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Nemluvio (nemolizumab-ilto)
nemolizumab
Adult Dosing .
Dosage forms: INJ (pen): 30 mg per injection
Special Note
- [formulation clarification]
- Info: nonproprietary name = nemolizumab-ilto
atopic dermatitis, moderate-severe
- [30 mg SC q4wk]
- Start: 60 mg SC x1, then 30 mg SC q4wk; Info: may decr. dose to 30 mg SC q8wk after 16wk
prurigo nodularis
- [<90 kg]
- Dose: 30 mg SC q4wk; Start: 60 mg SC x1, then 30 mg SC q4wk
- [>90 kg]
- Dose: 60 mg SC q4wk
renal dosing
- [see below]
- mild-moderate impairment: no adjustment; severe impairment: not defined
- HD/PD: not defined
hepatic dosing
- [see below]
- mild-moderate impairment: no adjustment; severe impairment: not defined
Peds Dosing .
- Dosage forms: INJ (pen): 30 mg per injection
Special Note
- [formulation clarification]
- Info: nonproprietary name = nemolizumab-ilto
atopic dermatitis, moderate-severe
- [12 yo and older]
- Dose: 30 mg SC q4wk; Start: 60 mg SC x1, then 30 mg SC q4wk; Info: may decr. dose to 30 mg SC q8wk after 16wk
renal dosing
- [see below]
- mild-moderate impairment: no adjustment; severe impairment: not defined
- HD/PD: not defined
hepatic dosing
- [see below]
- mild-moderate impairment: no adjustment; severe impairment: not defined
Contraindications / Cautions .
- hypersensitivity to drug or ingredient
Drug Interactions .
Overview
nemolizumab
IL-31 antagonist
- immunomodulatory effects (other)
Contraindicated
- adenovirus vaccine, live
- chikungunya vaccine, live
- cholera vaccine, live
- dengue vaccine, live
- influenza nasal vaccine, live
- measles/mumps/rubella vaccine, live
- rotavirus vaccine, live
- smallpox vaccine, live
- typhoid vaccine, live
- varicella vaccine, live
- yellow fever vaccine, live
Avoid/Use Alternative
- rabies vaccine
Monitor/Modify Tx
- anthrax vaccine
- chikungunya vaccine
- COVID-19 vaccine
- diphtheria/tetanus vaccine
- diphtheria/tetanus/pertussis vaccine
- ebola vaccine, live
- Haemophilus b vaccine
- hepatitis A vaccine
- hepatitis B vaccine
- human papillomavirus vaccine
- influenza H5N1 vaccine
- influenza vaccine
- Japanese encephalitis vaccine
- meningococcal vaccine
- pneumococcal vaccine
- poliovirus vaccine
- respiratory syncytial virus vaccine
- smallpox/mpox vaccine, live
- tick-borne encephalitis vaccine
- typhoid vaccine
Adverse Reactions .
Serious Reactions
- hypersensitivity rxn
- angioedema
Common Reactions
- headache
- eczema
Safety/Monitoring .
Monitoring Parameters
no routine tests recommended
Pregnancy/Lactation .
Pregnancy
Clinical Summary
weigh risk/benefit during pregnancy; inadequate human data available, though likely to cross placenta based on human data w/ other monoclonal antibodies; no known risk of teratogenicity, though risk of early neonatal death based on animal data 36x and 50x MRHD; possible risk of decr. neonatal immune response based on drug's mechanism of action; for infants exposed to nemolizumab in utero for prurigo nodularis use, weigh risk/benefit before admin. live vaccines for at least 3mo after birth
Lactation
Clinical Summary
weigh risk/benefit while breastfeeding; no human data available to assess risk of infant harm or effects on milk production
Pharmacology .
Metabolism: catabolism; CYP450: unknown
Excretion: unknown; Half-life: 18.9 days
Subclass: Atopic Dermatitis, Systemic Nonsteroidal Agents ; Interleukin-31 (IL-31) Antagonists
Mechanism of Action
binds to interleukin-31 receptor alpha subunit and inhibits IL-31 cytokine-induced responses incl. release of pro-inflammatory cytokines and chemokines (monoclonal antibody)
Formulary .
No Formulary Selected
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