.alpha.1-proteinase inhibitor human

FDA label, Takeda Pharmaceuticals America, Inc., intravenous, effective 2010-12-20. Full label on DailyMed

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From MedlinePlus, U.S. National Library of Medicine

Specialty pharmacy: therapy management checklist, storage and cold chain, dosing calendar, Medicare Part D coverage.

Quoted from the FDA label. Product labels differ by manufacturer and change over time; confirm against the label for the product you are using.

Human alpha-1 Proteinase Inhibitor

Dosing in kidney impairment

This label has no separate kidney-impairment dosing section. Check warnings and clinical pharmacology in the full label.

Preparation and administration

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Basis

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Preparation Inspect the vial of GLASSIA. The solution should be clear and colorless to yellow-green and may contain a few protein particles. Do not use if the product is cloudy. Infusion can be made directly from the vial or alternatively, vials may be pooled in an empty, sterile intravenous container. When infusing directly from the vial, use a vented spike adapter and a 5 micron in-line filter (neither is supplied).

When infusing from a sterile intravenous container, attach an appropriate intravenous administration set to the intravenous container. Use a vent filter (not supplied) to withdraw the material from the vial and then use the supplied 5 micron filter needle to transfer the product into the infusion container. In addition, during infusion, it is recommended to use a 5 micron in-line filter (not supplied).

Administer intravenously to the patient as described in section 2.3.

Administration Inspect parenteral products visually for particulate matter and discoloration prior to administration whenever solution and container permit. Administer GLASSIA within three hours of entering the vials to avoid the potential ill effect of any inadvertent microbial contamination. Administer GLASSIA at room temperature through an appropriate intravenous administration set at a rate not greater than 0.04 mL/kg body weight per minute.

The recommended dosage of 60 mg/kg takes approximately 60-80 minutes to infuse. Monitor the infusion rate closely during administration and observe the patient for signs of infusion related reactions. If infusion related adverse reactions occur, reduce the rate or interrupt the infusion until the symptoms subside. You may then resume the infusion at a rate tolerated by the patient.

Following administration, discard all open vials, unused solution and administration equipment.

Drug interactions

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  • .alpha.1-proteinase inhibitor human

Contraindications

4 CONTRAINDICATIONS GLASSIA is contraindicated in immunoglobulin A (IgA) deficient patients with antibodies against IgA. GLASSIA is contraindicated in individuals with a history of severe immediate hypersensitivity reactions, including anaphylaxis, to Alpha 1 -PI products. IgA deficient patients with antibodies against IgA ( 4 ). History of severe immediate hypersensitivity reactions, including anaphylaxis, to Alpha 1 -PI products ( 4 ).

Safety data

Reported adverse events (FAERS)

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Source: FDA Adverse Event Reporting System via openFDA

Liver injury (LiverTox)

LiverTox has no chapter for .alpha.1-proteinase inhibitor human. Check the label's hepatic warnings.

Pregnancy and lactation

Pregnancy

8.1 Pregnancy Pregnancy Category C Animal reproduction studies have not been conducted with GLASSIA. It is also not known whether GLASSIA can cause fetal harm when administered to pregnant women or can affect reproductive capacity. GLASSIA should be given to a pregnant woman only if clearly needed.

Lactation

8.3 Nursing Mothers It is not known whether Alpha 1 -PI is excreted in human milk. Because many drugs are excreted in human milk, caution should be exercised when GLASSIA is administered to a nursing woman.

For breastfeeding, also see LactMed (National Library of Medicine), which summarizes milk levels and infant effects.

Supply and cost

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