Lanadelumab-flyo
What is Lanadelumab-flyo?[edit | edit source]
Lanadelumab-flyo (TAKHZYRO) is a plasma kallikrein inhibitor (monoclonal antibody) used to prevent attacks of Hereditary Angioedema (HAE).
What are the uses of this medicine?[edit | edit source]
- This medicine used to prevent attacks of Hereditary Angioedema (HAE) in people 12 years of age and older.
How does this medicine work?[edit | edit source]
- Lanadelumab-flyo is a fully human monoclonal antibody (IgG1/κ-light chain) that binds plasma kallikrein and inhibits its proteolytic activity.
- Plasma kallikrein is a protease that cleaves high-molecular-weight-kininogen (HMWK) to generate cleaved HMWK (cHMWK) and bradykinin, a potent vasodilator that increases vascular permeability resulting in swelling and pain associated with HAE.
- In patients with HAE due to C1-inhibitor (C1-INH) deficiency or dysfunction, normal regulation of plasma kallikrein activity is not present, which leads to uncontrolled increases in plasma kallikrein activity and results in angioedema attacks.
- Lanadelumab-flyo decreases plasma kallikrein activity to control excess bradykinin generation in patients with HAE.
Who Should Not Use this medicine ?[edit | edit source]
- This medicine have no usage limitations.
What drug interactions can this medicine cause?[edit | edit source]
- No dedicated drug interaction studies have been conducted.
- No clinically important drug interactions have been observed with OXERVATE.
Is this medicine FDA approved?[edit | edit source]
- It was approved for use in the United States in 2018.
How should this medicine be used?[edit | edit source]
Recommended Dosage
- The recommended starting dose is 300 mg every 2 weeks.
- A dosing interval of 300 mg every 4 weeks is also effective and may be considered if the patient is well-controlled (e.g., attack free) for more than 6 months.
Administration
- TAKHZYRO is administered subcutaneously only.
- TAKHZYRO is provided as a ready-to-use solution in a single-dose vial that does not require additional reconstitution or dilution for administration. TAKHZYRO is supplied as a clear to slightly opalescent, colorless to slightly yellow solution.
- Do not use the vial if it appears discolored or contains visible particles.
- Avoid vigorous agitation of the vial.
- TAKHZYRO is intended for self-administration or administration by a caregiver.
- The patient or caregiver should be trained by a healthcare professional.
- Take the TAKHZYRO vial out of the refrigerator 15 minutes before injecting to allow it to equilibrate to room temperature.
- Using aseptic technique, withdraw the prescribed dose of TAKHZYRO from the vial using an 18-gauge needle.
- Change the needle on the syringe to a 27-gauge, ½-inch needle or other needle suitable for subcutaneous injection.
- Inject TAKHZYRO subcutaneously into the abdomen, thigh, or upper arm.
- Patients should inject the complete dose as prescribed by their physician.
- In clinical studies, the majority of patients self-administered TAKHZYRO over 10 to 60 seconds.
- TAKHZYRO should be administered within 2 hours of preparing the dosing syringe.
- After the dosing syringe is prepared, it can be refrigerated at 36ºF to 46ºF (2°C to 8°C) and must be used within 8 hours.
- Discard any unused portions of drug remaining in the vial and syringe.
What are the dosage forms and brand names of this medicine?[edit | edit source]
This medicine is available in fallowing doasage form:
- As Injection: 300 mg/2 mL (150 mg/mL) solution in a single-dose vial.
This medicine is available in fallowing brand namesː
- TAKHZYRO
What side effects can this medication cause?[edit | edit source]
The most common side effects of this medicine include:
- injection site reactions (pain, redness, and bruising)
- upper respiratory infections
- headache
TAKHZYRO may cause serious side effects, including allergic reactions
- wheezing
- difficulty breathing
- chest tightness
- fast heartbeat
- faintness
- rash
- hives
What special precautions should I follow?[edit | edit source]
- Hypersensitivity reactions have been observed. In case of a severe hypersensitivity reaction, discontinue TAKHZYRO administration and institute appropriate treatment.
What to do in case of emergency/overdose?[edit | edit source]
- There is no clinical experience with overdosage of TAKHZYRO.
Can this medicine be used in pregnancy?[edit | edit source]
- There are no available data on TAKHZYRO use in pregnant women to inform any drug associated risks.
Can this medicine be used in children?[edit | edit source]
- The safety and efficacy of TAKHZYRO were evaluated in a subgroup of patients (N=10) aged 12 to <18 years.
- The safety and efficacy of TAKHZYRO in pediatric patients < 12 years of age have not been established.
What are the active and inactive ingredients in this medicine?[edit | edit source]
- Active ingredient: lanadelumab
- Inactive ingredients: citric acid monohydrate, L-histidine, sodium chloride, sodium phosphate dibasic dihydrate and water for injection.
Who manufactures and distributes this medicine?[edit | edit source]
Manufactured by: Dyax Corp 300 Shire Way Lexington, MA 02421
What should I know about storage and disposal of this medication?[edit | edit source]
- Store vials refrigerated at 36°F to 46°F (2°C to 8°C).
- Do not freeze. Do not shake.
- Keep the vial in the original carton in order to protect the vial from light.
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