Product Information for the User
ADYNOVI250UI/2ml powder and solvent for injectable solution
ADYNOVI500UI/2ml powder and solvent for injectable solution
ADYNOVI1000UI/2ml powder and solvent for injectable solution
rurioctocog alfa pegol (recombinant human coagulation factor VIII pegylated)
This product is subject to additional monitoring, which will facilitate the detection of new information about its safety. You can contribute by reporting any adverse effects you may experience. The final part of section 4 includes information on how to report adverse effects.
Read this entire product information carefully before starting to use this product, as it contains important information for you.
1.What is ADYNOVI and how is it used
2.What you need to know before starting to use ADYNOVI
3.How to use ADYNOVI
4.Possible adverse effects
5.Storage of ADYNOVI
6.Contents of the package and additional information
ADYNOVI contains the active ingredient rurioctocog alfa pegol, a pegylated human coagulation factorVIII. The human coagulation factor VIII has been modified to prolong its duration of action. Human coagulation factor VIII is necessary for blood to form clots and to stop bleeding. In patients with hemophilia A (congenital deficiency of factorVIII), it is either absent or does not function correctly.
ADYNOVI is used for the treatment and prevention of bleedingin patients12 years of age and olderwith hemophilia A(a hereditary bleeding disorder caused by the absence of factorVIII).
Do not use ADYNOVI:
If you have any doubts, consult your doctor.
Warnings and precautions
Consult your doctor before starting to use ADYNOVI.
There is a very small risk of anaphylactic reaction (a severe, sudden allergic reaction) to ADYNOVI. You should know the initial signs of allergic reactions, such as rash, hives, itching, generalized hives, swelling of lips and tongue, difficulty breathing, wheezing, chest tightness, general feeling of discomfort, and dizziness. These could be initial symptoms of anaphylactic shock. Other symptoms may include intense dizziness, loss of consciousness, and severe difficulty breathing.
If any of these symptoms appear, stop the injection immediately and consult your doctor. Severe symptoms, such as difficulty breathing and (pre)syncope, require urgent treatment.
If you have any heart disease, inform your doctor, as there is a higher risk of complications due to blood clot formation.
Patients who develop factor VIII inhibitors
The formation of inhibitors (antibodies) is a known complication that can occur during treatment with all factor VIII medications. These inhibitors, especially in large quantities, prevent the treatment from working properly, so you and your child will be closely monitored for the development of these inhibitors. If your bleeding or your child's bleeding is not being controlled with ADYNOVI, consult your doctor immediately.
Complications related to the catheter
If you need to use a central venous catheter (CVC), be aware of the risk of complications related to this device, such as local infections, presence of bacteria in the blood, and thrombosis in the catheter area.
Children and adolescents
ADYNOVI can only be used in adolescents and adults (over 12years old). The warnings and precautions listed also apply to adolescents.
Other medications and ADYNOVI
Inform your doctor if you are using, have used recently, or may need to use any other medication.
Pregnancy and breastfeeding
If you are pregnant or breastfeeding, or think you may be pregnant, consult your doctor before using this medication. Hemophilia A rarely affects women. Therefore, there is no experience with the use of ADYNOVI during pregnancy and breastfeeding.
Driving and operating machinery
ADYNOVI has no influence on the ability to drive or operate machinery.
ADYNOVI contains sodium
This medication contains0.45mmol of sodium (10mg) per vial. This should be taken into account in patients with low-sodium diets.
The treatment with ADYNOVI will be initiated and supervised by a doctor with experience in treating patients with hemophilia A..
Your doctor will calculate your dose of ADYNOVI based on your condition and body weight, and whether it is for prevention or treatment of bleeding. The frequency of administration will depend on how ADYNOVI acts in your case. The treatment with ADYNOVI is normally a lifelong treatment.
Follow exactly the administration instructions of this medication indicated by your doctor. In case of doubt, consult your doctor again.
The usual dose of ADYNOVI is 40to50UI per kg of body weight, administered 2times per week.
The dose of ADYNOVI is calculated based on your body weight and the desired levels of factor VIII. The levels of factor VIII to be achieved will depend on the severity and location of the bleeding.
Consult your doctor if you believe the effect of ADYNOVI is insufficient.
Your doctor will perform the necessary laboratory tests to ensure you have the appropriate levels of factor VIII. This is especially important if you are to undergo major surgery.
Use in children and adolescents
ADYNOVI can only be used in adolescents and adults (over 12years old). The dose for adolescents is also calculated based on body weight and is the same as for adults.
How to administer ADYNOVI
Normally, the doctor or nurse injects ADYNOVI into a vein (intravenous route). You or anyone else can also administer the ADYNOVI injection, but only after receiving proper training. Detailed instructions for self-administration are described at the end of this prospectus.
If you use more ADYNOVI than you should
Follow exactly the administration instructions of ADYNOVI indicated by your doctor. Consult your doctor if you have doubts. If you inject a higher dose of ADYNOVI than recommended, consult your doctor as soon as possible.
If you forget to use ADYNOVI
Do not inject a double dose to compensate for the missed doses. Administer the next injection as scheduled and continue as your doctor had indicated.
If you interrupt treatment with ADYNOVI
Do not stop using ADYNOVI without consulting your doctor.
