This page contains brief details about the drug , it's indication, dosage & administaration, mechanism of action, related brands with strength, warnings and common side effects.
Background and Date of Approval
Faricimab was initially approved by the United States Food and Drug Administration (FDA) on January 28, 2022.
In the 2019 TENAYA/LUCERNE trials, faricimab and aflibercept showed similar vision improvement over 2 years. Most patients on faricimab could get treatments less often. Ocular side effects were similar for both treatments.
Mechanism of Action of undefined
Faricimab is a humanised bispecific antibody that works by inhibiting two pathways: VEGF-A and Ang-2. It binds to VEGF-A to suppress endothelial cell proliferation, neovascularisation, and vascular permeability. By targeting Ang-2, faricimab promotes vascular stability and reduces blood vessels' sensitivity to VEGF-A. Some patients with nAMD and DME have increased levels of Ang-2. However, the role of Ang-2 inhibition in the treatment effect and clinical response for nAMD and DME is still not fully established.
Uses of undefined
Faricimab treats several eye conditions. It reduces fluid buildup in the retina caused by Diabetic Macular Edema (DME), improving vision. It also treats Wet Age-Related Macular Degeneration (AMD) by stopping the growth of abnormal blood vessels in the eye, which can lead to vision loss in older adults. Faricimab reduces macular oedema in Retinal Vein Occlusion (RVO), helping restore vision. Additionally, it addresses vision problems caused by abnormal blood vessel growth in Myopic Choroidal Neovascularization (mCNV) due to severe nearsightedness.
undefined Drug administaration and Dosage available
For Neovascular (Wet) Age-Related Macular Degeneration (nAMD), administer 6 mg (0.05 mL of 120 mg/mL solution) by intravitreal injection every 4 weeks for the first 4 doses. Afterwards, assess optical coherence tomography (OCT) and visual acuity at weeks 8 and 12 to determine the dosing schedule. Adjust the regimen as needed, with possible intervals of weeks 28 and 44, weeks 24, 36, and 48, or weeks 20, 28, 36, and 44.
For Diabetic Macular Edema (DME), administer 6 mg every 4 weeks for at least 4 doses. If OCT shows resolution of oedema, adjust the dosing interval by up to 4 weeks or reduce it by up to 8 weeks. Please consult with a healthcare provider for personalised dosing adjustments.
Warnings, Precautions and Side Effects of undefined
Warnings
- Endophthalmitis and retinal detachments: Intravitreal injections of faricimab can cause serious eye infections or retinal detachment. Always use clean techniques when giving the injection. Instruct patients to report any symptoms of eye infection or retinal detachment immediately so you can provide quick treatment.
- Increase in intraocular pressure: The injection may cause a temporary rise in eye pressure. Regularly check the patient's eye pressure and manage it to protect the optic nerve.
- Thromboembolic events: VEGF inhibitors like faricimab can increase the risk of serious blood clots, which can lead to stroke, heart attack, or other vascular issues.
Precautions
After giving Faricimab, keep an eye on the patient's eye pressure and optic nerve health. Make sure to use sterile techniques during the injection to avoid infections or retinal problems. Even though blood clots were rare in studies, watch for signs of these events, especially during the first year of treatment.
Side Effects
Common side effects of Faricimab include:
- Conjunctival hemorrhage
- Vitreous floaters
- Retinal pigment epithelial tear
- Increased intraocular pressure
- Eye pain
- Intraocular inflammation
- Eye irritation
- Ocular discomfort
- Vitreous haemorrhage
Serious side effects of Faricimab are:
- Corneal abrasion
- Eye pruritus
- Increased lacrimation
- Ocular hyperemia
- Blurred vision
- Eye irritation
- Sensation of foreign body in the eye
- Endophthalmitis
- Transient reduction in visual acuity
- Retinal tear
- Rhegmatogenous retinal detachment
Word Of Advice
Your healthcare provider will guide you in using faricimab. They will decide the dosage and treatment schedule based on your condition and how you respond to the treatment. A trained professional will administer the injection in a healthcare setting to ensure safety and proper technique. Always consult your doctor before starting or adjusting your treatment and inform them of any changes in your health, especially during pregnancy, breastfeeding, or if you are of reproductive potential.
Frequently Asked Question
References
1. https://www.accessdata.fda.gov/drugsatfda_docs/label/2022/761235s000lbl.pdf
2. Shirley M. Faricimab: First Approval. https://pubmed.ncbi.nlm.nih.gov/35474059/
3. Nair AA, Finn AP, Sternberg P Jr. Spotlight on Faricimab in the Treatment of Wet Age-Related Macular Degeneration: Design, Development and Place in Therapy. https://pubmed.ncbi.nlm.nih.gov/36199631/
4. Liberski S, Wichrowska M, Kocięcki J. Aflibercept versus Faricimab in the Treatment of Neovascular Age-Related Macular Degeneration and Diabetic Macular Edema: A Review. https://pubmed.ncbi.nlm.nih.gov/36012690/
Disclaimer
The drug information on this page is not a substitute for medical advice. It is meant for educational purposes only. For further details, consult your doctor about your medical condition to know if you are eligible to receive this treatment.The drug information on this page is not a substitute for medical advice. It is meant for educational purposes only. For further details, consult your doctor about your medical condition to know if you are eligible to receive this treatment.