Peringatan Keamanan

The most common adverse reactions (reported in ?20% of patients randomized to mogamulizumab) were rash (including drug eruption), infusion-related reactions, fatigue, diarrhea, upper respiratory tract infection and musculoskeletal pain.L11770 Due to various adverse effects related to this drug, the adverse reactions have been categorized by organ system. Because of the risk of serious/fatal ADRs, patients administered mogamulizumab should be carefully monitored.A36743

Upper respiratory tract infection: This may occur due to decreased immunity following the administration of this drug. Monitor for signs of respiratory infection including fever, cough and shortness of breath.L4171

Dermatological: Patients must contact their healthcare provider immediately if they experience a new or worsening skin rash. Treatment should be temporarily interrupted for moderate or severe skin rashes and permanently discontinued for a life-threatening rash. Fatal and life-threatening skin adverse reactions, including Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN), have occurred in recipients of mogamulizumab. Rash (drug eruption) is one of the most common adverse reactions associated with mogamulizumab.L4171,L11770
Infusion Reactions: Patients must contact their healthcare provider immediately for signs or symptoms of infusion reactions. Treatment should be suspended for any infusion reaction and permanently discontinued for any life-threatening infusion reaction.L4171

Infections: Patients must contact their healthcare provider if they experience fever or other signs of infection. Infections should be monitored and treated promptly.L4171

Autoimmune Complications: Immune-mediated or possibly immune-mediated reactions have included myositis, myocarditis, polymyositis, hepatitis, pneumonitis, and a variant of Guillain- Barré syndrome.L11770 Patients must notify their healthcare provider of any history of autoimmune disease. Treatment should be suspended or permanently discontinued as appropriate.L4171
Fatal and life-threatening immune-mediated complications have been reported in recipients of this drug.L11770

Musculoskeletal pain: This drug may cause musculoskeletal pain.L11770

A note on complications of allogeneic hematopoietic stem cell transplantation: Patients must be aware of the possible risk of post-transplant complications when taking this agent. Patients should be monitored for severe acute graft-versus-host disease (GVHD) and steroid-refractory GVHD.

Females of Reproductive Potential: Females who are able to become pregnant should use an effective method of birth control during treatment with Poteligeo and for at least three months after the last dose.L4171

Mogamulizumab

DB12498

biotech approved investigational

Deskripsi

Mogamulizumab is a humanized monoclonal antibody (mAb) directed against CC chemokine receptor 4 (CCR4) for the treatment of Mycosis Fungoides (MF) and Sézary Syndrome (SS), the most common subtypes of cutaneous T-cell lymphoma. Cutaneous T-cell lymphomas occur when certain white blood cells, called T cells, become cancerous; these cancers typically affect the skin, causing various types of skin lesions.L4170

On August 8 2018, the U.S. Food and Drug Administration (FDA) approved mogamulizumab injection (also known as Poteligeo) for intravenous use for the treatment of adult patients with relapsed or refractory mycosis fungoides (MF) or Sézary syndrome (SS) after at least one prior systemic therapy.L4168 It was approved for the same indications in Canada in June 2022.L42325

Mogamulizumab is derived from Kyowa Hakko Kirin's POTELLIGENT (®) technology, which produces antibodies with enhanced antibody-dependent cell-mediated cytotoxicity (ADCC) activity. Approval in Japan was granted on April 30 2012 by the Japanese Ministry of Health, Labour and Welfare for patients with relapsed or refractory CCR4-positive adult T-cell leukemia-lymphoma.A36741

Struktur Molekul 2D

Struktur tidak tersedia

Peta Jejaring Molekuler
Legenda: ObatTargetGenEnzim(Panah → menunjukkan arah efek / relasi)TransporterCarrier

Profil Farmakokinetik

Waktu Paruh (Half-Life) The terminal half-life is 17 days.[L11770]
Volume Distribusi The central volume of distribution is 3.6 L.[L11770]
Klirens (Clearance) Clearance is 12 mL/h.[L11770]

Absorpsi

Following repeated dosing of the approved recommended dosage, steady-state concentrations were reached after 8 doses (12 weeks), and the systemic accumulation was 1.6-fold. At steady state, the peak concentration (Cmax,ss) is 32 (68%) ?g/mL, the trough concentration (Cmin,ss) is 11 (239%) ?g/mL, and AUCss is 5577 (125%) ?g•hr/mL.L11770

Metabolisme

Data metabolisme tidak tersedia.

Rute Eliminasi

Data eliminasi belum tersedia.

