ATGAM 50 MG — DIN 02234470
LYMPHOCYTE IMMUNOGLOBULIN ANTI-THYMOCYTE GLOBULIN (EQUINE) : 50 MG · PFIZER CANADA ULC · SOLUTION · wholesale supply in Canada
Health Canada status: MARKETED
What is ATGAM?
ATGAM 50 MG contains LYMPHOCYTE IMMUNOGLOBULIN ANTI-THYMOCYTE GLOBULIN (EQUINE) : 50 MG. It is listed in the Health Canada Drug Product Database under DIN 02234470, held by PFIZER CANADA ULC, supplied as SOLUTION for INTRAVENOUS administration. Health Canada currently lists it as marketed, status dated 23-Aug-2006. Nexara Health is a licensed Canadian wholesale distributor (DEL 3-002896-A) and can source this product for hospitals, pharmacies and clinics. Availability and lead time are confirmed per order.
What is ATGAM used for?
ATGAM (lymphocyte immunoglobulin, anti-thymocyte globulin [equine]) is indicated for any patient in whom reduction of peripheral T-lymphocyte function as measured by rosette-forming cell assay could be desirable. ATGAM is used for treatment of aplastic anemia, renal allograft rejection with conventional therapy for acute rejection episodes, or with other immunosuppressive therapies to delay the onset of a first rejection episode.
Authorized indication as written in the Health Canada product monograph. For healthcare professionals and licensed purchasers; this is not medical advice.
Is there a generic Antilymphocyte Immunoglobulin (Horse) in Canada, and who makes it?
Every market authorization holder with a Canadian DIN for this molecule, and how many of their listings Health Canada currently shows as marketed.
2 holders have a Canadian DIN containing Antilymphocyte Immunoglobulin (Horse), across 2 DINs, of which 1 are currently marketed. Marketed count is the number that matters: an approval that is not marketed cannot be bought.
| Market authorization holder | DINs | Marketed | Brand names | Position |
|---|---|---|---|---|
| PFIZER CANADA ULC | 1 | 1 | ATGAM | Sourceable in Canada |
| PHARMACIA & UPJOHN INC | 1 | 0 | ATGAM STERILE SOLUTION IV 50MG/ML | No marketed DIN |
Health Canada’s Drug Product Database does not flag which listing is the originator and which are subsequent-entry products, so Nexara does not label them here. Interchangeability is determined provincially, not federally — confirm for your province before a formulary switch. Nexara can confirm which of these is actually obtainable, and on what lead time, per order.
How is it supplied and stored?
Pack configuration, storage class and the handling constraints that drive cold-chain planning. One DIN can cover more than one pack size, and the pack — not the DIN — is what gets priced, shipped and invoiced.
| Strength on the label | 50 MG |
|---|---|
| Dosage form | SOLUTION |
| Route | INTRAVENOUS |
| Pack configuration (monograph) | Cartons of 5 ampoules. |
| Storage | Once diluted, ATGAM has been shown to be physically and chemically stable for up to 24 hours at 25°C, at concentrations of up to 4 mg /mL. ATGAM should not be kept in a diluted form for more than 24 hours (including actual infusion time). It is recommended that diluted ATGAM be stored at room temperature. |
Before an order line is unambiguous Nexara needs the strength, the pack size and the presentation.
Substance and classification
| Active substance | Antilymphocyte Immunoglobulin (Horse) |
|---|---|
| ATC code | L04AA03 |
| AHFS class | 90:28.04.92 |
| Biosimilar biologic | No |
Health Canada record and identifiers
The regulatory facts straight from the Drug Product Database, plus every identifier form Nexara accepts on a purchase order. A DIN written without its leading zeros is the commonest reason an order line fails to match.
| DIN (8-digit, as used in ordering) | 02234470 |
|---|---|
| DIN (unpadded, as printed on some documents) | 2234470 |
| Brand name | ATGAM |
| Generic / active ingredient | LYMPHOCYTE IMMUNOGLOBULIN ANTI-THYMOCYTE GLOBULIN (EQUINE) : 50 MG |
| Market authorization holder | PFIZER CANADA ULC |
| Health Canada schedule | Prescription |
| ATC code | L04AA03 |
| ATC anatomical main group | L — Antineoplastic and immunomodulating agents |
| ATC therapeutic subgroup | L04AA |
| Current status | MARKETED |
| Status date | 23-Aug-2006 |
| Original market date | 1998-12-04 00:00:00 |
| Status source | Live Health Canada DPD sync |
Verify on the primary sources
What can be used instead?
