Tuesday, December 29, 2020

ORENCIA SIDE EFFECTS

 

 Because clinical trials are conducted under widely varying and controlled conditions, it is impossible to directly compare the adverse reaction rate observed in the drug clinical trial with the incidence in the clinical trial of another drug, and may not be predictable in clinical practice The adverse reaction rate observed in the wider patient population.

Like all therapeutic proteins, it has the potential for immunogenicity. The detection of antibody formation is highly dependent on the sensitivity and specificity of the assay. In addition, the incidence of positive antibodies (including neutralizing antibodies) observed in the assay may be affected by several factors, including the assay method, sample processing, sample collection time, concomitant medications and underlying diseases. named patient supply For these reasons, comparing the incidence of abatacept antibodies in the studies described below with the incidence of antibodies in other studies or other products may be misleading.

Clinical research experience of Orencia intravenous injection in adult RA patients

The data described in this article reflect the intravenous use of Orencia in patients with active RA in a placebo-controlled study (Orencia patients in 1955, 989 placebo patients).named patient medicines The double-blind placebo-controlled period of the study was 6 months (258 ORENCIA patients, 133 placebo) or 1 year (1697 ORENCIA patients, 856 placebo). Some of these patients received biological DMARD therapy, such as TNF blockers (204 ORENCIA patients and 134 placebo patients).

Most patients in RA clinical studies receive one or more of the following ORENCIA concomitant drugs: methotrexate, non-steroidal anti-inflammatory drugs (NSAIDs), corticosteroids, TNF blockers, azathioprine, chloroquine, gold, hydroxy Chloroquine, leflunomide, sulfasalazine and anakinra.

The most serious adverse reactions are serious infections and malignant tumors.


The most common adverse events (occurring in ≥10% of patients treated with ORENCIA) were headache, upper respiratory tract infection, nasopharyngitis, and nausea.

The most common adverse event (interruption or discontinuation of ORERNCIA) of clinical intervention is caused by infection. pharmaceutical consulting companies The most frequently reported infections that caused dose interruptions were upper respiratory tract infection (1.0%), bronchitis (0.7%), and herpes zoster (0.7%). The most common infections leading to discontinuation are pneumonia (0.2%), local infection (0.2%) and bronchitis (0.1%).

 

ORENCIA INDICATIONS

 

INDICATIONS

Adult rheumatoid arthritis (RA)

ORENCIA® is suitable for alleviating the symptoms and signs of adult patients with moderate to severe active rheumatoid arthritis, causing significant clinical reactions, inhibiting the progression of structural damage and improving physical function. In addition to tumor necrosis factor (TNF) antagonists,
Pharmaceutical Consulting Company OERNCIA can also be used as a monotherapy or in conjunction with disease-modifying anti-rheumatic drugs (DMARD).

Juvenile idiopathic arthritis

ORENCIA is indicated for alleviating signs and symptoms of adolescent idiopathic arthritis with moderately to severely active polyarticular joints aged 2 years and older. ORENCIA can be used as a monotherapy or in combination with methotrexate (MTX).

Adult Psoriatic Arthritis (PsA)

ORENCIA is designated for the treatment of adult patients with active psoriatic arthritis (PsA).

Important usage restrictions

ORENCIA should not be used simultaneously with TNF antagonists. Named patient supply It is not recommended to use ORENCIA together with other biological rheumatoid arthritis (RA) treatments (such as anakinra).

 

CARBAGLU DOSAGE AND INDICATION

 

 CARBAGLU tablets for oral suspension, contain 200 mg of carglumic acid. Carglumic acid, the active substance, is a Carbamoyl Phosphate Synthetase 1 (CPS 1) activator and is soluble in boiling water, slightly soluble in cold water, and practically insoluble in organic solvents.


Chemically carglumic acid is N-carbamoyl-L-glutamic acid or (2S)-2-(carbamoylamino) pentanedioic acid, with a molecular weight of 190.16.

Molecular Formula: C6H10N2O5

The inactive ingredients of CARBAGLU are croscarmellose sodium, hypromellose, microcrystalline cellulose, silica colloidal anhydrous, sodium lauryl sulfate, sodium stearyl fumarate.

INDICATIONS


Acute Hyperammonemia In Patients With NAGS Deficiency

CARBAGLU is indicated as an adjunctive therapy in pediatric and adult patients for the treatment of acute hyperammonemia due to the deficiency of the hepatic enzyme N-acetylglutamate synthase (NAGS). During acute hyperammonemic episodes, concomitant administration of CARBAGLU with other ammonia lowering therapies, such as alternate pathway medications, hemodialysis, and dietary protein restriction, is recommended.

Chronic Hyperammonemia In Patients With NAGS Deficiency

CARBAGLU is indicated as maintenance therapy in pediatric and adult patients for the treatment of chronic hyperammonemia due to deficiency of the hepatic enzyme N-acetylglutamate synthase (NAGS). Named patient program, During maintenance therapy, the concomitant use of other ammonia lowering therapies and protein restriction may be needed based on plasma ammonia levels.