HyQvia is available as two solutions for infusion (drip) under the skin. Adjust the frequency as needed so that the patient receives the same weekly equivalent dose. The local adverse reactions are listed by frequency in Table 5. Do not use HYQVIA at home until you get instructions and training from your healthcare professional. 0944-2721-03, PI patients respond differently to treatments, and the addition of Hyqvia to the current list of options will prove beneficial. See full prescribing information for complete boxed warning. Do not return HYQVIA to the refrigerator if you take it out to room temperature. The appearance of the Immune Globulin Infusion 10% (Human) of HYQVIA can vary from clear or slightly opalescent and colorless or pale yellow. Please click for Full Prescribing Information, including BOXED WARNINGS for CUVITRU, HYQVIA, GAMMAGARD LIQUID, and GAMMAGARD S/D. Are pregnant, trying to become pregnant or are breast feeding. (, Acute intravascular hemolysis may occur. 0944-2719-30, Inform patients to immediately report the following signs and symptoms to their healthcare professional: Self-administration – If self-administration is deemed appropriate by the physician, give clear instructions and training on how to administer HYQVIA. Immune globulins cross the placenta from maternal circulation increasingly after 30 weeks of gestation. The Immune Globulin Infusion 10% (Human) of HYQVIA contains a broad spectrum of IgG antibodies against bacterial and viral agents. Rate per infusion = total number of events divided by total number of infusions. 2164 0 obj <>/Filter/FlateDecode/ID[<7912D5036E65E447846B7B0107C3815B><8E5BD8CB99CDB84EAAADB0D6A925FF85>]/Index[2145 41]/Info 2144 0 R/Length 93/Prev 620222/Root 2146 0 R/Size 2186/Type/XRef/W[1 2 1]>>stream During the first 12-month period (months 1- 12), the rate was 3.68 local adverse reactions per patient-year. Call your healthcare professional or go to your emergency department right away if you get: These are not all of the possible side effects for HYQVIA. (, Known systemic hypersensitivity to human albumin (in the hyaluronidase solution). HYQVIA contains no preservative. The following presentations of HYQVIA are available: Keep the vials in the carton in order to protect from light. For patients previously on another IgG treatment, administer the first dose approximately one week after the last infusion of their previous treatment. All subjects who completed the trial received a minimum of 12 infusions at this individually adapted dose. It contains the antibodies to help your body protect itself against infection from various diseases. Risk factors may include: advanced age, prolonged immobilization, hypercoagulable conditions, history of venous or arterial thrombosis, use of estrogens, indwelling vascular catheters, hyperviscosity, and cardiovascular risk factors. Hyaluronan is a polysaccharide found in the extracellular matrix of connective tissue8. Daw Z, Padmore R, Neurath D, Cober N, Tokessy M, Desjardins D, et al. HyQvia (SC) Octagam ® ... the drug policy, prescribing and dosing information from the package insert is the clinical information used to determine benefit coverage. It is unknown whether these antibodies can interfere with fertilization in humans. AMS has been reported to occur with IgG products, including Immune Globulin Infusion 10% (Human) administered intravenously and subcutaneously. RITUXAN® (rituximab) injection, for intravenous use Initial U.S. Approval: 1997 WARNING: FATAL INFUSION REACTIONS, SEVERE MUCOCUTANEOUS REACTIONS, HEPATITIS B VIRUS REACTIVATION and … Chest pain or trouble breathing, blue lips or extremities. To view updated drug label links, paste the RSS feed address (URL) shown below into a RSS reader, or use a browser which supports RSS feeds, such as Safari for Mac OS X. This information is intended for use by health professionals. The following summarizes important information about HYQVIA (pronounced Hi-Q-via). Save Image . If HYQVIA is administered at a different interval than the previous treatment, either intravenously or subcutaneously, then Table 2 should not be used and the dose of HYQVIA should be adjusted, if necessary, based on clinical response. The antibodies help your body to fight off bacterial and viral infections. To report SUSPECTED ADVERSE REACTIONS, contact