Nchi: Singapoo
Lugha: Kiingereza
Chanzo: HSA (Health Sciences Authority)
guselkumab
JOHNSON & JOHNSON INTERNATIONAL (SINGAPORE) PTE LTD
L04AC16
INJECTION, SOLUTION
guselkumab 100mg/mL
SUBCUTANEOUS
Prescription Only
Cilag AG
ACTIVE
2018-06-21
Page 1 of 14 TREMFYA ® (GUSELKUMAB) READ ALL OF THIS PACKAGE INSERT CAREFULLY BEFORE YOU START TAKING THIS MEDICINE. • Keep this package insert. You may need to read it again. • If you have any questions, ask your doctor or nurse. WHAT IS IN THIS PACKAGE INSERT 1. What TREMFYA ® is and what it is used for 2. What you need to know before you use TREMFYA ® 3. How to use TREMFYA ® 4. What are the possible side effects of TREMFYA ® 5. How to store TREMFYA ® 6. Contents of the pack and other information 1. WHAT TREMFYA ® IS AND WHAT IT IS USED FOR TREMFYA ® contains the active substance guselkumab which is a type of protein called a monoclonal antibody. This medicine works by neutralizing the activity of a protein called IL-23, which is present at increased levels in people with psoriasis. TREMFYA ® is used to treat adults with moderate to severe “plaque psoriasis”, an inflammatory condition affecting the skin and nails. TREMFYA ® can improve skin clearance and nail appearance and reduce symptoms of psoriasis, such as scaling, shedding, flaking, itching, pain, and burning. 2. WHAT YOU NEED TO KNOW BEFORE YOU USE TREMFYA ® WARNINGS AND PRECAUTIONS Talk to your doctor, pharmacist or nurse, before taking TREMFYA ® . If you think you may be allergic to guselkumab or any other ingredients of this medicine, ask your doctor for advice before using TREMFYA ® . Infections BEFORE STARTING TREMFYA ® , TELL YOUR HEALTHCARE PROVIDER IF YOU: • are being treated for an infection • have an infection that does not go away or that keeps coming back • have tuberculosis (TB) or have been in close contact with someone with TB • think you have an infection or have symptoms of an infection such as: o fever or flu like symptoms o muscle aches o cough o shortness of breath o burning when you urinate or urinating more often than normal Page 2 of 14 o blood in your phlegm (mucus) o weight loss o diarrhea or stomach pain o warm, red, or painful skin or sores on your body different from your psoriasis AFTER STARTING Soma hati kamili
Page 1 of 25 PRODUCT NAME TREMFYA ® (guselkumab) DOSAGE FORM AND STRENGTHS Guselkumab is a fully human immunoglobulin G1 lambda (IgG1λ) monoclonal antibody (mAb) that binds selectively to the extracellular human interleukin 23 (IL-23) protein with high specificity and affinity. Guselkumab is produced in a mammalian cell line using recombinant DNA technology. TREMFYA ® is available as a solution for injection in the following presentation: PRE-FILLED SYRINGE Each 100 mg pre-filled syringe contains 100 mg of guselkumab per 1 mL. For excipients, see _List of Excipients_ . CLINICAL INFORMATION INDICATIONS TREMFYA ® is indicated for the treatment of adults with moderate-to-severe plaque psoriasis who are candidates for systemic therapy or phototherapy. DOSAGE AND ADMINISTRATION DOSAGE – ADULTS (18 YEARS AND OLDER) TREMFYA ® is administered by subcutaneous injection. _PLAQUE PSORIASIS _ The recommended dose of TREMFYA ® is 100 mg to be given as subcutaneous injection at week 0, week 4 and every 8 weeks thereafter. Consideration should be given to discontinuing treatment in patients who have shown no response after 16 weeks of treatment. GENERAL CONSIDERATIONS FOR ADMINISTRATION TREMFYA ® is intended for use under the guidance and supervision of a physician. TREMFYA ® may be administered by a health care professional, or a patient may self-inject after proper training in subcutaneous injection technique. Comprehensive instructions for the administration of TREMFYA ® are given in “Instructions for use, handling, and disposal” and in the package leaflet, “Instructions for preparation and giving an injection of TREMFYA ® .” Full amount of TREMFYA ® should be injected according to the directions provided in the patient information leaflet. SPECIAL POPULATIONS _PEDIATRICS (BELOW 18 YEARS OF AGE) _ The safety and efficacy of TREMFYA ® in pediatric patients have not been evaluated; therefore, no recommendations on dosing can be made (see _Pharmacodynamic Properties_ ). _ELDERLY (65 YEARS OF AGE AND OLDER) Soma hati kamili