Peringatan Keamanan

The NOAEL was 50 mg/kg in monkeys following intravenous or subcutaneous administration.L42135 There is no information available regarding the overdose of risankizumab.

Risankizumab

DB14762

biotech approved investigational

Deskripsi

Risankizumab is a fully humanized IgG1 monoclonal antibody (mAb) directed against interleukin 23 (IL-23).L39885 It gained its first global approval in Japan in March 2019, followed by approval in Canada, the US, and Europe in April 2019.A254716 Risankizumab is used to treat plaque psoriasis, psoriatic arthritis, and Crohn's disease.L39885,L44191,L44231 Risankizumab is being investigated for atopic dermatitis.A254716

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 elimination half-life was approximately 28 days in patients with plaque psoriasis and 21 days in patients with Crohn’s disease.[L39885]
Volume Distribusi The estimated steady-state volume of distribution (inter-subject CV%) was 11.2 L (34%) in subjects with plaque psoriasis, and 7.68 L (64%) in subjects with Crohn’s disease.[L39885]
Klirens (Clearance) The estimated systemic clearance (inter-subject CV%) was 0.31 L/day (24%) in patients with plaque psoriasis and 0.30 L/day (34%) in patients with Crohn’s disease.[L39885]

Absorpsi

Drug plasma concentrations increased dose-proportionally after subcutaneous administration of a single dose over the dose range from 18 mg to 360 mg and intravenous administration over a dose range from 200 mg to 1800 mg via a 3-hour infusion. In patients with plaque psoriasis who received a subcutaneous dose of 150 mg risankizumab, steady-state peak concentration (Cmax) and trough concentration (Ctrough) were 12 mcg/mL and 2 mcg/mL, respectively.L39885 In subjects with Crohn’s disease treated with 600 mg intravenous induction dose at Weeks 0, 4, and 8, followed by 180 mg or 360 mg subcutaneous maintenance dose at Week 12 and every 8 weeks thereafter, the median Cmax and Ctrough are estimated to be 156 mcg/mL and 38.8 mcg/mL, respectively, during Weeks 8-12; and the steady state median Cmax and Ctrough are estimated to be 14.0 mcg/mL and 4.1 mcg/mL, respectively for 180 mg or 28.0 mcg/mL and 8.1 mcg/mL, respectively, for 360 mg, during Weeks 40-48.L39885 The absolute bioavailability of risankizumab was approximately 74 to 89% following subcutaneous injection. In healthy subjects, following administration of a single subcutaneous dose, Cmax was reached by 3 to 14 days.L39885

Metabolisme

The metabolic pathway of risankizumab has not been fully characterized. As a humanized IgG1 monoclonal antibody, it is likely to be catabolized into small peptides and amino acids in the same way as endogenous IgG.L39885,A40006

Rute Eliminasi

As an IgG1 monoclonal antibody, risankizumab is not expected to be filtered by glomerular filtration in the kidneys or to be excreted as an intact molecule in the urine.L44231

