国家: 马来西亚
语言: 英文
来源: NPRA (National Pharmaceutical Regulatory Agency, Bahagian Regulatori Farmasi Negara)
OFATUMUMAB
NOVARTIS CORPORATION (MALAYSIA) SDN. BHD.
OFATUMUMAB
1 Units
NOVARTIS PHARMA STEIN AG
_CONSUMER MEDICATION INFORMATION LEAFLET (RIMUP)_ _ _ BONSPRI ™ _ _ Ofatumumab (20 mg) Solution for Injection in pre-filled syringe 1 WHAT IS IN THIS LEAFLET 1. What Bonspri is used for 2. How it works 3. Before you use Bonspri 4. How to use Bonspri 5. While you are using it 6. Side effects 7. Storage and Disposal of product 8. Product description 9. Manufacturer 10. Product registration holder 11. Date of revision 12. Serial number WHAT BONSPRI IS USED FOR Bonspri is used for the treatment of adult with relapsing forms of multiple sclerosis includes relapsing-remitting disease, and active secondary progressive disease. Multiple sclerosis (MS) is a long- term condition that affects the central nervous system (CNS), particularly how the brain and spinal cord work. In MS, the immune system (the body’s defense system) works incorrectly: inflammation destroys the protective sheath (called myelin) around the nerves in the CNS and stops the nerves from working properly. This process is called demyelination. People with relapsing MS experience repeated attacks of nervous system symptoms that reflect inflammation within the CNS. These attacks are typically called relapses or flare ups. Symptoms vary from patient to patient but typically involve problems with walking or balance, weakness, numbness, vision problems (double vision and blurring), poor coordination and bladder problems. The symptoms of a relapse may disappear completely when the relapse is over but some problems may remain. Patients accumulate disability as a result of incomplete recovery from acute relapses and/or gradual disease progression. HOW BONSPRI WORKS The active substance in Bonspri, ofatumumab is a type of protein called a monoclonal antibody designed to recognize and attach to a target called CD20 on the surface of certain types of white blood cells which are part of the immune system (so called B-cells). Once an abnormal response by the body’s immune system is triggered, these white blood cells play a role in multiple sclerosis by attacking 阅读完整的文件
Novartis Page 2 Malaysia Package Leaflet 23-Jan-2020 Bonspri TM 1 INDICATIONS AND USAGE BONSPRI is indicated for the treatment of relapsing forms of multiple sclerosis (RMS), to include relapsing-remitting disease, and active secondary progressive disease, in adults. 2 DOSAGE AND ADMINISTRATION 2.1 ASSESSMENTS PRIOR TO FIRST DOSE OF BONSPRI Hepatitis B Virus Screening Prior to initiating BONSPRI, perform Hepatitis B virus (HBV) screening. BONSPRI is contraindicated in patients with active HBV confirmed by positive results for Hepatitis B surface antigen [HBsAg] and anti-HBV tests. For patients who are negative for HBsAg and positive for Hepatitis B core antibody [HBcAb+] or are carriers of HBV [HBsAg+], consult liver disease experts before starting and during treatment with BONSPRI _[see Warnings and Precautions (5.1)]. _ Serum Immunoglobulins Prior to initiating BONSPRI, perform testing for quantitative serum immunoglobulins _[see _ _Warnings and Precautions (5.3)]. _ For patients with low serum immunoglobulins, consult immunology experts before initiating treatment with BONSPRI. Vaccinations Because vaccination with live-attenuated or live vaccines is not recommended during treatment and after discontinuation until B-cell repletion, administer all immunizations according to immunization guidelines at least 4 weeks prior to initiation of BONSPRI for live or live-attenuated vaccines, and whenever possible, at least 2 weeks prior to initiation of BONSPRI for inactivated vaccines _[see Warnings and Precautions (5.1)]. _ 2.2 RECOMMENDED DOSAGE The recommended dosage of BONSPRI is: initial dosing of 20 mg by subcutaneous injection at Weeks 0, 1, and 2, followed by subsequent dosing of 20 mg by subcutaneous injection once monthly starting at Week 4. Missed Doses If an injection of BONSPRI is missed, it should be administered as soon as possible without waiting until the next scheduled dose. Subsequent doses should be administered at the recommended intervals. 2.3 ADMINISTRATION INSTRUCTIONS Administer 阅读完整的文件