Vabysmo

Vabysmo

faricimab

Manufacturer:

F. Hoffmann-La Roche

Distributor:

Roche
Concise Prescribing Info
Contents
Faricimab
Indications/Uses
Neovascular (wet) age-related macular degeneration (nAMD). Diabetic macular edema (DME). Macular edema secondary to retinal vein occlusion [branch retinal vein occlusion (BRVO) & central vein occlusion (CRVO)].
Dosage/Direction for Use
Intravitreal nAMD 6 mg (0.05 mL) every 4 wk (approx every 28±7 days, mthly) for the 1st 4 doses, followed by 6 mg (0.05 mL) at a dosing interval of up to every 16 wk (4 mth). Dosing interval should be based on individual patient's retinal thickness [central subfield thickness (CST)] &/or visual acuity. Some patients may be dosed as frequently as every 4 wk (approx every 28±7 days, mthly). DME 6 mg (0.05 mL) every 4 wk (approx every 28±7 days, mthly) for the 1st 4 doses. Thereafter, treatment may be individualised using treat-&-extend approach. Dosing interval may be extended up to max of every 16 wk (4 mth) in increments of up to 4 wk depending on CST &/or visual acuity. Macular edema secondary to retinal vein occlusion (BRVO & CRVO) 6 mg (0.05 mL) every 4 wk (approx every 28±7 days, or once a mth); ≥3 consecutive, mthly inj may be needed, until max visual acuity is achieved &/or no signs of disease activity are seen. Thereafter, treatment may be individualised using a treat-&-extend approach. Dosing interval may be extended based on CST &/or visual acuity.
Contraindications
Hypersensitivity. Patients w/ ocular or periocular infections; active intraocular inflammation.
Special Precautions
Each vial should only be used for treatment of a single eye. Monitor for elevation in IOP immediately following intravitreal inj. Intravitreal inj-related reactions eg, endophthalmitis, intraocular inflammation, rhegmatogenous retinal detachment, retinal tear & iatrogenic traumatic cataract. Caution in patients w/ poorly controlled glaucoma (do not inj while IOP ≥30 mmHg); risk factors for retinal pigment epithelial tears. Monitor IOP & perfusion of optic nerve head &/or vision & manage appropriately. Reports of arterial thromboembolic events. Possible immunological reaction. Safety & efficacy of administration in both eyes have not been studied. W/hold treatment in patients w/ rhegmatogenous retinal detachment, stage 3 or 4 macular holes, retinal break; treatment-related decrease in best corrected visual acuity of ≥30 letters compared w/ the last assessment of visual acuity; performed or planned intraocular surgery w/in the previous or next 28 days. Limited experience in treatment of DME patients w/ HbA1c >10%, those w/ high-risk proliferative diabetic retinopathy, or nAMD-, DME-, BRVO- & CRVO-patients w/ active systemic infections. No experience in treatment of diabetic patients w/ uncontrolled HTN. No data on concomitant use w/ anti-VEGF medicinal products in the same eye. May have minor influence on ability to drive & use machines. Safety & efficacy in patients w/ hepatic impairment has not been studied. Women of childbearing potential should use effective contraception during treatment & for at least 3 mth following last dose. Safe use during labor & delivery has not been established. Should not be used during pregnancy unless treatment is required due to clinical condition of the woman. Caution when administered to a nursing woman. Safety & efficacy in ped patients have not been established.
Adverse Reactions
Cataract, conjunctival hemorrhage, vitreous detachment, increased IOP, vitreous opacities, retinal pigment epithelial tear (nAMD only), eye pain.
MIMS Class
Other Eye Preparations
ATC Classification
S01LA09 - faricimab ; Belongs to the class antineovasculatisation agents. Used in the management of neovascular macular degeneration.
Presentation/Packing
Form
Vabysmo soln for intravitreal inj 6 mg/0.05 mL
Packing/Price
(single-dose vial + transfer filter needle) 1's