Vabysmo 120 mg/mL solution for injection – Summary of Product Characteristics (SmPC) – (emc)

Vabysmo is a groundbreaking treatment for ocular disorders, specifically designed to target vascular factors that lead to vision loss. Developed as a bispecific IgG1 antibody, its application is primarily in conditions such as neovascular age-related macular degeneration and diabetic macular edema. Understanding the characteristics and implications of Vabysmo is essential for both healthcare professionals and patients.

In this article, we delve into the summary of product characteristics for Vabysmo, exploring its indications, mechanisms, dosage, side effects, and how it compares to existing treatments.

What is Vabysmo 120 mg/mL solution for injection?

Vabysmo (faricimab) is an innovative therapeutic solution designed to treat ocular vascular disorders. It targets and inhibits both angiopoietin-2 (Ang-2) and vascular endothelial growth factor A (VEGF-A), crucial elements in maintaining vascular stability in the eye. These targets are particularly relevant in conditions like neovascular age-related macular degeneration (nAMD) and diabetic macular edema (DMO).

This medication is administered via injection and is intended for use by qualified healthcare professionals. Its unique dual-action mechanism allows for comprehensive treatment, addressing both vascular permeability and inflammation effectively.

What are the indications for Vabysmo?

Vabysmo is primarily indicated for the treatment of several serious ocular conditions, including:

  • Neovascular age-related macular degeneration (nAMD)
  • Diabetic macular edema (DMO)
  • Retinal vein occlusion (RVO)

These conditions can lead to significant vision impairment, making timely treatment critical. Clinical studies have shown that Vabysmo can lead to significant improvements in visual acuity and reduce central subfield thickness.

Additionally, it has been observed that Vabysmo may offer comparable efficacy to other established treatments, such as aflibercept, making it a viable option for various patients.

How does Vabysmo work?

The mechanism of action of Vabysmo is unique due to its bispecific nature. It simultaneously inhibits two pivotal pathways involved in ocular vascular regulation:

  • Inhibition of Angiopoietin-2 (Ang-2): Ang-2 plays a crucial role in vascular remodeling and permeability. By inhibiting Ang-2, Vabysmo stabilizes the endothelium and reduces leakage.
  • Inhibition of VEGF-A: VEGF-A is known for promoting angiogenesis and increasing vascular permeability. Vabysmo’s action against VEGF-A helps mitigate the effects of abnormal blood vessel growth in the retina.

This dual mechanism not only targets the symptoms of the conditions treated but also addresses the underlying causes, promoting better overall retinal health.

What are the side effects of Vabysmo?

As with any medication, Vabysmo comes with potential side effects. While many patients tolerate it well, some may experience:

  • Increased intraocular pressure
  • Eye pain or discomfort
  • Conjunctival hemorrhage

Serious side effects can include arterial thromboembolic events, which require careful monitoring throughout treatment. It is crucial for healthcare providers to assess patient history and monitor for any adverse reactions during follow-up visits.

Patients should report any unusual symptoms promptly to their healthcare providers to ensure safe management of any side effects.

What is the recommended dosage for Vabysmo?

The recommended dosage of Vabysmo is typically administered as follows:

  • Initial dose: 2.5 mL administered via intravitreal injection.
  • Subsequent doses: May vary based on patient response and ocular condition, typically ranging from 1.25 mL to 2.5 mL at specified intervals.

It is essential for healthcare providers to tailor the treatment regimen according to individual patient needs and responses to therapy, ensuring optimal outcomes.

What are the contraindications of Vabysmo?

Vabysmo is contraindicated in several scenarios, including:

  • Active ocular infections
  • Patients with a history of severe hypersensitivity reactions to any component of the formulation
  • Severe systemic diseases that might predispose to complications from intravitreal injections

Healthcare professionals must perform thorough assessments before administering Vabysmo to mitigate risks associated with these contraindications.

How does Vabysmo compare to Lucentis?

In clinical studies, Vabysmo has shown comparable efficacy to Lucentis (ranibizumab), another commonly used treatment for retinal disorders. Both medications aim to inhibit VEGF; however, Vabysmo’s dual inhibition of both VEGF-A and Ang-2 presents a potential advantage.

Recent findings suggest that Vabysmo may deliver improved outcomes in terms of central subfield thickness and visual acuity, making it a competitive alternative in the treatment landscape.

Healthcare providers may consider patient-specific factors, treatment history, and preferences when choosing between Vabysmo and Lucentis.

Questions related to Vabysmo usage

What is the composition of Vabysmo injection?

Vabysmo injection contains faricimab, a bispecific IgG1 antibody. The formulation is designed to address both angiopoietin-2 and VEGF-A pathways in ocular diseases. Each 1 mL of Vabysmo solution includes:

  • Faricimab: active ingredient
  • Inactive excipients: which aid in the stability and delivery of the medication

The precise formulation and its components are critical in ensuring the medication’s efficacy and safety profile.

How many injections are needed for faricimab?

The number of injections required for optimal treatment with Vabysmo varies based on the specific ocular condition and patient response. Initial treatment typically involves:

  • An initial dose followed by subsequent doses at intervals determined by the healthcare provider.
  • Some patients may require injections every 4 to 8 weeks, depending on their response to treatment and specific clinical guidelines.

Regular follow-ups and assessments are necessary to determine the appropriate treatment schedule for each patient.

What is Vabysmo in the UK?

In the UK, Vabysmo is recognized as a licensed treatment for certain ocular vascular disorders. Its approval is based on clinical evidence supporting its safety and efficacy. Patients in the UK can access Vabysmo through healthcare providers, who will assess its suitability based on individual health needs.

The National Health Service (NHS) guidelines provide a framework for its use, ensuring that patients receive appropriate and timely treatment based on the latest clinical data.

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