Axatilimab Explained

Type:mab
Mab Type:mab
Source:zu
Target:CSF-1R
Tradename:Niktimvo
Dailymedid:Axatilimab
Routes Of Administration:Intravenous
Class:Antineoplastic
Atc Prefix:None
Legal Us:Rx-only
Legal Us Comment:[1]
Cas Number:2155851-88-8
Drugbank:DB16388
Unii:R96Z451BMC
Kegg:D11952
Synonyms:axatilimab-csfr
C:6568
H:10092
N:1696
O:2052
S:48

Axatilimab, sold under the brand name Niktimvo, is a monoclonal antibody used for the treatment of chronic graft-versus-host disease. It is a blocker of the colony stimulating factor-1 receptor. It is given by injection into a vein.

Axatilimab was approved for medical use in the United States in August 2024.[2]

Medical use

Axatilimab is indicated for the treatment of chronic graft-versus-host disease after failure of at least two prior lines of systemic therapy in people weighing at least 40kg (90lb).

Adverse effects

The most common adverse reactions include increased aspartate aminotransferase (AST), infection (pathogen unspecified), increased alanine aminotransferase (ALT), decreased phosphate, decreased hemoglobin, viral infection, increased gamma glutamyl transferase (GGT), musculoskeletal pain, increased lipase, fatigue, increased amylase, increased calcium, increased creatine phosphokinase (CPK), increased alkaline phosphatase (ALP), nausea, headache, diarrhea, cough, bacterial infection, pyrexia, and dyspnea.

History

Efficacy was evaluated in AGAVE-201 (NCT04710576), a randomized, open-label, multicenter trial investigating three dosages of axatilimab in people with recurrent or refractory chronic graft-versus-host disease who had received at least two lines of systemic therapy and required additional treatment.

Axatilimab-csfr was granted orphan drug and fast track designations for the treatment of chronic graft-versus-host disease.

Society and culture

Legal status

Axatilimab was approved for medical use in the United States in August 2024.[3]

Names

Axatilimab is the international nonproprietary name.[4]

Notes and References

  1. Web site: Niktimvo- axatilimab-csfr injection . DailyMed . 16 August 2024 . 5 September 2024.
  2. Web site: FDA approves axatilimab-csfr for chronic graft-versus-host disease . U.S. Food and Drug Administration . 14 August 2024 . 15 August 2024 . 15 August 2024 . https://web.archive.org/web/20240815065459/https://www.fda.gov/drugs/resources-information-approved-drugs/fda-approves-axatilimab-csfr-chronic-graft-versus-host-disease . live .
  3. Web site: Novel Drug Approvals for 2024 . U.S. Food and Drug Administration (FDA) . 1 October 2024 . 29 November 2024.
  4. ((World Health Organization)) . 2020 . International nonproprietary names for pharmaceutical substances (INN): recommended INN: list 83 . WHO Drug Information . 34 . 1 . 10665/339768 . free . World Health Organization .