Tezepelumab
JFDA label: Tezspire 210mg solution for injection in pre-filled pen
Mechanism of Action
Inhibitor of Thymic stromal lymphopoietin — Thymic stromal lymphopoietin inhibitor
| Target | Action | Gene / class |
|---|---|---|
| Thymic stromal lymphopoietin efficacy | INHIBITOR | TSLP · Secreted protein |
Indications
Approved
- Asthma — asthma
- Lung Diseases, Obstructive — Airway obstruction
Off-label
- Chronic Urticaria
- Dermatitis, Atopic
- Eosinophilic Esophagitis
- Pulmonary Disease, Chronic Obstructive
Contraindications
Source: openFDA
- is contraindicated in patients who have known hypersensitivity to tezepelumab-ekko or any of its excipients [see Warnings and Precautions (5.1) ] . Known hypersensitivity to tezepelumab-ekko or excipients. ( 4 ) Absolute
Adverse Reactions
Musculoskeletal and connective tissue disorders (3)
Common And Back Pain 6 1 · Arthralgia · Back Pain
Infections and infestations (5)
Common Asthma Pharyngitis · Chronic Rhinosinusitis With Nasal Polyps Nasopharyngitis · Influenza · Pharyngitis · Upper Respiratory Tract Infection
General disorders and administration site conditions (1)
Common Contact Astra
Respiratory, thoracic and mediastinal disorders (1)
Common Epistaxis
Dosing
Source: openFDA
Warnings & Precautions
Source: openFDA
Warnings & Precautions
• Hypersensitivity Reactions: Hypersensitivity reactions have been observed in the clinical trials (e.g., rash, allergic conjunctivitis) following the administration of TEZSPIRE. Postmarketing cases of anaphylaxis have been reported. Initiate appropriate treatment as clinically indicated in the event of a hypersensitivity reaction. ( 5.1 ) • Risk Associated with Abrupt Reduction in Corticosteroid Dosage: Do not discontinue systemic or inhaled corticosteroids abruptly upon initiation of therapy with TEZSPIRE. Decrease corticosteroids gradually, if appropriate. ( 5.3 ) • Parasitic (Helminth) Infection: Treat patients with pre-existing helminth infections before therapy with TEZSPIRE. If patients become infected while receiving TEZSPIRE and do not respond to anti-helminth treatment, discontinue TEZSPIRE until the parasitic infection resolves. ( 5.4 ) • Vaccination: Avoid use of live attenuated vaccines. ( 5.5 )
Hypersensitivity Reactions Hypersensitivity reactions were observed in
Hypersensitivity Reactions Hypersensitivity reactions were observed in the clinical trials (e.g., rash and allergic conjunctivitis) following the administration of TEZSPIRE. Postmarketing cases of anaphylaxis have also been reported [see Contraindications (4) and Adverse Reactions (6.2) ] . These reactions can occur within hours of administration, but in some instances have a delayed onset (i.e., days). In the event of a hypersensitivity reaction, consider the benefits and risks for the individual patient to determine whether to continue or discontinue treatment with TEZSPIRE.
Acute Asthma Symptoms or Deteriorating Disease TEZSPIRE should not be
Acute Asthma Symptoms or Deteriorating Disease TEZSPIRE should not be used to treat acute asthma symptoms or acute exacerbations. Do not use TEZSPIRE to treat acute bronchospasm or status asthmaticus. Patients should seek medical advice if their asthma remains uncontrolled or worsens after initiation of treatment with TEZSPIRE.
Risk Associated with Abrupt Reduction of Corticosteroid Dosage Do not
Risk Associated with Abrupt Reduction of Corticosteroid Dosage Do not discontinue systemic or inhaled corticosteroids abruptly upon initiation of therapy with TEZSPIRE. Reductions in corticosteroid dose, if appropriate, should be gradual and performed under the direct supervision of a physician. Reduction in corticosteroid dose may be associated with systemic withdrawal symptoms and/or unmask conditions previously suppressed by systemic corticosteroid therapy.
Parasitic (Helminth) Infection Thymic stromal lymphopoietin (TSLP) may
Parasitic (Helminth) Infection Thymic stromal lymphopoietin (TSLP) may be involved in the immunological response to some helminth infections. Patients with known helminth infections were excluded from participation in clinical trials. It is unknown if TEZSPIRE will influence a patient’s response against helminth infections. Treat patients with pre-existing helminth infections before initiating therapy with TEZSPIRE. If patients become infected while receiving treatment with TEZSPIRE and do not respond to anti-helminth treatment, discontinue treatment with TEZSPIRE until infection resolves.
Live Attenuated Vaccines The concomitant use of TEZSPIRE and live atte
Live Attenuated Vaccines The concomitant use of TEZSPIRE and live attenuated vaccines has not been evaluated. The use of live attenuated vaccines should be avoided in patients receiving TEZSPIRE.
Pregnancy & Lactation
Lactation
No information is available on the clinical use of tezepelumab during breastfeeding.
Registered Products (1)
| Brand | Form / strength | Pack | Agent | Citizen (JOD) |
|---|---|---|---|---|
| Tezspire 210mg solution for injection in pre-filled pen | Powder for Injection 210 mg | 1 PFP/1 PKG | Shawi & Rushedat Drug Store | — |