Vabysmo (faricimab-svoa)
Ophthalmic - Macular Degeneration Agents Intraocular Syringe (Ml); Intraocular Vial (Ml)
Last reviewed · Source: First Databank (FDB) drug data
Overview
Faricimab-svoa is a humanized bispecific IgG1 antibody that binds to and inhibits vascular endothelial growth factor (VEGF) and angiopoietin-2 (Ang-2).
Faricimab-svoa is a humanized bispecific immunoglobulin G1 (IgG1) antibody that binds to both vascular endothelial growth factor A (VEGF-A) and angiopoietin-2 (Ang-2). Inhibition of VEGF-A suppresses endothelial cell proliferation, neovascularization, and vascular permeability. Inhibition of Ang-2 is thought to promote vascular stability and desensitize blood vessels to VEGF-A effects.
The extent to which Ang-2 inhibition contributes to treatment efficacy and clinical response has not yet been established, but levels of Ang-2 are increased in some patients with neovascular age-related macular degeneration, diabetic macular edema, and retinal vein occlusion.
Following intravitreal administration of faricimab-svoa, peak plasma concentrations are achieved after approximately 2 days. No accumulation of faricimab-svoa is expected in the vitreous, and no accumulation has been observed in plasma following repeat intravitreal injections. The metabolism and elimination of faricimab have not been fully characterized; however, it is thought that faricimab is catabolized in lysosomes to small peptides and amino acids, which may then undergo renal excretion.
The mean elimination half-life of faricimab-svoa is 7.5 days. Systemic exposure of faricimab-svoa is not affected by increased age, gender, race, or mild to severe renal impairment (creatinine clearance 15--89 mL/minute/1.73 m2 based on Cockcroft Gault equation).
USES: Faricimab is used to treat certain serious eye conditions (such as wet age-related macular degeneration, macular edema). It is used to help prevent decreased vision and blindness. Faricimab works by slowing the growth of abnormal new blood vessels in the eye and decreasing leakage from these blood vessels.
Generic name: faricimab-svoa
Pronunciation: (far-IK-i-mab)
Drug class: Ophthalmic - Macular Degeneration Agents
Therapeutic class: Ophthalmic Agents
Reference product & biosimilars
No reference, biosimilar or interchangeable associated with this drug.
Today’s intelligence on Vabysmo
Indications
The following indications are listed for Vabysmo:
- Diabetic Macular Edema
- Macular Edema Following Retinal Vein Occlusion
- Neovascular Age-Related Macular Degeneration
Also known as: Armd With Choroidal Neovascularization, Retinal Vein Occlusion With Macular Edema, Senile Macular Degeneration With Subretinal Neovascularization, Senile Macular Retinal Degeneration.
Dosing
No dosing information is available for this tab.
Faricimab-svoa is administered by intravitreal injection. It is available as a 120 mg/mL, clear to opalescent, colorless to brownish-yellow solution in single-dose vials. It must be administered by a qualified physician. Each vial should be used for the treatment of a single eye only.
The intravitreal injection must be prepared using aseptic technique. Withdraw the solution from the vial using the sterile 5-micron blunt transfer filter needle provided by the manufacturer. Attach the filter needle to a 1 mL Luer lock syringe with a 0.05 mL dose mark, push the filter needle all the way into the vial, then tilt the vial so that the filter needle touches the bottom edge of the vial. Hold the vial slightly inclined and slowly withdraw all the liquid from the vial, avoiding introduction of air, by keeping the bevel of the needle submerged in the liquid. The filter needle is for single use only. Once the solution has been transferred from the vial to the syringe, disconnect and discard the filter needle; do not use the filter needle for administration of the intravitreal injection. Use a sterile 30-gauge, 0.5-inch needle to administer the intravitreal injection. Administer the injection immediately after preparation of the dose under aseptic conditions.
Each syringe should only be used for treatment of a single eye. If the contralateral eye also requires treatment, a new syringe should be used, and the sterile field and other necessary supplies should be changed before administration.
Store unopened vials in the refrigerator at 2--8degreesC; keep the vials in their original carton to protect the drug from light. Allow the vial to reach 20--25degreesC prior to administration; the unopened vial may be kept at 20--25degreesC for up to 24 hours prior to use.
No dosing information is available for this tab.
No dosing information is available for this tab.
Drug interactions
Formal drug interaction studies have not been conducted.
There are no contraindication interactions for this drug.
There are no severe interactions for this drug.
There are no moderate interactions for this drug.
Contraindications
*Ocular or periocular infection.
*Active intraocular inflammation.
