Orladeyo

— THERAPEUTIC CATEGORIES —
  • Hereditary angioedema

Orladeyo Generic Name & Formulations

General Description

Berotralstat 110mg, 150mg; caps.

Pharmacological Class

Plasma kallikrein inhibitor.

How Supplied

Caps—28

Generic Availability

NO

Mechanism of Action

Berotralstat binds to plasma kallikrein and inhibits its proteolytic activity to control excess bradykinin generation in patients with HAE.

Orladeyo Indications

Indications

Prophylaxis to prevent hereditary angioedema (HAE) attacks.

Limitations of Use

Not for the treatment of acute HAE attacks.

Orladeyo Dosage and Administration

Adult

Take with food. 150mg once daily. Moderate or severe hepatic impairment (Child-Pugh B or C) or patients with persistent GI reactions: 110mg once daily.

Children

<12yrs: not established.

Orladeyo Contraindications

Not Applicable

Orladeyo Boxed Warnings

Not Applicable

Orladeyo Warnings/Precautions

Warnings/Precautions

Additional doses or doses >150mg/day: not recommended. Increased risk of QT prolongation at doses >150mg/day. ESRD (CrCl <15mL/min or eGFR <15mL/min/1.73m2 or patients requiring hemodialysis): not recommended. Moderate or severe hepatic impairment. Pregnancy. Nursing mothers.

Orladeyo Pharmacokinetics

Absorption

Median time to maximum plasma concentration: 5 hours (range: 1–8 hours).

Distribution

Plasma protein bound: ~99%.

Metabolism

CYP2D6, CYP3A4.

Elimination

Fecal (79%), renal (9%). Half-life: ~93 hours.

Orladeyo Interactions

Interactions

May be antagonized by P-gp inducers (eg, rifampin, St. John’s wort); not recommended. Concomitant drugs with a narrow therapeutic index that are predominantly metabolized by CYP2D6 (eg, thioridazine, pimozide) or CYP3A4 (eg, cyclosporine, fentanyl); monitor and titrate dose. Concomitant with P-gp substrates (eg, digoxin); monitor and titrate dose of substrate.

Orladeyo Adverse Reactions

Adverse Reactions

Abdominal pain, vomiting, diarrhea, back pain, gastroesophageal reflux disease.

Orladeyo Clinical Trials

See Literature

Orladeyo Note

Not Applicable

Orladeyo Patient Counseling

See Literature

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