Interaksi Obat

411 Data
Diethylstilbestrol Diethylstilbestrol may increase the thrombogenic activities of Mogamulizumab.
Chlorotrianisene Chlorotrianisene may increase the thrombogenic activities of Mogamulizumab.
Conjugated estrogens Conjugated estrogens may increase the thrombogenic activities of Mogamulizumab.
Estrone Estrone may increase the thrombogenic activities of Mogamulizumab.
Estradiol Estradiol may increase the thrombogenic activities of Mogamulizumab.
Dienestrol Dienestrol may increase the thrombogenic activities of Mogamulizumab.
Ethinylestradiol Ethinylestradiol may increase the thrombogenic activities of Mogamulizumab.
Mestranol Mestranol may increase the thrombogenic activities of Mogamulizumab.
Estriol Estriol may increase the thrombogenic activities of Mogamulizumab.
Estrone sulfate Estrone sulfate may increase the thrombogenic activities of Mogamulizumab.
Quinestrol Quinestrol may increase the thrombogenic activities of Mogamulizumab.
Hexestrol Hexestrol may increase the thrombogenic activities of Mogamulizumab.
Tibolone Tibolone may increase the thrombogenic activities of Mogamulizumab.
Synthetic Conjugated Estrogens, A Synthetic Conjugated Estrogens, A may increase the thrombogenic activities of Mogamulizumab.
Synthetic Conjugated Estrogens, B Synthetic Conjugated Estrogens, B may increase the thrombogenic activities of Mogamulizumab.
Polyestradiol phosphate Polyestradiol phosphate may increase the thrombogenic activities of Mogamulizumab.
Esterified estrogens Esterified estrogens may increase the thrombogenic activities of Mogamulizumab.
Zeranol Zeranol may increase the thrombogenic activities of Mogamulizumab.
Equol Equol may increase the thrombogenic activities of Mogamulizumab.
Promestriene Promestriene may increase the thrombogenic activities of Mogamulizumab.
Methallenestril Methallenestril may increase the thrombogenic activities of Mogamulizumab.
Epimestrol Epimestrol may increase the thrombogenic activities of Mogamulizumab.
Moxestrol Moxestrol may increase the thrombogenic activities of Mogamulizumab.
Estradiol acetate Estradiol acetate may increase the thrombogenic activities of Mogamulizumab.
Estradiol benzoate Estradiol benzoate may increase the thrombogenic activities of Mogamulizumab.
Estradiol cypionate Estradiol cypionate may increase the thrombogenic activities of Mogamulizumab.
Estradiol valerate Estradiol valerate may increase the thrombogenic activities of Mogamulizumab.
Biochanin A Biochanin A may increase the thrombogenic activities of Mogamulizumab.
Formononetin Formononetin may increase the thrombogenic activities of Mogamulizumab.
Estetrol Estetrol may increase the thrombogenic activities of Mogamulizumab.
Cetuximab The risk or severity of adverse effects can be increased when Cetuximab is combined with Mogamulizumab.
Human immunoglobulin G The risk or severity of adverse effects can be increased when Human immunoglobulin G is combined with Mogamulizumab.
Omalizumab The risk or severity of adverse effects can be increased when Omalizumab is combined with Mogamulizumab.
Adalimumab The risk or severity of adverse effects can be increased when Adalimumab is combined with Mogamulizumab.
Abciximab The risk or severity of adverse effects can be increased when Abciximab is combined with Mogamulizumab.
Gemtuzumab ozogamicin The risk or severity of adverse effects can be increased when Gemtuzumab ozogamicin is combined with Mogamulizumab.
Indium In-111 satumomab pendetide The risk or severity of adverse effects can be increased when Indium In-111 satumomab pendetide is combined with Mogamulizumab.
Infliximab The risk or severity of adverse effects can be increased when Infliximab is combined with Mogamulizumab.
Trastuzumab The risk or severity of adverse effects can be increased when Trastuzumab is combined with Mogamulizumab.
Rituximab The risk or severity of adverse effects can be increased when Rituximab is combined with Mogamulizumab.
Basiliximab The risk or severity of adverse effects can be increased when Basiliximab is combined with Mogamulizumab.
Muromonab The risk or severity of adverse effects can be increased when Muromonab is combined with Mogamulizumab.
Digoxin Immune Fab (Ovine) The risk or severity of adverse effects can be increased when Digoxin Immune Fab (Ovine) is combined with Mogamulizumab.
Ibritumomab tiuxetan The risk or severity of adverse effects can be increased when Ibritumomab tiuxetan is combined with Mogamulizumab.
Tositumomab The risk or severity of adverse effects can be increased when Tositumomab is combined with Mogamulizumab.
Alemtuzumab The risk or severity of adverse effects can be increased when Alemtuzumab is combined with Mogamulizumab.
Capromab pendetide The risk or severity of adverse effects can be increased when Capromab pendetide is combined with Mogamulizumab.
Efalizumab The risk or severity of adverse effects can be increased when Efalizumab is combined with Mogamulizumab.
Antithymocyte immunoglobulin (rabbit) The risk or severity of adverse effects can be increased when Antithymocyte immunoglobulin (rabbit) is combined with Mogamulizumab.
Natalizumab The risk or severity of adverse effects can be increased when Natalizumab is combined with Mogamulizumab.
Palivizumab The risk or severity of adverse effects can be increased when Palivizumab is combined with Mogamulizumab.
Daclizumab The risk or severity of adverse effects can be increased when Daclizumab is combined with Mogamulizumab.
Bevacizumab The risk or severity of adverse effects can be increased when Bevacizumab is combined with Mogamulizumab.