Baxalta US Inc., a Takeda company at 1-800-999-1785 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch. If a patient has been exposed to measles, it may be prudent to administer a dose of HYQVIA as soon as possible and within 6 days of exposure. Save Image. Labels, All Index Hyqvia Subq Ig Infusion For Adults. The Immune Globulin Infusion 10% (Human) of HYQVIA contains 100 mg/mL protein. Room Temperature: up to 25°C [77°F] for up to 3 months during the first 24 months from the date of manufacturing (Mfg date) printed on the carton. The following local reactions may occur at the site of infusion and generally go away in a few hours. Baxalta announced that (CMS) have expanded coverage to include in-home use of HYQVIA, a treatment for adults with primary immunodeficiency. Please see the Full Prescribing Information… 15.Hyqvia (Immune Globulin 10% with Recombinant Hyaluronidase) Solution Prescribing Information. 1,2 Place of Service: Outpatient The above policy is based on the following references: AHFS Drug Information® with AHFSfirstReleases®. The clinical significance of these antibodies is not known. Of these, 1129 were administered after the ramp-up when the subjects were on a consistent interval of 3 or 4 weeks, which was predetermined to be the efficacy period for data analysis. With your consent, your healthcare professional may provide blood samples to Baxalta US Inc. to test for antibodies that may form against the hyaluronidase part of HYQVIA. It is unknown whether these antibodies may interfere with fertilization in humans. Insert the needle at a 90-degree angle into the subcutaneous tissue and secure the needle with sterile tape. Instruct the patient on the importance of following the directions for the pump for infusion of the Immune Globulin Infusion 10% (Human) of HYQVIA. Pain, swelling, warmth, redness, or a lump in your legs or arms, other than at the infusion site(s). Events, Inject air and then draw the full contents of each vial labeled "HY" into a single syringe, if possible. HyQvia (Immune Globulin Infusion 10% [Human] with Recombinant Human Hyaluronidase) was developed to combine the advantages of intravenous and subcutaneous immune globulin (SCIG), allowing administration of larger volumes at a single subcutaneous site with less frequent dosing when compared to other SCIG products. The appearance of the Recombinant Human Hyaluronidase of HYQVIA should be clear and colorless. The peak to trough variation is more similar to subcutaneous administration. Allow the infusion site(s) to dry. Time to reach maximum concentration of IgG following HYQVIA administration was 5 (3.3-5.1) days. HIGHLIGHTS OF PRESCRIBING INFORMATION . •ombosis may occur with immune globulin products, including Thr HIZENTRA. This is a revision to a previous version published July 30, 2015 and adds the new HCPCS code for HYQVIA. Thrombosis may occur in the absence of known risk factors. h��Xmo�6�+��b�wR@ /�j`���[� ���Z"�/��b˿�ER�,;�����A���x$>:�3�%�iM�{"�Ӓ��3'BXhJe�`D1��Ds�%���d$8Il(�X��� �Եa�+lY2�� 7=�?��2"�^ˉ���(��I�dXd������Z�R�0�eO��ӽy���]T�z}�j���M�T����>��Xl>V�����e��nB����bw�/�R�]M��U�! Sources: www.baxter.com, Hyqvia prescribing information, www.marketwatch.com Hyqvia Side Effects. Patients who have had a history of anaphylactic or severe systemic reactions to the administration of IgG. Why Hyqvia Is Right For You. The concentration-time profile of HYQVIA is similar to that of intravenous administration but without the high peak. Bookbinder LH, Hofer A, Haller MF, Zepeda ML, Keller G-A, Lim JE, Edginton TS, Shepard HM, Patton JS, Frost GI. 2. Bank S Apothecary Now Dispensing Hyqvia Bank S Apothecary. Your healthcare professional will decide which administration system that is right for you. 2145 0 obj <> endobj This infusion log should include information about each infusion such as, the lot number(s), infusion site location, the time, date, dose, and any reactions. There is no added sugar, sodium, or preservatives. )�̮�o����!���jM�8���r~�#2�٬�����uzX&\��u��W�����i�q�|ݪ�e�֛�1P�~���?~������5}7s�f[5w���v5_:�m����&�|Y�]���ٴ�V�����c�L1�m��l���~���ƵC��Qq �vj��sӢĭ��z��ar�n����ͮoq�t0V)t�~��`.