cerliponase alfa (Brineura)
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Indications
- symptomatic pediatric patients >= 3 years of age with
- late infantile neuronal ceroid lipofuscinosis type 2 (CLN2), a form of Batten disease
* improves motor & language function[2]
Dosage
- 300 mg administered once every other week as an intraventricular infusion (2.5 mL/hr) followed by infusion of intraventricular electrolytes
- duration of total infusion over ~4.5 hours
single-dose vials 5 mL, 2/carton: 30 mg/mL
co-packaged with intraventricular electrolytes solution 5 mL in a single dose vial
Adverse effects
- >= 8%
- pyrexia
- vomiting
- seizures
- hypersensitivity
- hematoma
- headache
- irritability
- pleocytosis
- failure of intraventricular device[2]
- device-related infection
- bradycardia
- jittes
- hypotension
- ECG abnormalities
- decreased or increased CSF protein
Mechanism of action
More general terms
References
- ↑ Windle ML. FDA New Drug and Biologic Approvals -- 2017 Year-in-Review Medscape - Jan 11, 2018. https://reference.medscape.com/viewarticle/890871
U.S. Food and Drug Administration. Novel Drug Approvals for 2017. https://www.fda.gov/Drugs/DevelopmentApprovalProcess/DrugInnovation/ucm537040.htm - ↑ 2.0 2.1 2.2 Schulz A, Ajayi T, Specchio N et al Study of Intraventricular Cerliponase Alfa for CLN2 Disease. N Engl J Med 2018; 378:1898-1907. May 17, 2018 PMID: https://www.ncbi.nlm.nih.gov/pubmed/29688815 Free full text https://www.nejm.org/doi/full/10.1056/NEJMoa1712649
- ↑ Brineura prescribing information http://brineura.com/downloads/Brineura_PI.pdf
Brineura (cerliponase alfa) prescribing information. BioMarin Pharmaceuticals, Inc. Novato, CA. April 2017. https://www.accessdata.fda.gov/drugsatfda_docs/label/2017/761052lbl.pdf