Technetium Tc-99m arcitumomab The risk or severity of adverse effects can be increased when Technetium Tc-99m arcitumomab is combined with Mogamulizumab.
Eculizumab The risk or severity of adverse effects can be increased when Eculizumab is combined with Mogamulizumab.
Panitumumab The risk or severity of adverse effects can be increased when Panitumumab is combined with Mogamulizumab.
Ranibizumab The risk or severity of adverse effects can be increased when Ranibizumab is combined with Mogamulizumab.
Galiximab The risk or severity of adverse effects can be increased when Galiximab is combined with Mogamulizumab.
Pexelizumab The risk or severity of adverse effects can be increased when Pexelizumab is combined with Mogamulizumab.
Afelimomab The risk or severity of adverse effects can be increased when Afelimomab is combined with Mogamulizumab.
Epratuzumab The risk or severity of adverse effects can be increased when Epratuzumab is combined with Mogamulizumab.
Bectumomab The risk or severity of adverse effects can be increased when Bectumomab is combined with Mogamulizumab.
Oregovomab The risk or severity of adverse effects can be increased when Oregovomab is combined with Mogamulizumab.
IGN311 The risk or severity of adverse effects can be increased when IGN311 is combined with Mogamulizumab.
Adecatumumab The risk or severity of adverse effects can be increased when Adecatumumab is combined with Mogamulizumab.
Labetuzumab The risk or severity of adverse effects can be increased when Labetuzumab is combined with Mogamulizumab.
Matuzumab The risk or severity of adverse effects can be increased when Matuzumab is combined with Mogamulizumab.
Fontolizumab The risk or severity of adverse effects can be increased when Fontolizumab is combined with Mogamulizumab.
Bavituximab The risk or severity of adverse effects can be increased when Bavituximab is combined with Mogamulizumab.
CR002 The risk or severity of adverse effects can be increased when CR002 is combined with Mogamulizumab.
Rozrolimupab The risk or severity of adverse effects can be increased when Rozrolimupab is combined with Mogamulizumab.
Girentuximab The risk or severity of adverse effects can be increased when Girentuximab is combined with Mogamulizumab.
Obiltoxaximab The risk or severity of adverse effects can be increased when Obiltoxaximab is combined with Mogamulizumab.
XTL-001 The risk or severity of adverse effects can be increased when XTL-001 is combined with Mogamulizumab.
NAV 1800 The risk or severity of adverse effects can be increased when NAV 1800 is combined with Mogamulizumab.
Briakinumab The risk or severity of adverse effects can be increased when Briakinumab is combined with Mogamulizumab.
Otelixizumab The risk or severity of adverse effects can be increased when Otelixizumab is combined with Mogamulizumab.
AMG 108 The risk or severity of adverse effects can be increased when AMG 108 is combined with Mogamulizumab.
Iratumumab The risk or severity of adverse effects can be increased when Iratumumab is combined with Mogamulizumab.
Enokizumab The risk or severity of adverse effects can be increased when Enokizumab is combined with Mogamulizumab.
Ramucirumab The risk or severity of adverse effects can be increased when Ramucirumab is combined with Mogamulizumab.
Farletuzumab The risk or severity of adverse effects can be increased when Farletuzumab is combined with Mogamulizumab.
Veltuzumab The risk or severity of adverse effects can be increased when Veltuzumab is combined with Mogamulizumab.
Ustekinumab The risk or severity of adverse effects can be increased when Ustekinumab is combined with Mogamulizumab.
Trastuzumab emtansine The risk or severity of adverse effects can be increased when Trastuzumab emtansine is combined with Mogamulizumab.
PRO-542 The risk or severity of adverse effects can be increased when PRO-542 is combined with Mogamulizumab.
TNX-901 The risk or severity of adverse effects can be increased when TNX-901 is combined with Mogamulizumab.
Inotuzumab ozogamicin The risk or severity of adverse effects can be increased when Inotuzumab ozogamicin is combined with Mogamulizumab.
RI 624 The risk or severity of adverse effects can be increased when RI 624 is combined with Mogamulizumab.
Stamulumab The risk or severity of adverse effects can be increased when MYO-029 is combined with Mogamulizumab.
CT-011 The risk or severity of adverse effects can be increased when CT-011 is combined with Mogamulizumab.
Leronlimab The risk or severity of adverse effects can be increased when Leronlimab is combined with Mogamulizumab.
Glembatumumab vedotin The risk or severity of adverse effects can be increased when Glembatumumab vedotin is combined with Mogamulizumab.
Olaratumab The risk or severity of adverse effects can be increased when Olaratumab is combined with Mogamulizumab.
IPH 2101 The risk or severity of adverse effects can be increased when IPH 2101 is combined with Mogamulizumab.
TB-402 The risk or severity of adverse effects can be increased when TB-402 is combined with Mogamulizumab.
Caplacizumab The risk or severity of adverse effects can be increased when Caplacizumab is combined with Mogamulizumab.
IMC-1C11 The risk or severity of adverse effects can be increased when IMC-1C11 is combined with Mogamulizumab.
Eldelumab The risk or severity of adverse effects can be increased when Eldelumab is combined with Mogamulizumab.
Lumiliximab The risk or severity of adverse effects can be increased when Lumiliximab is combined with Mogamulizumab.

