Difference between revisions of "Idarucizumab (Praxbind)"

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=Mechanism of action=
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==General information==
A monoclonal antibody fragment that binds [[Dabigatran (Pradaxa)]] with very high affinity. In clinical trials it completely reverses the effect of dabigatran within minutes.
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Class/mechanism: Monoclonal antibody fragment (Fab) that binds to [[Dabigatran (Pradaxa)]] and its metabolites with higher affinity than dabigatran binds to thrombin, which neutralizes the anticoagulant effect of dabigatran.<ref name=insert>[http://docs.boehringer-ingelheim.com/Prescribing%20Information/PIs/Praxbind/Praxbind.pdf Idarucizumab (Praxbind) package insert]</ref><ref>[[:File:Idarucizumab.pdf | Idarucizumab (Praxbind) package insert (locally hosted backup)]]</ref><ref>[http://www.praxbind.com/ Praxbind manufacturer's website]</ref>
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<br>Route: IV
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<br>Extravasation: no information
  
=Preliminary data=
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For conciseness and simplicity, HemOnc.org currently will focus on treatment regimens and not list information such as: renal/hepatic dose adjustments, metabolism (including CYP450), excretion, monitoring parameters (although this will be considered for checklists), or manufacturer. Instead, for the most current information, please refer to your preferred pharmacopeias or the prescribing information.<ref name="insert"></ref>
# Pollack CV Jr, Reilly PA, Eikelboom J, Glund S, Verhamme P, Bernstein RA, Dubiel R, Huisman MV, Hylek EM, Kamphuisen PW, Kreuzer J, Levy JH, Sellke FW, Stangier J, Steiner T, Wang B, Kam CW, Weitz JI. Idarucizumab for Dabigatran Reversal. N Engl J Med. 2015 Aug 6;373(6):511-520. Epub 2015 Jun 22. [http://www.nejm.org/doi/full/10.1056/NEJMoa1502000 link to original article] [http://www.ncbi.nlm.nih.gov/pubmed/26095746 PubMed]
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==Diseases for which it is used==
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*[[Bleeding with anticoagulation]]
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==Patient drug information==
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*[http://docs.boehringer-ingelheim.com/Prescribing%20Information/PIs/Praxbind/Praxbind.pdf Idarucizumab (Praxbind) package insert]<ref name="insert"></ref>
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==History of changes in FDA indication==
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*2015-10-16: [http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm467300.htm Approved] in patients treated with [[Dabigatran (Pradaxa) | Pradaxa]] when reversal of the anticoagulant effects of [[Dabigatran (Pradaxa) | dabigatran]] is needed for emergency surgery/urgent procedures or in life-threatening or uncontrolled bleeding.  
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==History of changes in PMDA indication==
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*2016-09-28: New approval for the reversal of anticoagulant effect of dabigatran under the following situations: life-threatening or uncontrolled bleeding; and when performing emergency surgery or procedures in which serious bleeding is expected.
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==Also known as==
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*'''Code name:''' BI-655075
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*'''Brand name:''' Praxbind
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==References==
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<references/>
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[[Category:Drugs]]
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[[Category:Intravenous medications]]
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[[Category:Anti-dabigatran antibody fragments]]
  
[[Category:Drug index]]
 
 
[[Category:Hematology medications]]
 
[[Category:Hematology medications]]
[[Category:Investigational]]
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[[Category:Hemostasis medications]]
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[[Category:FDA approved in 2015]]
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[[Category:PMDA approved in 2016]]

Latest revision as of 00:58, 29 June 2024

General information

Class/mechanism: Monoclonal antibody fragment (Fab) that binds to Dabigatran (Pradaxa) and its metabolites with higher affinity than dabigatran binds to thrombin, which neutralizes the anticoagulant effect of dabigatran.[1][2][3]
Route: IV
Extravasation: no information

For conciseness and simplicity, HemOnc.org currently will focus on treatment regimens and not list information such as: renal/hepatic dose adjustments, metabolism (including CYP450), excretion, monitoring parameters (although this will be considered for checklists), or manufacturer. Instead, for the most current information, please refer to your preferred pharmacopeias or the prescribing information.[1]

Diseases for which it is used

Patient drug information

History of changes in FDA indication

  • 2015-10-16: Approved in patients treated with Pradaxa when reversal of the anticoagulant effects of dabigatran is needed for emergency surgery/urgent procedures or in life-threatening or uncontrolled bleeding.

History of changes in PMDA indication

  • 2016-09-28: New approval for the reversal of anticoagulant effect of dabigatran under the following situations: life-threatening or uncontrolled bleeding; and when performing emergency surgery or procedures in which serious bleeding is expected.

Also known as

  • Code name: BI-655075
  • Brand name: Praxbind

References