Inebilizumab Disease Interactions

The use of inebilizumab is contraindicated in patients with active hepatitis B infection.

The use of inebilizumab is contraindicated in patients with active or untreated latent tuberculosis.

An increased risk of infections has been observed with the use of inebilizumab. It is recommended to delay administration in patients with an active infection until the infection is resolved. Perform HBV screening in all patients before initiation of treatment. Do not administer this agent to patients with active hepatitis. Patients should be evaluated for tuberculosis risk factors and tested for latent infection prior to initiating treatment. Consider anti-tuberculosis therapy in patients with a history of latent active tuberculosis in whom an adequate course of treatment cannot be confirmed, and for patients with a negative test for latent tuberculosis but having risk factors for tuberculosis infection. Consult infectious disease experts regarding whether initiating therapy is appropriate before starting treatment.

The use of live attenuated-vaccines or live vaccines is not recommended during treatment with inebilizumab until B-cell repletion. Administer all required immunizations at least 4 weeks prior to initiation of inebilizumab. The safety of immunization with live or live-attenuated vaccines following inebilizumab therapy has not been studied, therefore it is not recommended during treatment until B-cell repletion. Do not administer live or live-attenuated vaccines to infants of mothers exposed to inebilizumab during pregnancy before confirming recovery of B-cell counts. Non-live vaccines, may be administered prior to recovery from B-cell and immunoglobulin level depletion, but to assess whether a protective immune response was mounted, consultation with a qualified specialist should be considered.