| Stem definition | Drug id | CAS RN |
|---|---|---|
| human origin | 5309 | 1426055-14-2 |
| Molecule | Description |
|---|---|
|
Synonyms:
|
Lanadelumab-flyo is a fully human monoclonal antibody (IgG1/kappa-light chain) that binds plasma kallikrein and inhibits its proteolytic activity. Plasma kallikrein is a protease that cleaves high-molecular-weight-kininogen (HMWK) to generate cleaved HMWK (cHMWK) and bradykinin, a potent vasodilator that increases vascular permeability resulting in swelling and pain associated with HAE.In patients with HAE due to C1-inhibitor (C1-INH) deficiency or dysfunction, normal regulation of plasma kallikrein activity is not present, which leads to uncontrolled increases in plasma kallikrein activity and results in angioedema attacks. Lanadelumab-flyo decreases plasma kallikrein activity to control excess bradykinin generation in patients with HAE.
|
| Dose | Unit | Route |
|---|---|---|
| 21.40 | mg | P |
None
| Date | Agency | Company | Orphan |
|---|---|---|---|
| Nov. 22, 2018 | EMA | SHIRE PHARMACEUTICALS IRELAND LTD | |
| Aug. 23, 2018 | FDA | DYAX CORP | |
| March 28, 2022 | PMDA | Takeda Pharmaceutical Company Limited |
| MedDRA adverse event term | Likelihood ratio | Likelihood ratio threshold | Patients taking drug having adverse event | Patients taking drug not having adverse event | Patients not taking drug having adverse event | Patients not taking drug not having adverse event |
|---|---|---|---|---|---|---|
| Hereditary angioedema | 2065.07 | 34.29 | 352 | 2908 | 7210 | 63478552 |
| Product dose omission issue | 290.76 | 34.29 | 168 | 3092 | 234145 | 63251617 |
| Inappropriate schedule of product administration | 188.00 | 34.29 | 96 | 3164 | 103869 | 63381893 |
| Product availability issue | 149.33 | 34.29 | 36 | 3224 | 4085 | 63481677 |
| COVID-19 | 123.42 | 34.29 | 75 | 3185 | 113028 | 63372734 |
| Injection site pain | 118.85 | 34.29 | 77 | 3183 | 129723 | 63356039 |
| Insurance issue | 84.82 | 34.29 | 25 | 3235 | 6096 | 63479666 |
| Weight increased | 66.46 | 34.29 | 74 | 3186 | 260718 | 63225044 |
| Weight decreased | 66.23 | 34.29 | 76 | 3184 | 276722 | 63209040 |
| Stress | 64.16 | 34.29 | 41 | 3219 | 67126 | 63418636 |
| No adverse event | 49.02 | 34.29 | 29 | 3231 | 41376 | 63444386 |
| Product distribution issue | 39.33 | 34.29 | 10 | 3250 | 1406 | 63484356 |
| MedDRA adverse event term | Likelihood ratio | Likelihood ratio threshold | Patients taking drug having adverse event | Patients taking drug not having adverse event | Patients not taking drug having adverse event | Patients not taking drug not having adverse event |
|---|---|---|---|---|---|---|
| Hereditary angioedema | 580.34 | 54.20 | 79 | 587 | 968 | 34955297 |
| Product dose omission issue | 121.23 | 54.20 | 54 | 612 | 119657 | 34836608 |
| Inappropriate schedule of product administration | 72.01 | 54.20 | 31 | 635 | 62265 | 34894000 |
| Product availability issue | 63.74 | 54.20 | 13 | 653 | 1874 | 34954391 |
| Weight increased | 54.39 | 54.20 | 29 | 637 | 93004 | 34863261 |