If you have any other questions about the use of this medication, ask your doctor.
Like all medicines, this medicine can cause side effects, although not everyone will experience them.
If you experiencesevere and sudden allergic reactions (anaphylaxis),stop the injection immediately.Contact your doctor immediatelyif you have any of the following initial symptoms of allergic reactions:
Severe symptoms, such as difficulty breathing and near fainting, require immediate urgent treatment.
In patients who have received previous treatment with factor VIII (more than 150 days of treatment), antibodies inhibitors (see section 2) may form with a low frequency (less than 1 in 100 patients). If this happens, the medicine you take may not work properly and you may experience persistent bleeding. In that case, contact your doctor immediately.
Common side effects(may affect up to 1in every10 people)
Headache, nausea, diarrhea, eruption
Uncommon side effects(may affect up to 1 in every100 people)
Redness, allergic reaction (hypersensitivity)
Factor VIII inhibitors (in patients who have received previous treatment with factor VIII (more than 150 days of treatment))
Other side effects in children
The frequency, type, andseverityof adverse reactions in children are expected to be the same as in adults.
Reporting of side effects
If you experience any type of side effect, consult your doctor, even if it is a possible side effect that does not appear in this leaflet. You can also report them directly through thenational notification system included in theAppendixV. By reporting side effects, you can contribute to providing more information about the safety of this medicine.
Keep this medication out of the sight and reach of children.
Do not use this medication after the expiration date that appears on the label and the box after CAD. The expiration date is the last day of the month indicated.
Store in the refrigerator (between 2°C and 8°C).
Do not freeze.
Store the blister pack in the outer packaging to protect it from light.
During its validity period, the vial of powder can be stored at room temperature (up to 30°C) for a single period not exceeding 3months. In this case, the medication expires at the end of this 3month period or on the expiration date printed on the product vial, whichever occurs first. Please note on the medication packaging the date of the end of the 3-month storage period at room temperature. The medication cannot be refrigerated again after being stored at room temperature. Do not refrigerate the medication after preparation.
Use the medication within 3hours after complete dissolution of the powder.
This medication is for single use only. Dispose of unused solution properly.
Medications should not be disposed of through drains or in the trash. Ask your pharmacist how to dispose of the containers and medications you no longer need. In this way, you will help protect the environment.
Composition of ADYNOVI
Appearance of the product and contents of the pack
ADYNOVI is supplied as a powder and solvent for injection solution. The powder is a white to off-white powder that dissolves. The solvent is a colourless transparent solution. After reconstitution, the solution is transparent, colourless and free of foreign particles.
Holder of the marketing authorisation
Baxalta Innovations GmbH
Industriestrasse 67
A-1221 Vienna
Phone: +44(0)1256 894 959
Email: [email protected]
Manufacturer
Baxalta Belgium Manufacturing SA
Boulevard René Branquart 80
B-7860 Lessines
Belgium
Last review date of this leaflet:
The detailed information on this medicine is available on the website of the European Medicines Agency:http://www.ema.europa.eu/
Instructions for preparation and administration
ADYNOVI should not be mixed with other medicines or solvents.
It is strongly recommended to record the name and batch number of the product each time ADYNOVI is administered. The blister pack has labels that can be removed.
Instructions for reconstitution
1. If the medicine is still in the refrigerator, take the sealed blister pack (containing the pre-assembled vials of powder and solvent for reconstitution in the BAXJECT III system) out of the refrigerator and wait for it to reach room temperature (between 15°C and 25°C).
2. Wash your hands with soap and water.
3. Open the ADYNOVI blister pack by removing the lid. Remove the BAXJECT III system from the blister pack.
4. Place the vial of powder on a flat surface with the vial of solvent on top (Figure 1). The vial of solvent has a blue stripe. Do not remove the blue cap until instructed to do so later.
5. While holding the vial of powder with one hand in the BAXJECT III system, press the vial of solvent with the other hand until the system is fully contracted and the solvent enters the vial of powder (Figure 2). Do not tilt the system until the transfer is complete.
6. Check that the transfer of the solvent is complete. Gently agitate until all the material has dissolved (Figure 3). Check that the powder is completely dissolved; if not, the entire reconstituted solution will not pass through the filter of the device. The medicine dissolves rapidly (usually in less than 1 minute). After reconstitution, the solution must be transparent, colourless and free of foreign particles.
Figure 1 | Figure 2 | Figure 3 |
Instructions for injection
During administration, aseptic technique (in conditions of cleanliness and few microorganisms) is required.
Do not use if the solution is not completely transparent or the product is not completely dissolved.
1. Remove the blue cap from the BAXJECT III device.Do not introduce air into the syringe.Connect the syringe to the BAXJECT III device. It is recommended to use a Luer-lock syringe.
2. Place the system with the vial of powder on top (with the vial of powder on top) and withdraw the reconstituted solution into the syringe by slowly pulling the plunger outwards.
3. Disconnect the syringe, connect a needle to the syringe and inject the reconstituted solution into a vein. The solution must be administered slowly, at a rate determined by the patient's comfort level, which should not exceed 10 ml per minute. (See section 4 "Possible side effects").
4. Eliminate the unused solution in an appropriate manner.
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