Rilonacept Regeneron
Rilonacept Regeneron Uses, Dosage, Side Effects, Food Interaction and all others data.
Rilonacept Regeneron is a dimeric fusion protein consisting of portions of IL-1R and the IL-1R accessory protein linked to the Fc portion of immunoglobulin G1. Rilonacept Regeneron functions as an interleukin 1 inhibitor and is used in the treatment of CAPS, also known as cryopyrin-associated periodic syndromes, including familial cold auto-inflammatory syndrome (FCAS) and Muckle-Wells Syndrome (MWS), in adults and children greater than 12 years old.
Treatment with Rilonacept Regeneron resulted in decreased levels of mean C-Reactive Protein (CRP) and Serum Amyloid A (SAA). Higher levels of CRP and SAA are associated with inflammatory disease activity found in patients with Cryopyrin-Associated Periodic Syndromes.
| Trade Name | Rilonacept Regeneron |
| Availability | Prescription only |
| Generic | Rilonacept |
| Rilonacept Other Names | interleukin-1 (IL-1) trap, Rilonacept |
| Related Drugs | anakinra, Kineret, Arcalyst, Ilaris, canakinumab |
| Type | |
| Formula | C9030H13932N2400O2670S74 |
| Weight | 251000.0 Da |
| Groups | Approved, Investigational |
| Therapeutic Class | |
| Manufacturer | |
| Available Country | Austria, Belgium, Bulgaria, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Iceland, Ireland, Italy, Latvia, Liechtenstein, Lithuania, Luxembourg, Malta, Netherlands, Norway, Poland, Portugal, Romania, Slovakia, Slovenia, Spain, Sweden, United Kingdom |
| Last Updated: | September 19, 2023 at 7:00 am |
Uses
Rilonacept Regeneron is an IL-1 inhibitor used to treat cryopyrin-associated periodic syndrome, a rare hereditary inflammatory disorder.
Rilonacept Regeneron is currently used in the treatment of cryopyrin-associated periodic syndrome. In May 2012, an advisory panel for the FDA voted 11-0 against the use of Rilonacept Regeneron for the treatment of gout.
Rilonacept Regeneron is also used to associated treatment for these conditions: Cryopyrin-associated Periodic Syndromes (CAPS), Familial Cold Autoinflammatory Syndrome (FCAS), Muckle-Wells Syndrome (MWS)
How Rilonacept Regeneron works
CAPS refer to rare genetic syndromes generally caused by mutations in the NLRP-3 [Nucleotide-binding domain, leucine rich family (NLR), pyrin domain containing 3] gene (also known as Cold-Induced Auto-inflammatory Syndtrome-1 [CIAS1]). CAPS disorders are inherited in an autosomal dominant pattern with male and female offspring equally affected. Fever, urticaria-like rash, arthralgia, myalgia, fatigue, and conjunctivitis are features common to all disorders. In most cases, inflammation in CAPS is associated with mutations in the NLRP-3 gene which encodes the protein cryopyrin, an important component of the inflammasome. Cryopyrin regulates the protease caspase-1 and controls the activation of interleukin-1 beta (IL-1β). Mutations in NLRP-3 result in an overactive inflammasome resulting in excessive release of activated IL-1β that drives inflammation. Rilonacept Regeneron blocks IL-1β signaling by acting as a soluble decoy receptor that binds IL-1β and prevents its interaction with cell surface receptors. Rilonacept Regeneron also binds IL-1α and IL-1 receptor antagonist (IL-1ra) with reduced affinity. By binding IL-1, rilonacept prevents the activation of IL-1 receptors, thus reducing inflammatory responses and other effects related to an excess of IL-1.
Food Interaction
No interactions found.Rilonacept Regeneron Cholesterol interaction
[Moderate] Patients treated with rilonacept experienced increases in their mean total cholesterol, HDL cholesterol, LDL cholesterol, and triglycerides.
The mean increases from baseline for total cholesterol, HDL cholesterol, LDL cholesterol, and triglycerides were 19 mg Physicians should monitor the lipid profiles of their patients especially those with hyperlipidemias, and consider lipid-lowering therapies as needed based upon cardiovascular risk factors and current guidelines.
Rilonacept Regeneron Drug Interaction
Major: tocilizumabModerate: imatinib, cyclosporine, disopyramide, oxycodoneUnknown: fluticasone / salmeterol, darbepoetin alfa, sulfamethoxazole / trimethoprim, diphenhydramine, exenatide, pancrelipase, propranolol, pegloticase, lidocaine topical, benazepril, loxapine, nitrofurantoin, dronedarone, pegfilgrastim, cholecalciferol
Rilonacept Regeneron Disease Interaction
Major: vaccinationModerate: hepatic impairment, hyperlipidemia, infections, renal impairment
Half Life
8.6 days
Innovators Monograph
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