Interaksi Obat

670 Data
Denosumab The risk or severity of adverse effects can be increased when Denosumab is combined with Risankizumab.
Etanercept The risk or severity of adverse effects can be increased when Etanercept is combined with Risankizumab.
Peginterferon alfa-2a The risk or severity of adverse effects can be increased when Peginterferon alfa-2a is combined with Risankizumab.
Interferon alfa-n1 The risk or severity of adverse effects can be increased when Interferon alfa-n1 is combined with Risankizumab.
Interferon alfa-n3 The risk or severity of adverse effects can be increased when Interferon alfa-n3 is combined with Risankizumab.
Peginterferon alfa-2b The risk or severity of adverse effects can be increased when Peginterferon alfa-2b is combined with Risankizumab.
Anakinra The risk or severity of adverse effects can be increased when Anakinra is combined with Risankizumab.
Interferon gamma-1b The risk or severity of adverse effects can be increased when Interferon gamma-1b is combined with Risankizumab.
Interferon alfa-2a The risk or severity of adverse effects can be increased when Interferon alfa-2a is combined with Risankizumab.
Aldesleukin The risk or severity of adverse effects can be increased when Aldesleukin is combined with Risankizumab.
Adalimumab The risk or severity of adverse effects can be increased when Adalimumab is combined with Risankizumab.
Gemtuzumab ozogamicin The risk or severity of adverse effects can be increased when Gemtuzumab ozogamicin is combined with Risankizumab.
Pegaspargase The risk or severity of adverse effects can be increased when Pegaspargase is combined with Risankizumab.
Infliximab The risk or severity of adverse effects can be increased when Infliximab is combined with Risankizumab.
Interferon beta-1b The risk or severity of adverse effects can be increased when Interferon beta-1b is combined with Risankizumab.
Interferon alfacon-1 The risk or severity of adverse effects can be increased when Interferon alfacon-1 is combined with Risankizumab.
Rituximab The risk or severity of adverse effects can be increased when Rituximab is combined with Risankizumab.
Basiliximab The risk or severity of adverse effects can be increased when Basiliximab is combined with Risankizumab.
Muromonab The risk or severity of adverse effects can be increased when Muromonab is combined with Risankizumab.
Ibritumomab tiuxetan The risk or severity of adverse effects can be increased when Ibritumomab tiuxetan is combined with Risankizumab.
Tositumomab The risk or severity of adverse effects can be increased when Tositumomab is combined with Risankizumab.
Alemtuzumab The risk or severity of adverse effects can be increased when Alemtuzumab is combined with Risankizumab.
Alefacept The risk or severity of adverse effects can be increased when Alefacept is combined with Risankizumab.
Efalizumab The risk or severity of adverse effects can be increased when Efalizumab is combined with Risankizumab.
Antithymocyte immunoglobulin (rabbit) The risk or severity of adverse effects can be increased when Antithymocyte immunoglobulin (rabbit) is combined with Risankizumab.
Interferon alfa-2b The risk or severity of adverse effects can be increased when Interferon alfa-2b is combined with Risankizumab.
Daclizumab The risk or severity of adverse effects can be increased when Daclizumab is combined with Risankizumab.
Phenylalanine The risk or severity of adverse effects can be increased when Phenylalanine is combined with Risankizumab.
Flunisolide The risk or severity of adverse effects can be increased when Flunisolide is combined with Risankizumab.
Bortezomib The risk or severity of adverse effects can be increased when Bortezomib is combined with Risankizumab.
Cladribine Risankizumab may increase the immunosuppressive activities of Cladribine.
Carmustine The risk or severity of adverse effects can be increased when Carmustine is combined with Risankizumab.
Amsacrine The risk or severity of adverse effects can be increased when Amsacrine is combined with Risankizumab.
Bleomycin The risk or severity of adverse effects can be increased when Bleomycin is combined with Risankizumab.
Chlorambucil The risk or severity of adverse effects can be increased when Chlorambucil is combined with Risankizumab.
Raltitrexed The risk or severity of adverse effects can be increased when Raltitrexed is combined with Risankizumab.
Mitomycin The risk or severity of adverse effects can be increased when Mitomycin is combined with Risankizumab.
Bexarotene The risk or severity of adverse effects can be increased when Bexarotene is combined with Risankizumab.
Vindesine The risk or severity of adverse effects can be increased when Vindesine is combined with Risankizumab.
Floxuridine The risk or severity of adverse effects can be increased when Floxuridine is combined with Risankizumab.
Indomethacin The risk or severity of adverse effects can be increased when Indomethacin is combined with Risankizumab.
Tioguanine The risk or severity of adverse effects can be increased when Tioguanine is combined with Risankizumab.
Vinorelbine The risk or severity of adverse effects can be increased when Vinorelbine is combined with Risankizumab.
Dexrazoxane The risk or severity of adverse effects can be increased when Dexrazoxane is combined with Risankizumab.
Beclomethasone dipropionate The risk or severity of adverse effects can be increased when Beclomethasone dipropionate is combined with Risankizumab.
Sorafenib The risk or severity of adverse effects can be increased when Sorafenib is combined with Risankizumab.
Streptozocin The risk or severity of adverse effects can be increased when Streptozocin is combined with Risankizumab.
Trifluridine The risk or severity of adverse effects can be increased when Trifluridine is combined with Risankizumab.
Gemcitabine The risk or severity of adverse effects can be increased when Gemcitabine is combined with Risankizumab.
Betamethasone The risk or severity of adverse effects can be increased when Betamethasone is combined with Risankizumab.
