your doctor if you have any side effect that bothers you or that does not go away.

    These are not all the possible side effects of SYMDEKO. Call your doctor for medical advice about side effects.

    You may report side effects to FDA at 1-800-FDA-1088.

    For further information, please see full Prescribing Information, including Patient Information.