Satralizumab

Products

Satralizumab was approved in many countries in 2020 as a solution for injection (Enspryng).

Structure and properties

Satralizumab is a humanized IgG2 monoclonal antibody produced by biotechnological methods.

Effects

Satralizumab (ATC L04AC19) has anti-inflammatory and immunosuppressive properties. The effects are due to binding to the soluble and membrane-bound human IL-6 receptor (IL-6R), preventing signal transduction by IL-6. IL-6 is a cytokine that activates immune cells and promotes inflammation and autoantibody formation. The antibody has a long half-life of about 30 days.

Indications

For the treatment of neuromyelitis optica spectrum disorders (NMOSD) in adults and adolescents in whom aquaporin-4 IgG antibodies are detectable.

Dosage

According to the SmPC. The drug is administered as a subcutaneous injection.

Contraindications

  • Hypersensitivity

For complete precautions, see the drug label.

Interactions

CYP450 isoenzyme expression may change during treatment.

Adverse effects

The most common potential adverse effects include headache, joint pain, leukopenia, and injection-related reactions.