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SIMPONI (golimumab) injection, for subcutaneous use
2015-07-14 17:01:27 来源: 作者: 【 】 浏览:424次 评论:0
  • HIGHLIGHTS OF PRESCRIBING INFORMATION
    These highlights do not include all the information needed to use SIMPONI safely and effectively. See full prescribing information for SIMPONI.

    SIMPONI (golimumab) injection, for subcutaneous use
    Initial U.S. Approval: 2009
    WARNING: SERIOUS INFECTIONS AND MALIGNANCY
    See full prescribing information for complete boxed warning.
    • Serious infections leading to hospitalization or death including tuberculosis (TB), bacterial sepsis, invasive fungal (such as histoplasmosis), and other opportunistic infections have occurred in patients receiving SIMPONI (5.1)
    • Discontinue SIMPONI if a patient develops a serious infection or sepsis (5.1)
    • Perform test for latent TB; if positive, start treatment for TB prior to starting SIMPONI (5.1)
    • Monitor all patients for active TB during treatment, even if initial latent TB test is negative (5.1)
    • Lymphoma and other malignancies, some fatal, have been reported in children and adolescent patients treated with TNF blockers, of which SIMPONI is a member (5.2)
    RECENT MAJOR CHANGES
    Warnings and Precautions (5.2) 12/2014
     INDICATIONS AND USAGE

    SIMPONI is a tumor necrosis factor (TNF) blocker indicated for the treatment of adult patients with:

    • Moderately to severely active rheumatoid arthritis (RA) in combination with methotrexate (1.1)
    • Active psoriatic arthritis (PsA) alone, or in combination with methotrexate (1.2)
    • Active ankylosing spondylitis (AS) (1.3)
    • Moderate to severe Ulcerative colitis (UC) with an inadequate response or intolerant to prior treatment or requiring continuous steroid therapy (1.4)
      • inducing and maintaining clinical response
      • improving endoscopic appearance of the mucosa during induction
      • inducing clinical remission
      • achieving and sustaining clinical remission in induction responders
    DOSAGE AND ADMINISTRATION
    • RA, PsA, and AS: 50 mg administered by subcutaneous injection once a month (2.1)
    • UC: 200 mg initially administered by subcutaneous injection at Week 0, followed by 100 mg at Week 2 and then 100 mg every 4 weeks (2.2)
    DOSAGE FORMS AND STRENGTHS

    Injection (3):

    • 50 mg/0.5 mL in a single dose prefilled SmartJect® autoinjector
    • 50 mg/0.5 mL in a single dose prefilled syringe
    • 100 mg/1 mL in a single dose prefilled SmartJect® autoinjector
    • 100 mg/1 mL in a single dose prefilled syringe
    CONTRAINDICATIONS

    None (4)
    WARNINGS AND PRECAUTIONS

    • Serious Infections: Do not start SIMPONI during an active infection. If an infection develops, monitor carefully, and stop SIMPONI if infection becomes serious (5.1)
    • Invasive Fungal Infections: For patients who develop a systemic illness on SIMPONI, consider empiric antifungal therapy for those who reside in or travel to regions where mycoses are endemic (
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