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ENROLLMENT FORM FOR (SIPULEUCEL-T) AND PATIENT ASSISTANCE Please complete and submit the enrollment form by faxing it to (877) 556-3737. Your patient may also choose to investigate eligibility.

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® (sipuleucel-T) is a prescription medicine used to treat certain men with advanced prostate cancer. is an established cellular immunotherapy and is customized to each individual by using his own immune cells.

Each dose of contains a minimum of 50 million autologous CD54 + cells activated with PAP-GM-CSF, suspended in 250 mL of Lactated Ringer's Injection, USP. The active components of are autologous APCs and PAP-GM-CSF.

What are the benefits of ® (sipuleucel) for me? The PROCEED Registry showed median overall survival of approximately 4 years in men who were treated with when their prostate-specific antigen (PSA) levels were less than or equal to 5.27 ng/mL.

INDICATIONS AND USAGE treatment of asymptomatic or minimally symptomatic metastatic castrate resistant (hormone refractory) prostate cancer.

Who is a Candidate for ? is approved for men with advanced, metastatic (spreading) prostate cancer with few or no cancer-related symptoms and that is resistant to hormone therapy.

Upon infusion, activates the patient's own resting T cells, which proliferate. Activated T cells help the immune system target and attack PAP antigen-expressing prostate cancer cells, resulting in a specific and lasting immune response.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232