| MedDRA adverse event term | Likelihood ratio | Likelihood ratio threshold | Patients taking drug having adverse event | Patients taking drug not having adverse event | Patients not taking drug having adverse event | Patients not taking drug not having adverse event |
|---|---|---|---|---|---|---|
| Hereditary angioedema | 1877.02 | 42.18 | 296 | 2723 | 5039 | 79736330 |
| Product dose omission issue | 351.26 | 42.18 | 175 | 2844 | 247362 | 79494007 |
| Product availability issue | 200.93 | 42.18 | 43 | 2976 | 3904 | 79737465 |
| Inappropriate schedule of product administration | 184.12 | 42.18 | 93 | 2926 | 133535 | 79607834 |
| Injection site pain | 140.64 | 42.18 | 77 | 2942 | 129761 | 79611608 |
| COVID-19 | 134.52 | 42.18 | 80 | 2939 | 157594 | 79583775 |
| Weight increased | 104.18 | 42.18 | 85 | 2934 | 277301 | 79464068 |
| Weight decreased | 101.36 | 42.18 | 93 | 2926 | 355105 | 79386264 |
| Insurance issue | 79.91 | 42.18 | 22 | 2997 | 5711 | 79735658 |
| Product distribution issue | 69.99 | 42.18 | 15 | 3004 | 1365 | 79740004 |
| Stress | 58.99 | 42.18 | 37 | 2982 | 79575 | 79661794 |
| Weight fluctuation | 45.53 | 42.18 | 17 | 3002 | 11658 | 79729711 |
None
| Source | Code | Description |
|---|---|---|
| ATC | B06AC05 | BLOOD AND BLOOD FORMING ORGANS OTHER HEMATOLOGICAL AGENTS OTHER HEMATOLOGICAL AGENTS Drugs used in hereditary angioedema |
| FDA MoA | N0000184151 | Kallikrein Inhibitors |
| FDA EPC | N0000192750 | Plasma Kallikrein Inhibitor |
| Disease | Relation | SNOMED_ID | DOID |
|---|---|---|---|
| Hereditary angioneurotic edema | indication | 82966003 | DOID:14735 |
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| Target | Class | Pharos | UniProt | Action | Type | Activity value (-log[M]) | Mechanism action | Bioact source | MoA source |
|---|---|---|---|---|---|---|---|---|---|
| Plasma kallikrein | Enzyme | ANTIBODY BINDING | IC50 | 10.05 | IUPHAR | DRUG LABEL |
| ID | Source |
|---|---|
| 2372V1TKXK | UNII |
| C4505508 | UMLSCUI |
| CHEMBL3545189 | ChEMBL_ID |
| DB14597 | DRUGBANK_ID |
| D11094 | KEGG_DRUG |
| 10265 | INN_ID |
| 9094 | IUPHAR_LIGAND_ID |
| 773956002 | SNOMEDCT_US |
| 773961000 | SNOMEDCT_US |
| 4037795 | VANDF |
| 2055641 | RXNORM |
| 288339 | MMSL |
| 34817 | MMSL |
| d08864 | MMSL |
| C000596550 | MESH_SUPPLEMENTAL_RECORD_UI |
| Product | Category | Ingredients | NDC | Form | Quantity | Route | Marketing | Label |
|---|---|---|---|---|---|---|---|---|
| TAKHZYRO | HUMAN PRESCRIPTION DRUG LABEL | 1 | 47783-644 | INJECTION, SOLUTION | 300 mg | SUBCUTANEOUS | BLA | 30 sections |
| TAKHZYRO | HUMAN PRESCRIPTION DRUG LABEL | 1 | 47783-644 | INJECTION, SOLUTION | 300 mg | SUBCUTANEOUS | BLA | 30 sections |
| TAKHZYRO | HUMAN PRESCRIPTION DRUG LABEL | 1 | 47783-645 | SOLUTION | 150 mg | SUBCUTANEOUS | BLA | 30 sections |
| TAKHZYRO | HUMAN PRESCRIPTION DRUG LABEL | 1 | 47783-646 | SOLUTION | 300 mg | SUBCUTANEOUS | BLA | 30 sections |
| TAKHZYRO | HUMAN PRESCRIPTION DRUG LABEL | 1 | 47783-646 | SOLUTION | 300 mg | SUBCUTANEOUS | BLA | 30 sections |