��&���nk If a higher trough level is required relative to intravenous treatment at 3- or 4-week intervals, increase the dose or decrease the dosing interval. Consideration of medically necessary … Infusions of immune globulin products can lead to false positive readings in assays that depend on detection of β-D-glucans for diagnosis of fungal infections; this may persist during the weeks following infusion of the product. The pH is 4.6 to 5.1. IgG preparations are purified from plasma pools using a modified Cohn-Oncley cold ethanol fractionation process, as well as cation and anion exchange chromatography. See full prescribing information for complete boxed warning ... HYQVIA dose into equivalent weekly dose and increasing it using a dose adjustment factor. Naïve to Immune Globulin Subcutaneous (Human) [IGSC] treatment or switching from IGSC: Switching from Immune Globulin Intravenous (Human) [IGIV] treatment: To report SUSPECTED ADVERSE REACTIONS, contact Baxalta US Inc., a Takeda company at 1-800-999-1785 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch. Monitor for signs and symptoms of thrombosis and assess blood viscosity in patients at risk for hyperviscosity [see Boxed Warning, Dosage and Administration (2), Patient Counseling Information (17)]. Do not apply heat or place in microwave. See full prescribing information for RITUXAN. 1. You can get HYQVIA at your healthcare professional's office, clinic, or hospital. The AUC of HYQVIA compared to conventional IGSC administration was 20% higher. A recombinant human enzyme for enhanced interstitial transport of therapeutics. Thirty-one subjects had been treated intravenously for three months and then subcutaneously each week at 137% of the intravenous dose for approximately one year before transitioning to the HYQVIA trial. The only once-a-month* SCIG that helps patients maximize time between infusions 1. Infuse the two components of HYQVIA sequentially, beginning with the Recombinant Human Hyaluronidase. HIGHLIGHTS OF PRESCRIBING INFORMATION These highlights do not include all the information needed to use RITUXAN safely and effectively. 0944-2722-03, Once-a-month* infusions. We anticipate reposting the images once we are able identify and filter out images that do not match the information provided in the drug labels. Wipe each stopper with a sterile alcohol wipe and allow to dry. If you no longer wish to have this DailyMed RSS service, simply delete the copied URL from your RSS Reader. INIS Collaborative Group, Brocklehurst P, Farrell B, et al, "Treatment of Neonatal Sepsis With Intravenous Immune Globulin," N Engl J Med , 2011, 365(13):1201-11. Administer HyQvia at the same dose and frequency as the previous IV treatment, after the initial dose titration ; Patients naïve to IgG treatment or switching from immune globulin human SC. (. Safety and efficacy of chronic use of Recombinant Human Hyaluronidase in HYQVIA have not been established in conditions other than PI. HYQVIA is a dual vial unit with one vial of Immune Globulin Infusion 10% (Human) and one vial of Recombinant Human Hyaluronidase. The period after the ramp-up was considered the efficacy period and used for safety and efficacy analyses. It is not known whether HYQVIA can cause fetal harm when administered to a pregnant woman or can affect reproduction capacity. Note: Site of Care Utilization Management Policy applies. 3. Abbreviations: HIV-1, Human Immunodeficiency Virus Type 1; BVDV, Bovine Viral Diarrhea Virus (model for Hepatitis C Virus and other lipid enveloped RNA viruses); WNV, West Nile Virus; PRV, Pseudorabies Virus (model for lipid enveloped DNA viruses, including Hepatitis B Virus); EMCV, Encephalomyocarditis Virus (model for non-lipid enveloped RNA viruses, including Hepatitis A virus [HAV]); MMV, Mice Minute Virus (model for non-lipid enveloped DNA viruses, including B19 virus [B19V]); n.d. (not done), n.a. Tradename: HYQVIA Manufacturer: Baxter Healthcare Corporation, Baxter BioScience Indication: Indicated for the treatment of Primary Immunodeficiency (PI) in adults. No cases of transmission of viral diseases or vCJD have been associated with HYQVIA. Reliable infection protection. A total of 1359 infusions of HYQVIA were administered during the trial; 230 of these infusions occurred during the ramp-up period and the other 1129 occurred during the observation period. The osmolality is 240 to 300 mOsmol/kg. Subsequently, subjects continued the 3- or 4-week dosing for the remainder of the trial. Inspect the vials: Inspect for