Rebinyn

— THERAPEUTIC CATEGORIES —
  • Bleeding disorders

Rebinyn Generic Name & Formulations

General Description

Coagulation Factor IX (recombinant), GlycoPEGylated 500 IU, 1000 IU, 2000 IU; per vial; lyophilized pwd for IV infusion after reconstitution; preservative-free.

Pharmacological Class

Clotting factor.

How Supplied

Single-dose vial—1 (w. diluent, vial adapter)

Manufacturer

Generic Availability

NO

Rebinyn Indications

Indications

On-demand treatment and control of bleeding in hemophilia B. Peri-operative management of bleeding in hemophilia B. Routine prophylaxis to reduce the frequency of bleeding episodes.

Limitations of Use

Not for immune tolerance induction in patients with hemophilia B.

Rebinyn Dosage and Administration

Adults and Children

Infuse slowly over 1–4mins. On-demand treatment/control of bleeding: Minor/Moderate: 40 IU/kg as single dose. Major: 80 IU/kg as single dose. Both: additional doses of 40 IU/kg can be given. Peri-op management: Minor: 40 IU/kg as single dose; repeat doses if needed. Major: 80 IU/kg as single dose; if needed, repeat doses of 40 IU/kg (in 1–3 day intervals) within first week, then may extend to once weekly until bleeding stops and healing is achieved. Routine prophylaxis: 40 IU/kg once weekly. Administer within 4 hours after reconstitution at room temperature.

Rebinyn Contraindications

Contraindications

Hamster protein hypersensitivity.

Rebinyn Boxed Warnings

Not Applicable

Rebinyn Warnings/Precautions

Warnings/Precautions

Discontinue and treat if hypersensitivity symptoms occur. Monitor for development of Factor IX inhibitors; perform an assay that measures Factor IX inhibitor concentration if bleeding is not controlled with recommended dose or if the expected plasma activity levels are not attained. Potential risk for thromboembolic complications; monitor for signs of thrombotic and consumptive coagulopathy in patients with liver disease, post-operatively, neonates, or at risk for thrombosis or disseminated intravascular coagulation (DIC). Nephrotic syndrome. Avoid use of silica-based reagents to monitor Factor IX activity. Pregnancy. Nursing mothers.

Rebinyn Pharmacokinetics

See Literature

Rebinyn Interactions

Not Applicable

Rebinyn Adverse Reactions

Adverse Reactions

Itching, inj site reactions; hypersensitivity reactions.

Rebinyn Clinical Trials

See Literature

Rebinyn Note

Not Applicable

Rebinyn Patient Counseling

See Literature