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Secukinumab

    DEA Class; Rx

    Common Brand Names; Cosentyx

    • Interleukin Inhibitors; 
    • Monoclonal Antibodies

    Subcutaneous IgG1 monoclonal antibody that inhibits interleukin-17A (IL-17A)
    Used for plaque psoriasis, psoriatic arthritis, enthesitis-related arthritis, ankylosing spondylitis, and active non-radiographic axial spondyloarthritis
    May increase risk for serious infection and may cause hypersensitivity reactions

    Indicated for treatment of moderate to severe plaque psoriasis in adults who are candidates for systemic therapy or phototherapy

    Indicated for active psoriatic arthritis (PsA) in adults

    Indicated for adults with active ankylosing spondylitis

    Indicated for active non-radiographic axial spondylarthritis with objective signs of inflammation

    Hypersensitivity

    • Infections (29%)
    • Diarrhea (4.1%)
    • Upper respiratory tract infection (2.5%)
    • Rhinitis (1.4%)
    • Oral herpes (1.3%)
    • Pharyngitis (1.2%)
    • Rhinorrhea (1.2%)
    • Infections (28.7%)
    • Nasopharyngitis (11.4%)

    May increase risk of infections; caution when considering use in patients with chronic infection or a history of recurrent infection

    In the postmarketing setting, serious and some fatal infections reported; instruct patients to seek medical advice if signs or symptoms suggestive of an infection occur; if a patient develops a serious infection, monitor the patient closely and discontinue therapy until infection resolves

    Evaluate patients for tuberculosis (TB) infection before initiating; do not administer with active TB; for latent TB, initiate anti-TB therapy prior to initiation of secukinumab in patients with a history of latent or active TB in whom an adequate course of treatment cannot be confirmed; monitor patients closely for signs and symptoms of active TB during and after treatment

    May exacerbate Crohn disease

    Anaphylaxis and cases of urticaria reported; if this occurs, discontinue secukinumab immediately and initiate anaphylaxis treatment

    Caution if latex allergic; the removable cap on the Sensoready pen and prefilled syringe contains natural rubber

    Use caution when prescribing drug to patients with inflammatory bowel disease; exacerbations, in some cases serious, reported in clinical trials in plaque psoriasis, psoriatic arthritis, ankylosing spondylitis and non-radiographic axial spondyloarthritis

    Limited available human data regarding use in pregnant women are insufficient to inform a drug associated risk of adverse developmental outcomes

    Unknown if excreted in human milk or absorbed systemically after ingestion; data are unavailable regarding effects on breastfed children or milk production

    Adults

    150 mg/dose subcutaneously for non-radiographic axial spondyloarthritis and enthesitis-related arthritis; 300 mg/dose subcutaneously for all other indications.

    Geriatric

    150 mg/dose subcutaneously for non-radiographic axial spondyloarthritis and enthesitis-related arthritis; 300 mg/dose subcutaneously for all other indications.

    Adolescents

    weighing 50 kg or more: 150 mg/dose subcutaneously.
    weighing less than 50 kg: 75 mg/dose subcutaneously.

    Children

    2 to 12 years weighing 50 kg or more: 150 mg/dose subcutaneously.
    2 to 12 years weighing 15 to 49 kg: 75 mg/dose subcutaneously.
    1 year or weighing less than 15 kg: Safety and efficacy have not been established.

    Infants

    Safety and efficacy have not been established.

    Neonates

    Safety and efficacy have not been established.

    Secukinumab

    lyophilized powder for reconstitution

    • 150mg/vial

    solution for injection

    • 150mg/prefilled syringe
    • 150mg/Sensoready pen