SKYRIZI Solution for injection Ref.[8750] Active ingredients: Risankizumab

Source: European Medicines Agency (EU)  Revision Year: 2021  Publisher: AbbVie Deutschland GmbH & Co. KG, Knollstrasse, 67061, Ludwigshafen, Germany

Therapeutic indications

Skyrizi is indicated for the treatment of moderate to severe plaque psoriasis in adults who are candidates for systemic therapy.

Posology and method of administration

Skyrizi is intended for use under the guidance and supervision of a physician experienced in the diagnosis and treatment of psoriasis.

Posology

Skyrizi 150 mg solution for injection in pre-filled pen and pre-filled syringe: The recommended dose is 150 mg administered as a subcutaneous injection at week 0, week 4, and every 12 weeks thereafter.

Skyrizi 75 mg solution for injection in pre-filled syringe: The recommended dose is 150 mg (two 75 mg injections) administered by subcutaneous injection at week 0, week 4, and every 12 weeks thereafter.

Consideration should be given to discontinuing treatment in patients who have shown no response after 16 weeks of treatment. Some patients with initial partial response may subsequently improve with continued treatment beyond 16 weeks.

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.

Special populations

Elderly (aged 65 years and over)

No dose adjustment is required (see section 5.2).

There is limited information in subjects aged ≥65 years.

Renal or hepatic impairment

No specific studies were conducted to assess the effect of hepatic or renal impairment on the pharmacokinetics of Skyrizi. These conditions are generally not expected to have any significant impact on the pharmacokinetics of monoclonal antibodies and no dose adjustments are considered necessary (see section 5.2).

Paediatric population

The safety and efficacy of Skyrizi in children and adolescents aged 6 to 18 years have not yet been established. No data are available.

There is no relevant use of Skyrizi in children aged below 6 years for the indication of moderate to severe plaque psoriasis.

Overweight patients

No dose adjustment is required (see section 5.2).

Method of administration

Skyrizi is administered by subcutaneous injection.

The injection should be administered in the thigh or abdomen. Patients should not inject into areas where the skin is tender, bruised, erythematous, indurated or affected by psoriasis.

Patients may self-inject Skyrizi after training in subcutaneous injection technique. Patients should be instructed to read the ‘Instructions for use’ provided in the package leaflet before administration.

Administration of Skyrizi in the upper, outer arm may only be performed by a healthcare professional or caregiver.

Skyrizi 75 mg solution for injection in pre-filled syringe: Two pre-filled syringes should be injected for the full 150 mg dose. The two injections should be
administered at different anatomic locations.

Overdose

In the event of overdose, it is recommended that the patient be monitored for any signs or symptoms of adverse reactions and appropriate symptomatic treatment be instituted immediately.

Shelf life

2 years.

Special precautions for storage

Store in a refrigerator (2°C-8°C). Do not freeze.

Keep the pre-filled syringes in the outer carton in order to protect from light.

Nature and contents of container

Skyrizi 150 mg solution for injection in pre-filled pen: Pre-filled glass syringe assembled in a pre-filled pen with an automatic needle sleeve.

Skyrizi 150 mg solution for injection in pre-filled syringe: Pre-filled glass syringe with a fixed needle and needle cover, assembled in an automatic needle guard. Skyrizi 150 mg is available in packs containing 1 pre-filled pen or 1 pre-filled syringe.

Skyrizi 75 mg solution for injection in pre-filled syringe: Pre-filled glass syringe with a fixed needle and needle cover, assembled in an automatic needle guard. Skyrizi 75 mg is available in packs containing 2 pre-filled syringes and 2 alcohol pads.

Not all presentations may be marketed.

Special precautions for disposal and other handling

Skyrizi 150 mg solution for injection in pre-filled pen

Before injecting, patients should remove the carton from the refrigerator and allow to reach room temperature out of direct sunlight (30 to 90 minutes) without removing the pre-filled pen from the carton.

The solution should be colourless to yellow and clear to slightly opalescent.

Skyrizi 150 mg solution for injection in pre-filled syringe

Before injecting, patients may remove the carton from the refrigerator and allow to reach room temperature out of direct sunlight (15 to 30 minutes) without removing the pre-filled syringe from the carton.

The solution should be colourless to yellow and clear to slightly opalescent.

Skyrizi 75 mg solution for injection in pre-filled syringe

Before injecting, patients may remove the carton from the refrigerator and allow to reach room temperature out of direct sunlight (15 to 30 minutes) without removing the pre-filled syringes from the carton.

The solution should be colourless to slightly yellow and clear to slightly opalescent.

Two pre-filled syringes should be injected for the full 150 mg dose.

General special precautions

Prior to use, a visual inspection of each pre-filled pen or pre-filled syringe is recommended. The solution may contain a few translucent to white product-related particles. Skyrizi should not be used if the solution is cloudy or discoloured, or contains large particles. Do not shake the pre-filled pen or pre-filled syringe. Comprehensive instructions for use are provided in the package leaflet.

Each pre-filled syringe is for single use only.

Any unused medicinal product or waste material should be disposed of in accordance with local requirements.

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