Alternatives on every axis a buyer actually considers — the same molecule in another presentation, the same class, an adjacent class, or a fixed-dose combination. Every row is led by the marketed DIN count, because that is what can be bought this week.
1 · Same molecule, other Canadian presentations
1 of 2 Canadian DINs for this molecule are currently marketed. Marketed products are listed first.
| Product | Strength | Form | Holder | Health Canada status | DIN |
|---|---|---|---|---|---|
| ATGAM STERILE SOLUTION IV 50MG/ML | 50 MG | LIQUID | PHARMACIA & UPJOHN INC | CANCELLED POST MARKET | 02019922 |
2 · Same class — other molecules in ATC L04AA
| Molecule | Canadian brands | DINs | Marketed | Sourceable |
|---|---|---|---|---|
| Mycophenolic Acid | ACCEL-MYCOPHENOLATE MOFETIL CAPSULES · ACCEL-MYCOPHENOLATE MOFETIL TABLETS · ACH-MYCOPHENOLATE · AG-MYCOPHENOLATE · +21 more | 41 | 24 | Yes |
| Apremilast | APO-APREMILAST · APO-APREMILAST TABLETS · AURO-APREMILAST · GLN-APREMILAST · +7 more | 22 | 11 | Yes |
| Abatacept | ORENCIA | 3 | 2 | Yes |
| Antilymphocyte Immunoglobulin (Horse) | ATGAM · ATGAM STERILE SOLUTION IV 50MG/ML | 2 | 1 | Yes |
| Cladribine | MAVENCLAD | 1 | 1 | Yes |
| Efgartigimod Alfa | VYVGART | 1 | 1 | Yes |
| Belumosudil | REZUROCK | 1 | 1 | Yes |
| Antithymocyte Immunoglobulin (Rabbit) | THYMOGLOBULIN | 1 | 1 | Yes |
| Alefacept | AMEVIVE | 1 | 0 | Not in Canada |
A molecule with zero marketed DINs cannot be sourced domestically, however many approvals it holds — if one of these sits on a formulary or in an older protocol, that is the line to check.
3 · Adjacent classes in ATC L04A
| ATC subgroup | Molecules | DINs | Marketed |
|---|---|---|---|
| L04AX | Azathioprine · Dimethyl Fumarate · Lenalidomide · Methotrexate · Other Immunosuppressants · +3 more | 191 | 124 |
| L04AC | Anakinra · Basiliximab · Bimekizumab · Brodalumab · Canakinumab · +13 more | 85 | 75 |
| L04AB | Adalimumab · Certolizumab Pegol · Etanercept · Golimumab · Infliximab | 71 | 55 |
| L04AD | Ciclosporin · Tacrolimus | 49 | 30 |
| L04AK | Leflunomide · Teriflunomide | 44 | 25 |
| L04AH | Everolimus · Sirolimus | 36 | 23 |
| L04AF | Baricitinib · Deucravacitinib · Ritlecitinib · Tofacitinib · Upadacitinib | 23 | 19 |
| L04AG | Alemtuzumab · Anifrolumab · Belimumab · Efalizumab · Inebilizumab · +7 more | 20 | 15 |
Not clinical advice. These tables describe what can be supplied in Canada, not what should be prescribed. Substitution within or across classes is a prescriber and pharmacist decision, and interchangeability is determined provincially.
How can I get it?
Nexara Health supplies this product to licensed Canadian buyers — pharmacies, hospitals, clinics, licensed distributors, and clinical trial sponsors or their CROs. We confirm stock, pack size, expiry and pricing at the time of quotation. If the product is on backorder or in shortage, we identify equivalent alternatives and import options where permitted.
Ordering questions
Who can buy this from Nexara?
Licensed entities only. Nexara holds Health Canada establishment licence DEL 3-002896-A and ships only to a licensed address. Patients and unlicensed buyers are routed to a partner pharmacy.
Is there a minimum order?
Yes, set per product line and per pack multiple rather than on the order total, so you are never asked to buy a part-pack. The minimum for this line is confirmed with your quote.
What is the lead time?
Confirmed per order at quotation, and it depends on current stock position and whether the product is in shortage.
Why is there no price on this page?
Nexara quotes a delivered Canadian price per order, against a verified licence. Foreign list prices are published on incompatible bases and are not a guide to what any buyer can obtain here, so this page shows which markets list the molecule and on what basis, and nothing more.
Can Nexara supply this for a clinical trial?
Yes — comparator and background-therapy supply, including sourcing from other markets where a Canadian pack will not satisfy the protocol. Clinical trial supply.