Izervay (avacincaptad pegol sodium/PF)

Ophthalmic - Macular Degeneration Agents Intraocular Vial (Ml)

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Last reviewed · Source: First Databank (FDB) drug data

Overview

Avacincaptad pegol sodium, a pegylated ribonucleic acid (RNA) aptamer, is a complement C5 inhibitor.

Avacincaptad pegol sodium is a complement inhibitor that binds with high affinity and specificity to complement C5; the drug is an RNA aptamer, covalently bound to a branched polyethylene glycol (PEG) molecule. Although the pathophysiology of geographic atrophy is not fully understood, the complement system is thought to play a role. Complement C5 is a central component of the complement system that acts near the terminal end of the complement cascade, promoting inflammation and cell death; by inhibiting complement C5, avacincaptad pegol may prevent formation of the key terminal fragments (C5a and C5b) involved in these processes, thus decreasing membrane attack complex formation and potentially the progression of retinal cell degeneration.

Following a single intravitreal injection of avacincaptad pegol, peak plasma concentrations are achieved in approximately 7 days. Metabolism and elimination has not been fully characterized. Avacincaptad pegol is expected to be catabolized by endonucleases and exonucleases to oligonucleotides of shorter lengths, which may be excreted renally.

The estimated apparent systemic half-life is approximately 12 days.

USES: Avacincaptad pegol is used to treat a certain serious eye condition (geographic atrophy). It may help delay vision loss. Avacincaptad pegol works by helping to block your immune system from destroying cells in your eye.

Generic name: avacincaptad pegol sodium/PF
Drug class: Ophthalmic - Macular Degeneration Agents
Therapeutic class: Ophthalmic Agents

Reference product & biosimilars

No reference, biosimilar or interchangeable associated with this drug.

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Indications

The following indications are listed for Izervay:

  • Nonexudative Age-Related Macular Degeneration

Also known as: Geographic Atrophy Due To Age-Related Macular Degeneration.

Dosing

Dosage of avacincaptad pegol sodium is expressed in terms of avacincaptad pegol.

Drug interactions

Formal drug interaction studies have not been conducted with avacincaptad pegol.

Contraindications

*Ocular or periocular infections.

*Active intraocular inflammation.

Adverse reactions

The most common adverse reactions reported with avacincaptad pegol in clinical studies were conjunctival hemorrhage (13%), increased IOP (9%), blurred vision (8%), and neovascular age-related macular degeneration (7%).

Precautions

No enhanced messaging available.

ICD codes

CodeTypeDescription
Nonexudative age-related macular degeneration
H35.31ICD10CMNonexudative age-related macular degeneration
H35.3110ICD10CMNonexudative age-related macular degeneration, right eye, stage unspecified
H35.3111ICD10CMNonexudative age-related macular degeneration, right eye, early dry stage
H35.3112ICD10CMNonexudative age-related macular degeneration, right eye, intermediate dry stage
H35.3113ICD10CMNonexudative age-related macular degeneration, right eye, advanced atrophic without subfoveal involvement
H35.3114ICD10CMNonexudative age-related macular degeneration, right eye, advanced atrophic with subfoveal involvement
H35.3120ICD10CMNonexudative age-related macular degeneration, left eye, stage unspecified
H35.3121ICD10CMNonexudative age-related macular degeneration, left eye, early dry stage
H35.3122ICD10CMNonexudative age-related macular degeneration, left eye, intermediate dry stage
H35.3123ICD10CMNonexudative age-related macular degeneration, left eye, advanced atrophic without subfoveal involvement
H35.3124ICD10CMNonexudative age-related macular degeneration, left eye, advanced atrophic with subfoveal involvement
H35.3130ICD10CMNonexudative age-related macular degeneration, bilateral, stage unspecified
H35.3131ICD10CMNonexudative age-related macular degeneration, bilateral, early dry stage
H35.3132ICD10CMNonexudative age-related macular degeneration, bilateral, intermediate dry stage
H35.3133ICD10CMNonexudative age-related macular degeneration, bilateral, advanced atrophic without subfoveal involvement
H35.3134ICD10CMNonexudative age-related macular degeneration, bilateral, advanced atrophic with subfoveal involvement
H35.3190ICD10CMNonexudative age-related macular degeneration, unspecified eye, stage unspecified
H35.3191ICD10CMNonexudative age-related macular degeneration, unspecified eye, early dry stage
H35.3192ICD10CMNonexudative age-related macular degeneration, unspecified eye, intermediate dry stage
H35.3193ICD10CMNonexudative age-related macular degeneration, unspecified eye, advanced atrophic without subfoveal involvement
H35.3194ICD10CMNonexudative age-related macular degeneration, unspecified eye, advanced atrophic with subfoveal involvement

ICD code information from First Databank (FDB).

Formulary status

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Last reviewed · Source: First Databank (FDB) drug data