Onpattro

— THERAPEUTIC CATEGORIES —
  • Inborn errors of metabolism
  • Miscellaneous neurodegenerative disorders

Onpattro Generic Name & Formulations

General Description

Patisiran 10mg/5mL (2mg/mL); per vial; lipid complex for IV infusion after filtration and dilution; preservative-free.

Pharmacological Class

Transthyretin-directed small interfering RNA.

How Supplied

Single-dose vial—1

Generic Availability

NO

Onpattro Indications

Indications

Polyneuropathy of hereditary transthyretin-mediated amyloidosis in adults.

Onpattro Dosage and Administration

Adult

See full labeling. Premedicate with IV corticosteroid, oral acetaminophen, IV H1- and H2-blocker on the day of Onpattro infusion at least 60mins prior to initiation; may reduce corticosteroid as needed, if related adverse reactions occur. Give as IV infusion over ~80mins at an initial rate of 1mL/min for first 15mins, then increase to ~3mL/min for the remainder. <100kg: 0.3mg/kg once every 3 weeks. ≥100kg: 30mg once every 3 weeks.

Children

Not established.

Onpattro Contraindications

Not Applicable

Onpattro Boxed Warnings

Not Applicable

Onpattro Warnings/Precautions

Warnings/Precautions

Monitor for infusion-related reactions during infusion; consider slowing or interrupting infusion as clinically indicated; discontinue and do not resume if serious or life-threatening reaction occurs. Monitor infusion site for possible infiltration during infusion; manage suspected extravasation accordingly. Reduced serum Vit. A levels may develop; give supplementation at the recommended daily allowance of Vit. A. Refer patients for eye exam if ocular symptoms suggestive of Vit. A deficiency (eg, night blindness). Moderate or severe hepatic impairment: not studied. Severe renal impairment or ESRD: not studied. Pregnancy. Nursing mothers.

Onpattro Pharmacokinetics

See Literature

Onpattro Interactions

Not Applicable

Onpattro Adverse Reactions

Adverse Reactions

Upper respiratory tract infections, infusion-related reactions, dyspepsia, dyspnea, muscle spasms, arthralgia, erythema, bronchitis, vertigo.

Onpattro Clinical Trials

See Literature

Onpattro Note

Not Applicable

Onpattro Patient Counseling

See Literature

Onpattro Generic Name & Formulations

General Description

Patisiran 10mg/5mL (2mg/mL); per vial; lipid complex for IV infusion after filtration and dilution; preservative-free.

Pharmacological Class

Transthyretin-directed small interfering RNA.

How Supplied

Single-dose vial—1

Generic Availability

NO

Onpattro Indications

Indications

Polyneuropathy of hereditary transthyretin-mediated amyloidosis in adults.

Onpattro Dosage and Administration

Adult

See full labeling. Premedicate with IV corticosteroid, oral acetaminophen, IV H1- and H2-blocker on the day of Onpattro infusion at least 60mins prior to initiation; may reduce corticosteroid as needed, if related adverse reactions occur. Give as IV infusion over ~80mins at an initial rate of 1mL/min for first 15mins, then increase to ~3mL/min for the remainder. <100kg: 0.3mg/kg once every 3 weeks. ≥100kg: 30mg once every 3 weeks.

Children

Not established.

Onpattro Contraindications

Not Applicable

Onpattro Boxed Warnings

Not Applicable

Onpattro Warnings/Precautions

Warnings/Precautions

Monitor for infusion-related reactions during infusion; consider slowing or interrupting infusion as clinically indicated; discontinue and do not resume if serious or life-threatening reaction occurs. Monitor infusion site for possible infiltration during infusion; manage suspected extravasation accordingly. Reduced serum Vit. A levels may develop; give supplementation at the recommended daily allowance of Vit. A. Refer patients for eye exam if ocular symptoms suggestive of Vit. A deficiency (eg, night blindness). Moderate or severe hepatic impairment: not studied. Severe renal impairment or ESRD: not studied. Pregnancy. Nursing mothers.

Onpattro Pharmacokinetics

See Literature

Onpattro Interactions

Not Applicable

Onpattro Adverse Reactions

Adverse Reactions

Upper respiratory tract infections, infusion-related reactions, dyspepsia, dyspnea, muscle spasms, arthralgia, erythema, bronchitis, vertigo.

Onpattro Clinical Trials

See Literature

Onpattro Note

Not Applicable

Onpattro Patient Counseling

See Literature

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