ranibizumab (Lucentis, Byooviz)
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Introduction
Ophthalmics: Lucentis; Biosimilar: Byooviz
Indications
- macular degeneration[1]
- diabetic macular edema (diabetic retinopathy)[2]
- visual impairment due to choroidal neovascularisation secondary to pathological myopia (NICE, see NGC)
Dosage
- intavitreal injection of 0.3-0.5 mg monthly
Adverse effects
- conjunctival hemorrhage
- eye pain
- floaters
- increased intra-ocular pressure[5]
- ophthalmitis
- retinal detachment[5]
Mechanism of action
- angiogenesis inhibitor, binds to VEGF
Notes
- according to the Washington Post, this is the same drug as bevacizumab (Avastin) both produced by Genentech[3]
More general terms
More specific terms
References
- ↑ 1.0 1.1 Rosenfeld PJ et al Ranibizumab for neovascular age-related macular degeneration N Engl J Med 2006, 355:1419 PMID: https://www.ncbi.nlm.nih.gov/pubmed/17021318
Brown DM et al Ranibizumab versus verteporfin for neovascular age-related macular degeneration. N Engl J Med 2006, 355:1432 PMID: https://www.ncbi.nlm.nih.gov/pubmed/17021319
Steinbrook R. The price of sight - Ranibizumab, bevacizumab, and the treatment of macular degeneration. N Engl J Med 2006, 355:1409 PMID: https://www.ncbi.nlm.nih.gov/pubmed/17021315
Stone EM. A very effective treatment for neovascular macular degeneration N Engl J Med 2006, 355:1493 PMID: https://www.ncbi.nlm.nih.gov/pubmed/17021326 - ↑ 2.0 2.1 FDA News Release: Aug. 10, 2012 FDA approves Lucentis to treat diabetic macular edema http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm315130.htm
- ↑ 3.0 3.1 Kliff S This $2,000 drug says everything about our messed up health- care system. Washington Post Dec 9, 2013 http://www.washingtonpost.com/blogs/wonkblog/wp/2013/12/09/this-2000-drug-says-everything-about-our-messed-up-health-care-system/
- ↑ Bressler NM, Doan QV, Varma R et al Estimated cases of legal blindness and visual impairment avoided using ranibizumab for choroidal neovascularization: non-Hispanic white population in the United States with age- related macular degeneration. Arch Ophthalmol. 2011 Jun;129(6):709-17. PMID: https://www.ncbi.nlm.nih.gov/pubmed/21670337
- ↑ 5.0 5.1 5.2 FDA News Release. February 6, 2015 FDA approves Lucentis to treat diabetic retinopathy in patients with diabetic macular edema. http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm433392.htm
- ↑ Bressler NM, Kim T, Oh I et al Immunogenicity With Ranibizumab Biosimilar SB11 (Byooviz) and Reference Product Lucentis and Association With Efficacy, Safety, and PharmacokineticsA Post Hoc Analysis of a Phase 3 Randomized Clinical Trial. JAMA Ophthalmol. 2023;141(2):117-127. PMID: https://www.ncbi.nlm.nih.gov/pubmed/36520462 PMCID: PMC9857301 Free PMC article https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2799737