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Anifrolumab

From Wikipedia, the free encyclopedia
Monoclonal antibody

Pharmaceutical compound
Anifrolumab
Monoclonal antibody
TypeWhole antibody
SourceHuman
TargetInterferon α/β receptor
Clinical data
Trade namesSaphnelo
Other namesMEDI-546, anifrolumab-fnia
AHFS/Drugs.comMonograph
License data
Pregnancy
category
Routes of
administration
Intravenous
Drug classtype I interferon receptor antagonist (IFN)
ATC code
Legal status
Legal status
Identifiers
CAS Number
DrugBank
ChemSpider
  • none
UNII
KEGG
Chemical and physical data
FormulaC6444H9964N1712O2018S44
Molar mass145119.20 g·mol−1

Anifrolumab, sold under the brand nameSaphnelo, is amonoclonal antibody used for the treatment ofsystemic lupus erythematosus.[5][7] It binds to thetype I interferon receptor, blocking the activity oftype I interferons such as interferon-α and interferon-β.[medical citation needed]

Anifrolumab was approved for medical use in the United States in July 2021,[5][8][9][10][11] and in the European Union in February 2022.[6] The U.S.Food and Drug Administration considers it to be afirst-in-class medication.[12]

Mechanism of Action

[edit]

In systemic lupus erythematosus, the body can produce a great amount of type 1 interferon, which activates the immune system excessively and creates problems for lupus patients. Anifrolumab acts to block IFN-1 from sending signals to other immune cells, which prevents the body from being attacked by itself.[13]

Adverse effects

[edit]

The most common adverse effect wasshingles, which occurred in 5% of patients in the low-dose group, to 10% in the high-dose group, and to 2% in theplacebo group. Overall adverse effect rates were comparable in all groups.[14]

History

[edit]

The drug was developed byMedImmune, a unit ofAstraZeneca, which chose to move anifrolumab instead ofsifalimumab into phase III trials for lupus in 2015.[15][16][17]

Society and culture

[edit]

Legal status

[edit]

On 16 December 2021, theCommittee for Medicinal Products for Human Use (CHMP) of theEuropean Medicines Agency (EMA) adopted a positive opinion, recommending the granting of a marketing authorization for the medicinal product Saphnelo, intended for the treatment of moderate to severe systemic lupus erythematosus.[6] The applicant for this medicinal product is AstraZeneca AB.[6] Anifrolumab was approved for medical use in the European Union in February 2022.[6][18]

Names

[edit]

Anifrolumab is the international nonproprietary name (INN).[19]

References

[edit]
  1. ^ab"Saphnelo APMDS".Therapeutic Goods Administration (TGA). 12 April 2022.Archived from the original on 19 September 2022. Retrieved24 April 2022.
  2. ^"Updates to the Prescribing Medicines in Pregnancy database".Therapeutic Goods Administration (TGA). 21 December 2022. Retrieved2 January 2023.
  3. ^"Notice: Multiple Additions to the Prescription Drug List (PDL) [2022-01-24]".Health Canada. 24 January 2022.Archived from the original on 29 May 2022. Retrieved28 May 2022.
  4. ^"Summary Basis of Decision (SBD) for Saphnelo".Health Canada. 23 October 2014.Archived from the original on 29 May 2022. Retrieved29 May 2022.
  5. ^abc"Saphnelo- anifrolumab injection, solution".DailyMed.Archived from the original on 12 August 2021. Retrieved11 August 2021.
  6. ^abcde"Saphnelo EPAR".European Medicines Agency. 16 December 2021.Archived from the original on 12 April 2022. Retrieved11 April 2022. Text was copied from this source which is copyright European Medicines Agency. Reproduction is authorized provided the source is acknowledged.
  7. ^Statement On A Nonproprietary Name Adopted By The USAN Council - Anifrolumab,American Medical Association.
  8. ^"Drug Approval Package: Saphnelo".U.S.Food and Drug Administration (FDA). 17 August 2021.Archived from the original on 12 March 2022. Retrieved12 March 2022.
  9. ^Beitz J (30 July 2021)."Biologics License Application (BLA) for Saphnelo (anifrolumab-fnia) injection"(PDF).Center for Drug Evaluation and Research. Letter to Joelle Blakaitis (AstraZeneca AB). U.S. Food and Drug Administration. Archived fromthe original(PDF) on 3 August 2021.
  10. ^"Saphnelo (Anifrolumab) approved in the US for moderate to severe systemic lupus erythematosus". 2 August 2021.Archived from the original on 2 August 2021. Retrieved2 August 2021.
  11. ^"Saphnelo (anifrolumab) Approved in the US for Moderate to Severe Systemic Lupus Erythematosus" (Press release). AstraZeneca. 2 August 2021.Archived from the original on 2 August 2021. Retrieved2 August 2021 – via Business Wire.
  12. ^Advancing Health Through Innovation: New Drug Therapy Approvals 2021.U.S.Food and Drug Administration (FDA) (Report). 13 May 2022. Archived fromthe original(PDF) on 6 December 2022. Retrieved22 January 2023.Public Domain This article incorporates text from this source, which is in thepublic domain.
  13. ^Bui A, Sanghavi D (2022)."Anifrolumab".StatPearls. Treasure Island (FL): StatPearls Publishing.PMID 32310439. Retrieved11 June 2022.
  14. ^Spreitzer H (29 August 2016). "Neue Wirkstoffe - Anifrolumab".Österreichische Apothekerzeitung (in German) (18/2016).
  15. ^"Press release: New Hope for Lupus Patients". MedImmune. 11 August 2015. Archived fromthe original on 31 July 2017.
  16. ^"Anifrolumab". NHS Specialist Pharmacy Service. 23 December 2015.Archived from the original on 31 July 2017. Retrieved31 July 2017.
  17. ^"Anifrolumab". AdisInsight.Archived from the original on 31 July 2017. Retrieved31 July 2017.
  18. ^"Saphnelo Product information".Union Register of medicinal products. Retrieved3 March 2023.
  19. ^"International nonproprietary names for pharmaceutical substances (INN): recommended INN: list 71".WHO Drug Information.28 (1). 2014.hdl:10665/331151.

Further reading

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External links

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  • Clinical trial numberNCT01438489 for "A Study of the Efficacy and Safety of MEDI-546 in Systemic Lupus Erythematosus" atClinicalTrials.gov
  • Clinical trial numberNCT02446912 for "Efficacy and Safety of Two Doses of Anifrolumab Compared to Placebo in Adult Subjects With Active Systemic Lupus Erythematosus" atClinicalTrials.gov
  • Clinical trial numberNCT02446899 for "Efficacy and Safety of Anifrolumab Compared to Placebo in Adult Subjects With Active Systemic Lupus Erythematosus" atClinicalTrials.gov
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