Teniposide The risk or severity of adverse effects can be increased when Teniposide is combined with Risankizumab.
Epirubicin The risk or severity of adverse effects can be increased when Epirubicin is combined with Risankizumab.
Chloramphenicol The risk or severity of adverse effects can be increased when Chloramphenicol is combined with Risankizumab.
Lenalidomide The risk or severity of adverse effects can be increased when Lenalidomide is combined with Risankizumab.
Altretamine The risk or severity of adverse effects can be increased when Altretamine is combined with Risankizumab.
Zidovudine The risk or severity of adverse effects can be increased when Zidovudine is combined with Risankizumab.
Cisplatin The risk or severity of adverse effects can be increased when Cisplatin is combined with Risankizumab.
Oxaliplatin The risk or severity of adverse effects can be increased when Oxaliplatin is combined with Risankizumab.
Cyclophosphamide The risk or severity of adverse effects can be increased when Cyclophosphamide is combined with Risankizumab.
Vincristine The risk or severity of adverse effects can be increased when Vincristine is combined with Risankizumab.
Fluorouracil The risk or severity of adverse effects can be increased when Fluorouracil is combined with Risankizumab.
Propylthiouracil The risk or severity of adverse effects can be increased when Propylthiouracil is combined with Risankizumab.
Pentostatin The risk or severity of adverse effects can be increased when Pentostatin is combined with Risankizumab.
Methotrexate The risk or severity of adverse effects can be increased when Methotrexate is combined with Risankizumab.
Carbamazepine The risk or severity of adverse effects can be increased when Carbamazepine is combined with Risankizumab.
Vinblastine The risk or severity of adverse effects can be increased when Vinblastine is combined with Risankizumab.
Fluticasone propionate The risk or severity of adverse effects can be increased when Fluticasone propionate is combined with Risankizumab.
Fluocinolone acetonide The risk or severity of adverse effects can be increased when Fluocinolone acetonide is combined with Risankizumab.
Linezolid The risk or severity of adverse effects can be increased when Linezolid is combined with Risankizumab.
Imatinib The risk or severity of adverse effects can be increased when Imatinib is combined with Risankizumab.
Triamcinolone The risk or severity of adverse effects can be increased when Triamcinolone is combined with Risankizumab.
Clofarabine The risk or severity of adverse effects can be increased when Clofarabine is combined with Risankizumab.
Prednisone The risk or severity of adverse effects can be increased when Prednisone is combined with Risankizumab.
Pemetrexed The risk or severity of adverse effects can be increased when Pemetrexed is combined with Risankizumab.
Fludrocortisone The risk or severity of adverse effects can be increased when Fludrocortisone is combined with Risankizumab.
Mycophenolate mofetil The risk or severity of adverse effects can be increased when Mycophenolate mofetil is combined with Risankizumab.
Daunorubicin The risk or severity of adverse effects can be increased when Daunorubicin is combined with Risankizumab.
Irinotecan The risk or severity of adverse effects can be increased when Irinotecan is combined with Risankizumab.
Methimazole The risk or severity of adverse effects can be increased when Methimazole is combined with Risankizumab.
Etoposide The risk or severity of adverse effects can be increased when Etoposide is combined with Risankizumab.
Sulfasalazine The risk or severity of adverse effects can be increased when Sulfasalazine is combined with Risankizumab.
Dacarbazine The risk or severity of adverse effects can be increased when Dacarbazine is combined with Risankizumab.
Temozolomide The risk or severity of adverse effects can be increased when Temozolomide is combined with Risankizumab.
Penicillamine The risk or severity of adverse effects can be increased when Penicillamine is combined with Risankizumab.
Prednisolone The risk or severity of adverse effects can be increased when Prednisolone is combined with Risankizumab.
Sirolimus The risk or severity of adverse effects can be increased when Sirolimus is combined with Risankizumab.
Mechlorethamine The risk or severity of adverse effects can be increased when Mechlorethamine is combined with Risankizumab.
Azacitidine The risk or severity of adverse effects can be increased when Azacitidine is combined with Risankizumab.
Carboplatin The risk or severity of adverse effects can be increased when Carboplatin is combined with Risankizumab.
Methylprednisolone The risk or severity of adverse effects can be increased when Methylprednisolone is combined with Risankizumab.
Dactinomycin The risk or severity of adverse effects can be increased when Dactinomycin is combined with Risankizumab.
Cytarabine The risk or severity of adverse effects can be increased when Cytarabine is combined with Risankizumab.
Azathioprine The risk or severity of adverse effects can be increased when Azathioprine is combined with Risankizumab.
Doxorubicin The risk or severity of adverse effects can be increased when Doxorubicin is combined with Risankizumab.
Hydroxyurea The risk or severity of adverse effects can be increased when Hydroxyurea is combined with Risankizumab.
Busulfan The risk or severity of adverse effects can be increased when Busulfan is combined with Risankizumab.
Mycophenolic acid The risk or severity of adverse effects can be increased when Mycophenolic acid is combined with Risankizumab.
Topotecan The risk or severity of adverse effects can be increased when Topotecan is combined with Risankizumab.
Mercaptopurine The risk or severity of adverse effects can be increased when Mercaptopurine is combined with Risankizumab.
Thalidomide The risk or severity of adverse effects can be increased when Thalidomide is combined with Risankizumab.