*Hypersensitivity to faricimab or any excipients in the formulation.
- Ocular infection
- Ocular inflammation
- Ocular hypertension
- Pregnancy
- Retinal detachment
There are no moderate contraindications for this drug.
Adverse reactions
Adverse effects reported in >=5% of patients receiving faricimab-svoa included cataract (15%) and conjunctival hemorrhage (8%).
Less Frequent
- Acute arterial thromboembolism
- Retinal pigment epithelial detachment
- Vitreous hemorrhage
Rare or Very Rare
- Corneal abrasion
- Endophthalmitis
- Ocular hypertension
- Retinal detachment
- Retinal tear
- Retinal vascular occlusion
- Retinal vasculitis
- Thromboembolic disorder
More Frequent
- Cataracts
- Conjunctival hemorrhage
Less Frequent
- Ocular discomfort
- Ocular inflammation
- Ocular irritation
- Ocular pain
- Vitreous floater
Rare or Very Rare
- Blurred vision
- Conjunctival hyperemia
- Eye tearing
- Foreign body sensation of eye
- Ocular itching
- Ocular redness
- Reduced visual acuity
- Temporary visual acuity loss
Precautions
No enhanced messaging available.
Safety and effectiveness of faricimab-svoa have not been established in pediatric patients.
Based on the mechanism of action of faricimab-svoa as a VEGF inhibitor and angiopoetin-2 (Ang-2) inhibitor, there is a potential risk to female reproductive capacity and embryo-fetal development. Faricimab-svoa should not be used during pregnancy unless the potential benefit to the patient outweighs the risk to the fetus.
Increased rates of abortion were observed when faricimab-svoa was administered to pregnant monkeys during organogenesis at IV doses 158 times the human exposure at the maximum recommended human dose (MRHD).
It is not known if faricimab-svoa is present in human milk. The effects of faricimab-svoa on milk production and on the breast-fed child are not known. Consider the developmental and health benefits of breastfeeding in addition to the mother's clinical need for the drug and the potential for adverse effects on the breast-fed child.
The manufacturer states that no dosage adjustment is necessary for geriatric patients.
In clinical studies of faricimab-svoa, approximately 58% of patients randomized to faricimab-svoa were 65 years of age and older. No differences in safety or effectiveness were observed with increased age. No dosage adjustment is necessary for patients 65 years of age and older.
ICD codes
| Code | Type | Description |
|---|---|---|
| Diabetic macular edema | ||
| E08.311 | ICD10CM | Diabetes mellitus due to underlying condition with unspecified diabetic retinopathy with macular edema |
| E08.321 | ICD10CM | Diabetes mellitus due to underlying condition with mild nonproliferative diabetic retinopathy with macular edema |
| E08.3211 | ICD10CM | Diabetes mellitus due to underlying condition with mild nonproliferative diabetic retinopathy with macular edema, right eye |
| E08.3212 | ICD10CM | Diabetes mellitus due to underlying condition with mild nonproliferative diabetic retinopathy with macular edema, left eye |
| E08.3213 | ICD10CM | Diabetes mellitus due to underlying condition with mild nonproliferative diabetic retinopathy with macular edema, bilateral |
| E08.3219 | ICD10CM | Diabetes mellitus due to underlying condition with mild nonproliferative diabetic retinopathy with macular edema, unspecified eye |
| E08.331 | ICD10CM | Diabetes mellitus due to underlying condition with moderate nonproliferative diabetic retinopathy with macular edema |
| E08.3311 | ICD10CM | Diabetes mellitus due to underlying condition with moderate nonproliferative diabetic retinopathy with macular edema, right eye |
| E08.3312 | ICD10CM | Diabetes mellitus due to underlying condition with moderate nonproliferative diabetic retinopathy with macular edema, left eye |
| E08.3313 | ICD10CM | Diabetes mellitus due to underlying condition with moderate nonproliferative diabetic retinopathy with macular edema, bilateral |
| E08.3319 | ICD10CM | Diabetes mellitus due to underlying condition with moderate nonproliferative diabetic retinopathy with macular edema, unspecified eye |
| E08.341 | ICD10CM | Diabetes mellitus due to underlying condition with severe nonproliferative diabetic retinopathy with macular edema |
| E08.3411 | ICD10CM | Diabetes mellitus due to underlying condition with severe nonproliferative diabetic retinopathy with macular edema, right eye |
| E08.3412 | ICD10CM | Diabetes mellitus due to underlying condition with severe nonproliferative diabetic retinopathy with macular edema, left eye |
| E08.3413 | ICD10CM | Diabetes mellitus due to underlying condition with severe nonproliferative diabetic retinopathy with macular edema, bilateral |
| E08.3419 | ICD10CM | Diabetes mellitus due to underlying condition with severe nonproliferative diabetic retinopathy with macular edema, unspecified eye |
| E08.351 | ICD10CM | Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with macular edema |
| E08.3511 | ICD10CM | Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with macular edema, right eye |
| E08.3512 | ICD10CM | Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with macular edema, left eye |
| E08.3513 | ICD10CM | Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with macular edema, bilateral |
| E08.3519 | ICD10CM | Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with macular edema, unspecified eye |
