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Lanadelumab-flyo

Medically reviewed by Drugs.com. Last updated on Feb 6, 2019.

Pronunciation

(LAN a DEL ue mab flyo)

Index Terms

  • Takhzyro

Dosage Forms

Excipient information presented when available (limited, particularly for generics); consult specific product labeling.

Solution, Subcutaneous [preservative free]:

Takhzyro: lanadelumab-flyo 300 mg/2 mL (2 mL) [contains polysorbate 80]

Brand Names: U.S.

  • Takhzyro

Pharmacologic Category

  • Kallikrein Inhibitor
  • Monoclonal Antibody

Pharmacology

Human monoclonal antibody (IgG1/κ-light chain) that binds plasma kallikrein and inhibits its proteolytic activity, controlling excess bradykinin generation in patients with hereditary angioedema.

Distribution

Vd: 14.1 to 16.6 L

Time to Peak

4.11 to 5.17 days

Half-Life Elimination

14.2 to 15 days

Use: Labeled Indications

Hereditary angioedema, prophylaxis: Prevention of attacks of hereditary angioedema (HAE) in patients ≥12 years of age.

Contraindications

There are no contraindications listed in the manufacturer's labeling.

Dosing: Adult

Hereditary angioedema, prophylaxis: SubQ: Initial: 300 mg every 2 weeks; dosing every 4 weeks may be considered in patients well-controlled (eg, attack free) for >6 months

Dosing: Geriatric

Refer to adult dosing.

Dosing: Pediatric

Hereditary angioedema (HAE), prophylaxis: Children ≥12 years and Adolescents: SubQ: Initial: 300 mg every 2 weeks; may consider administering every 4 weeks in patients who are well controlled (eg, attack free) for >6 months

Administration

SubQ: For SubQ injection into the abdomen, thigh, or upper arm. Allow vial to reach room temperature before injection (15 minutes). Before preparing dose, gently invert vial 3 to 5 times to mix; do not shake. Use an 18-gauge transfer needle to withdraw dose and a 27-gauge, ½-inch needle or other needle suitable for SubQ injection to administer dose. Rotate injection sites; injection site should be ≥2 inches (5 cm) away from any scars or navel. Do not inject in an area that is bruised, swollen, or painful.

Storage

Store at 36°F to 46°F (2°C to 8°C). Do not freeze. Do not shake. Keep the vial in the original carton to protect from light. Administer within 2 hours of preparing the dose; may also store prepared dose at 36ºF to 46ºF (2°C to 8°C) and must use within 8 hours. Discard any unused portion.

Drug Interactions

There are no known significant interactions.

Test Interactions

May increase activated partial thromboplastin time (aPTT) due to an interaction with the aPTT assay.

Adverse Reactions

>10%:

Central nervous system: Headache (33%)

Immunologic: Antibody development (12%)

Local: Injection site reaction (45% to 56%)

Neuromuscular & skeletal: Myalgia (11%)

Respiratory: Upper respiratory tract infection (44%)

1% to 10%:

Central nervous system: Dizziness (4% to 10%)

Dermatologic: Skin rash (10%)

Gastrointestinal: Diarrhea (4%)

Hepatic: Increased serum transaminases (4%), increased serum alanine aminotransferase (2%), increased serum aspartate aminotransferase (2%)

Hypersensitivity: Hypersensitivity (1%)

Warnings/Precautions

Concerns related to adverse effects:

• Hypersensitivity reactions: Have occurred. In case of a severe hypersensitivity reaction, discontinue therapy and institute appropriate treatment.

Dosage form specific issues:

• Polysorbate 80: Some dosage forms may contain polysorbate 80 (also known as Tweens). Hypersensitivity reactions, usually a delayed reaction, have been reported following exposure to pharmaceutical products containing polysorbate 80 in certain individuals (Isaksson 2002; Lucente 2000; Shelley 1995). Thrombocytopenia, ascites, pulmonary deterioration, and renal and hepatic failure have been reported in premature neonates after receiving parenteral products containing polysorbate 80 (Alade 1986; CDC 1984). See manufacturer's labeling.

Pregnancy Considerations

Adverse events were not observed in animal reproduction studies. Monoclonal antibodies cross the placenta in the third trimester.

Other agents are currently recommended for prophylaxis of hereditary angioedema (HAE) during pregnancy. Women with HAE should be monitored closely during pregnancy and for at least 72 hours after delivery (WAO/EEACI [Maurer 2018]).

Patient Education

• Discuss specific use of drug and side effects with patient as it relates to treatment. (HCAHPS: During this hospital stay, were you given any medicine that you had not taken before? Before giving you any new medicine, how often did hospital staff tell you what the medicine was for? How often did hospital staff describe possible side effects in a way you could understand?)

• Patient may experience common cold symptoms, headache, muscle pain, or diarrhea. Have patient report immediately to prescriber severe injection site irritation, tachycardia, severe dizziness, or passing out (HCAHPS).

• Educate patient about signs of a significant reaction (eg, wheezing; chest tightness; fever; itching; bad cough; blue skin color; seizures; or swelling of face, lips, tongue, or throat). Note: This is not a comprehensive list of all side effects. Patient should consult prescriber for additional questions.

Intended Use and Disclaimer: Should not be printed and given to patients. This information is intended to serve as a concise initial reference for health care professionals to use when discussing medications with a patient. You must ultimately rely on your own discretion, experience, and judgment in diagnosing, treating, and advising patients.

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

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