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CABLIVI (caplacizumab-yhdp) for injection, for intravenous(一)
2019-02-13 11:41:06 来源: 作者: 【 】 浏览:4097次 评论:0
HIGHLIGHTS OF PRESCRIBING INFORMATION
These highlights do not include all the information needed to use
CABLIVI® safely and effectively. See full prescribing information for
CABLIVI.
CABLIVI (caplacizumab-yhdp) for injection, for intravenous or
subcutaneous use
Initial U.S. Approval: 2019
INDICATIONS AND USAGE
CABLIVI is a von Willebrand factor (vWF)-directed antibody fragmentindicated for the treatment of adult patients with acquired thromboticthrombocytopenic purpura (aTTP), in combination with plasma exchange and
immunosuppressive therapy. (1)
DOSAGE AND ADMINISTRATION
CABLIVI should be administered upon the initiation of plasma exchangetherapy. The recommended dose of CABLIVI is as follows: (2.1)
o First day of treatment: 11 mg bolus intravenous injection at least 15minutes prior to plasma exchange followed by an 11 mg subcutaneousinjection after completion of plasma exchange on day 1.
o Subsequent treatment during daily plasma exchange: 11 mgsubcutaneous injection once daily following plasma exchange.
o Treatment after the plasma exchange period: 11 mg subcutaneousinjection once daily for 30 days beyond the last plasma exchange.
o If after initial treatment course, sign(s) of persistent underlying diseasesuch as suppressed ADAMTS13 activity levels remain present,treatment may be extended for a maximum of 28 days.
o Discontinue CABLIVI if the patient experiences more than 2recurrences of aTTP, while on CABLIVI. intravenous injection. Administer subsequent doses subcutaneously in the
abdomen. (2.3)
DOSAGE FORMS AND STRENGTHS
For injection: 11 mg as a lyophilized powder in a single-dose vial. (3)
CONTRAINDICATIONS
Previous severe hypersensitivity reaction to caplacizumab-yhdp or any of theexcipients. (4)
WARNINGS AND PRECAUTIONS
Bleeding: Severe bleeding can occur; risk is increased in patients withunderlying coagulopathies. If clinically significant bleeding occurs, interrupttreatment. Withhold CABLIVI 7 days prior to elective surgery, dentalprocedures, or other invasive interventions. (5.1)
ADVERSE REACTIONS
Most common adverse reactions (incidence >15%) are epistaxis, headache,and gingival bleeding. (6.1)
To report SUSPECTED ADVERSE REACTIONS, contact Ablynx US at1-800-745-4447 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.
DRUG INTERACTIONS
Concomitant use of anticoagulants with CABLIVI may increase the risk ofbleeding. Monitor closely for bleeding with concomitant use. (7)
See 17 for PATIENT COUNSELING INFORMATION and FDAapproved
patient labeling.
Revised: 02/2019 
The first dose should be administered by a healthcare provider as a bolus 
FULL PRESCRIBING INFORMATION: CONTENTS*
1 INDICATIONS AND USAGE
2 DOSAGE AND ADMINISTRATION
2.1 Recommended Dose and Schedules
2.2 Discontinuation for Surgery and Other Interventions
2.3 Reconstitution and Administration Instructions
3 DOSAGE FORMS AND STRENGTHS
4 CONTRAINDICATIONS
5 WARNINGS AND PRECAUTIONS
5.1 Bleeding
6 ADVERSE REACTIONS
6.1 Clinical Trials Experience
6.2 Immunogenicity
7 DRUG INTERACTIONS
8 USE IN SPECIFIC POPULATIONS
8.1 Pregnancy
8.2 Lactation
8.4 Pediatric Use
8.5 Geriatric Use
8.6 Hepatic Impairment
10 OVERDOSAG
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