Moderate-to-severe atopic dermatitis

Active Ingredient: Lebrikizumab

Indication for Lebrikizumab

Population group: only adolescents (12 years - 18 years old) , adults (18 years old or older)
Therapeutic intent: Curative procedure

Lebrikizumab is indicated for the treatment of moderate-to-severe atopic dermatitis in adults and adolescents 12 years and older with a body weight of at least 40 kg who are candidates for systemic therapy.

For this indication, competent medicine agencies globally authorize below treatments:

500 mg at both week 0 and week 2, followed by 250 mg every other week up to week 16

For:

Dosage regimens

In case that patient weight is ≥ 40 kg, subcutaneous, 500 milligrams lebrikizumab, one dose, over the duration of 2 weeks. Afterwards, in case that patient weight is ≥ 40 kg, subcutaneous, 500 milligrams lebrikizumab, one dose, over the duration of 2 weeks. Afterwards, in case that patient weight is ≥ 40 kg, subcutaneous, 250 milligrams lebrikizumab, once every 2 weeks, over the duration of 12 to 20 weeks.

Detailed description

The recommended dose of lebrikizumab is 500 mg at both week 0 and week 2, followed by 250 mg administered subcutaneously every other week up to week 16.

Consideration should be given to discontinuing treatment in patients who have shown no clinical response after 16 weeks of treatment. Some patients with initial partial response may further improve with continued treatment every other week up to week 24.

Once clinical response is achieved, the recommended maintenance dose of lebrikizumab is 250 mg every fourth week.

Lebrikizumab can be used with or without topical corticosteroids (TCS). Topical calcineurin inhibitors (TCI) may be used, but should be reserved for problem areas only, such as the face, neck, intertriginous and genital areas.

Missed dose

If a dose is missed, the dose should be administered as soon as possible. Thereafter, dosing should be resumed at the regular scheduled time.

Dosage considerations

Lebrikizumab is administered by subcutaneous injection into the thigh or abdomen, except for 5 cm around the navel. If somebody else administers the injection, the upper arm can also be used.

It is recommended to rotate the injection site with each injection. Lebrikizumab should not be injected into skin that is tender, damaged or has bruises or scars.

Active ingredient

Lebrikizumab

Lebrikizumab is an immunoglobulin (IgG4) monoclonal antibody that binds with high affinity to interleukin (IL)-13 and selectively inhibits IL-13 signalling through the IL-4 receptor alpha (IL-4Rα)/ IL-13 receptor alpha 1 (IL-13Rα1) heterodimer, thereby inhibiting the downstream effects of IL-13. Inhibition of IL-13 signalling is expected to be of benefit in diseases in which IL-13 is a key contributor to the disease pathogenesis. Lebrikizumab does not prevent the binding of IL-13 to the IL-13 receptor alpha 2 (IL-13Rα2 or decoy receptor), which allows the internalisation of IL-13 into the cell.

Read more about Lebrikizumab

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