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Secukinumab

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Secukinumab
Monoclonal antibody
TypeWhole antibody
SourceHuman
TargetIL17A
Clinical data
Trade namesCosentyx
Other namesAIN457
AHFS/Drugs.comcosentyx
ATC code
Legal status
Legal status
Identifiers
CAS Number
DrugBank
ChemSpider
  • none
KEGG
Chemical and physical data
FormulaC6584H10134N1754O2042S44
Molar mass147.94 kg/mol g·mol−1
 ☒NcheckY (what is this?)  (verify)

Secukinumab, trade name Cosentyx, is a human IgG1κ monoclonal antibody that binds to the protein interleukin (IL)-17A, and is marketed by Novartis for the treatment of psoriasis, ankylosing spondylitis, and psoriatic arthritis.[1][2]

It targets member A form of the cytokine family of interleukin 17, severely inhibiting its functioning.[3]

Medical uses

It is used to treat psoriasis, ankylosing spondylitis, and psoriatic arthritis.[1][2] It is given by subcutaneous injection and is sold in a pre-filled syringe or autoinjector that can be used at home and as a lyophilized powder for use in hospitals and clinics.[2]

Secukinumab was not tested in pregnant women; animal studies did not show harm at relevant doses. The FDA advises that the drug should be used in pregnant women only if the risk to the fetus justifies the potential benefit;[2] the EMA advises that women should not become pregnant while taking it.[1]

It should not be given to people with active infections since it is suppresses the immune system.[1]

Adverse effects

Very common (greater than 10% of people experience them) adverse effects include upper respiratory tract infections [1]

Common (between 1% and 10% of people experience them) include oral herpes, runny nose, and diarrhea.[1]

In clinical trials there were rare instances of hypersensitivity reactions, severe infections, and some cases of serious inflammatory bowel disease, some of which were new and some of which were exacerbations of existing conditions.[2]

Pharmacology

Chemistry

History

In January 2015, the FDA approved secukinumab to treat adults with moderate-to-severe plaque psoriasis.[4] In January 2016, the FDA approved it to treat adults with ankylosing spondylitis, and psoriatic arthritis.[5]

Society and culture

Research

References

  1. ^ a b c d e f "Cosentyx 150 mg solution for injection in pre-filled syringe and pre-filled pen - Summary of Product Characteristics". UK Electronic Medicines Compendium. 15 August 2017. Retrieved 2 October 2017.
  2. ^ a b c d e "Cosentyx (secukinumab) injection" (PDF). FDA. September 2017. For label updates see FDA index page for BLA 125504
  3. ^ "Statement On A Non-proprietary Name Adopted By The USAN Council: Secukinumab" (PDF). American Medical Association.
  4. ^ "FDA approves new psoriasis drug Cosentyx" (Press release). United States Food and Drug Administration. January 21, 2015. Retrieved January 21, 2015.
  5. ^ "Prees release: Novartis receives two new FDA approvals for Cosentyx to treat patients with ankylosing spondylitis and psoriatic arthritis in the US". Novartis. 2016-01-15.