Target Protein

Interleukin-23 IL12B

Referensi & Sumber

Artikel (PubMed)
  • PMID: 30519540
    Machado A, Torres T: Spotlight on risankizumab and its potential in the treatment of plaque psoriasis: evidence to date. Psoriasis (Auckl). 2018 Nov 13;8:83-92. doi: 10.2147/PTT.S165943. eCollection 2018.
  • PMID: 30518998
    Haugh IM, Preston AK, Kivelevitch DN, Menter AM: Risankizumab: an anti-IL-23 antibody for the treatment of psoriasis. Drug Des Devel Ther. 2018 Nov 12;12:3879-3883. doi: 10.2147/DDDT.S167149. eCollection 2018.
  • PMID: 30123942
    Suleiman AA, Khatri A, Minocha M, Othman AA: Population Pharmacokinetics of the Interleukin-23 Inhibitor Risankizumab in Subjects with Psoriasis and Crohn's Disease: Analyses of Phase I and II Trials. Clin Pharmacokinet. 2019 Mar;58(3):375-387. doi: 10.1007/s40262-018-0704-z.
  • PMID: 28653357
    Ryman JT, Meibohm B: Pharmacokinetics of Monoclonal Antibodies. CPT Pharmacometrics Syst Pharmacol. 2017 Sep;6(9):576-588. doi: 10.1002/psp4.12224. Epub 2017 Jul 29.
  • PMID: 31098898
    McKeage K, Duggan S: Risankizumab: First Global Approval. Drugs. 2019 Jun;79(8):893-900. doi: 10.1007/s40265-019-01136-7.

Contoh Produk & Brand

Produk: 23 • International brands: 0
Produk
  • Skyrizi
    Solution • 90 mg / 1 mL • Subcutaneous • Canada • Approved
  • Skyrizi
    Injection, solution, concentrate • 600 mg • Intravenous • EU • Approved
  • Skyrizi
    Injection, solution • 360 mg • Subcutaneous • EU • Approved
  • Skyrizi
    Injection, solution; Kit • 90 mg/1mL • Subcutaneous • US • Approved
  • Skyrizi
    Injection, solution; Kit • 90 mg/1mL • Subcutaneous • US • Approved
  • Skyrizi
    Injection, solution • 150 mg/ml • Subcutaneous • EU • Approved
  • Skyrizi
    Injection, solution • 150 mg/ml • Subcutaneous • EU • Approved
  • Skyrizi
    Kit • 180 mg/1.2mL • Intravenous • US • Approved
Menampilkan 8 dari 23 produk.

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