clarity, color, and expiration date(s). As determined by a polymerase chain reaction assay, nanofiltration reduced B19V by a mean log10 reduction factor of 4.8 genome equivalents. Shire’s (formerly Baxter Healthcare Corporation) HyQvia is administered as a single monthly SC injection for the majority of patients, ... [full prescribing information]. After placing the subcutaneous needle set, the Recombinant Human Hyaluronidase of HYQVIA was infused through the needle set followed within 10 minutes by the immune globulin of HYQVIA at 108% of the intravenous dose. Eijkhout HW, Der Meer JW, Kallenberg CG, et al. Among the 87 patients treated, 56 (64.4%) experienced 1 or more adverse reactions. What are the possible or reasonably likely side effects of HYQVIA? In case of hypersensitivity, discontinue the HYQVIA infusion immediately and institute appropriate treatment. The potential exists for such antibodies to cross-react with endogenous PH20 which is known to be expressed in the adult male testes, epididymis, and sperm. Directions for use: Read the enclosed Package Insert. endstream endobj startxref Hyqvia should be given to a pregnant woman only if clearly indicated. Mild to moderate local infusion-site reactions (e.g., swelling and redness) are common side effects of facilitated subcutaneous treatment with HYQVIA. HYQVIA … You and your healthcare professional will decide if home self-infusion is right for you. 0944-2511-02, After HYQVIA infusion a temporary, soft swelling may occur around the infusion site, which may last 1 to 3 days, due to the volume of fluid infused. If you have any questions, please contact the NLM Support Center. Common adverse reactions observed in clinical trials in >5% of subjects were local reactions, headache, antibody formation against Recombinant Human Hyaluronidase (rHuPH20), fatigue, nausea, pyrexia, and vomiting. A solution containing recombinant human hyaluronidase is given first and a solution containing human normal immunoglobulin (100 mg/ml) is then given by infusion in the same place. The Recombinant Human Hyaluronidase of HYQVIA increases permeability of the subcutaneous tissue by temporarily depolymerizing hyaluronan. Have IgA deficiency or a history of severe allergic reactions to IgG or other blood products. Antibodies binding to rHuPH20: A total of 15 out of 83 subjects in the clinical trial who were treated with HYQVIA developed an antibody capable of binding to Recombinant Human Hyaluronidase. Refer to the prescribing information for a rituximab product for intravenous infusion for additional information. Important information about some of the ingredients of Gammanorm. More than 98% of local reactions were either mild (70.5%) or moderate (28.2%) in severity. The trough level difference is 200 mg/dL (1000 mg/dL minus 800 mg/dL). Maximize your time between infusions with HyQvia [Immune Globulin Infusion 10% (Human) with Recombinant Human Hyaluronidase], a monthly* subQ. 6. 3. HYQVIA must not be used by patients with a hypersensitivity to human immunoglobulins, especially in … Save Image. Infusion site leakage can occur during or after subcutaneous administration of immunoglobulin, including HYQVIA. Use Hyqvia (Hyaluronidase And Immune Globulin) exactly as directed on the label, or as prescribed by your doctor. These antibodies may cause a positive direct antiglobulin reaction and hemolysis.6 Acute intravascular hemolysis has been reported following intravenously administered IgG, including Immune Globulin Infusion 10% (Human) administered intravenously, and delayed hemolytic anemia can develop due to enhanced RBC sequestration [see Adverse Reactions (6)]. 17 March 2000. The pump must have the ability to titrate the flow rate up or down if required to improve tolerability. Glycine (0.25M) serves as a stabilizing and buffering agent. Monitor patients for clinical signs and symptoms of hemolysis. For patients at risk of thrombosis, administer HYQVIA at the minimum dose and infusion rate practicable. Thrombosis may occur with immune globulin products, including HYQVIA. Consider baseline assessment of blood viscosity in patients at risk for hyperviscosity, such as those with cryoglobulins, fasting chylomicronemia/markedly high triacylglycerols (triglycerides), or monoclonal gammopathies.
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