Target Protein

C-C chemokine receptor type 4 CCR4

Referensi & Sumber

Artikel (PubMed)
  • PMID: 28649848
    Makita S, Tobinai K: Mogamulizumab for the treatment of T-cell lymphoma. Expert Opin Biol Ther. 2017 Sep;17(9):1145-1153. doi: 10.1080/14712598.2017.1347634. Epub 2017 Jul 3.
  • PMID: 22699226
    Beck A, Reichert JM: Marketing approval of mogamulizumab: a triumph for glyco-engineering. MAbs. 2012 Jul-Aug;4(4):419-25. doi: 10.4161/mabs.20996. Epub 2012 Jul 1.
  • PMID: 28597329
    Ishitsuka K, Yurimoto S, Kawamura K, Tsuji Y, Iwabuchi M, Takahashi T, Tobinai K: Safety and efficacy of mogamulizumab in patients with adult T-cell leukemia-lymphoma in Japan: interim results of postmarketing all-case surveillance. Int J Hematol. 2017 Oct;106(4):522-532. doi: 10.1007/s12185-017-2270-9. Epub 2017 Jun 9.
  • PMID: 29414279
    Sato T, Coler-Reilly ALG, Yagishita N, Araya N, Inoue E, Furuta R, Watanabe T, Uchimaru K, Matsuoka M, Matsumoto N, Hasegawa Y, Yamano Y: Mogamulizumab (Anti-CCR4) in HTLV-1-Associated Myelopathy. N Engl J Med. 2018 Feb 8;378(6):529-538. doi: 10.1056/NEJMoa1704827.
  • PMID: 25376389
    Ni X, Jorgensen JL, Goswami M, Challagundla P, Decker WK, Kim YH, Duvic MA: Reduction of regulatory T cells by Mogamulizumab, a defucosylated anti-CC chemokine receptor 4 antibody, in patients with aggressive/refractory mycosis fungoides and Sezary syndrome. Clin Cancer Res. 2015 Jan 15;21(2):274-85. doi: 10.1158/1078-0432.CCR-14-0830. Epub 2014 Nov 5.
  • PMID: 25792728
    Wilcox RA: Mogamulizumab: 2 birds, 1 stone. Blood. 2015 Mar 19;125(12):1847-8. doi: 10.1182/blood-2015-02-625251.

Contoh Produk & Brand

Produk: 3 • International brands: 0
Produk
  • Poteligeo
    Solution • 4 mg / mL • Intravenous • Canada • Approved
  • Poteligeo
    Injection • 4 mg/1mL • Intravenous • US • Approved
  • Poteligeo
    Injection, solution, concentrate • 4 mg/ml • Intravenous • EU • Approved

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