| E09.311 | ICD10CM | Drug or chemical induced diabetes mellitus with unspecified diabetic retinopathy with macular edema |
| E09.321 | ICD10CM | Drug or chemical induced diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema |
| E09.3211 | ICD10CM | Drug or chemical induced diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, right eye |
| E09.3212 | ICD10CM | Drug or chemical induced diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, left eye |
| E09.3213 | ICD10CM | Drug or chemical induced diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, bilateral |
| E09.3219 | ICD10CM | Drug or chemical induced diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, unspecified eye |
| E09.331 | ICD10CM | Drug or chemical induced diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema |
| E09.3311 | ICD10CM | Drug or chemical induced diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, right eye |
| E09.3312 | ICD10CM | Drug or chemical induced diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, left eye |
| E09.3313 | ICD10CM | Drug or chemical induced diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, bilateral |
| E09.3319 | ICD10CM | Drug or chemical induced diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, unspecified eye |
| E09.341 | ICD10CM | Drug or chemical induced diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema |
| E09.3411 | ICD10CM | Drug or chemical induced diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, right eye |
| E09.3412 | ICD10CM | Drug or chemical induced diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, left eye |
| E09.3413 | ICD10CM | Drug or chemical induced diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, bilateral |
| E09.3419 | ICD10CM | Drug or chemical induced diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, unspecified eye |
| E09.351 | ICD10CM | Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with macular edema |
| E09.3511 | ICD10CM | Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with macular edema, right eye |
| E09.3512 | ICD10CM | Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with macular edema, left eye |
| E09.3513 | ICD10CM | Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with macular edema, bilateral |
| E09.3519 | ICD10CM | Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with macular edema, unspecified eye |
| E10.311 | ICD10CM | Type 1 diabetes mellitus with unspecified diabetic retinopathy with macular edema |
| E10.321 | ICD10CM | Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema |
| E10.3211 | ICD10CM | Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, right eye |
| E10.3212 | ICD10CM | Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, left eye |
| E10.3213 | ICD10CM | Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, bilateral |
| E10.3219 | ICD10CM | Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, unspecified eye |
| E10.331 | ICD10CM | Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema |
| E10.3311 | ICD10CM | Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, right eye |
| E10.3312 | ICD10CM | Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, left eye |
| E10.3313 | ICD10CM | Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, bilateral |
| E10.3319 | ICD10CM | Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, unspecified eye |
| E10.341 | ICD10CM | Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema |
| E10.3411 | ICD10CM | Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, right eye |
| E10.3412 | ICD10CM | Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, left eye |
| E10.3413 | ICD10CM | Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, bilateral |
| E10.3419 | ICD10CM | Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, unspecified eye |
| E10.351 | ICD10CM | Type 1 diabetes mellitus with proliferative diabetic retinopathy with macular edema |
| E10.3511 | ICD10CM | Type 1 diabetes mellitus with proliferative diabetic retinopathy with macular edema, right eye |
| E10.3512 | ICD10CM | Type 1 diabetes mellitus with proliferative diabetic retinopathy with macular edema, left eye |
| E10.3513 | ICD10CM | Type 1 diabetes mellitus with proliferative diabetic retinopathy with macular edema, bilateral |
| E10.3519 | ICD10CM | Type 1 diabetes mellitus with proliferative diabetic retinopathy with macular edema, unspecified eye |
| E11.311 | ICD10CM | Type 2 diabetes mellitus with unspecified diabetic retinopathy with macular edema |
| E11.321 | ICD10CM | Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema |
| E11.3211 | ICD10CM | Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, right eye |
| E11.3212 | ICD10CM | Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, left eye |
| E11.3213 | ICD10CM | Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, bilateral |
| E11.3219 | ICD10CM | Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, unspecified eye |
| E11.331 | ICD10CM | Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema |
| E11.3311 | ICD10CM | Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, right eye |
| E11.3312 | ICD10CM | Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, left eye |
| E11.3313 | ICD10CM | Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, bilateral |
| E11.3319 | ICD10CM | Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, unspecified eye |
| E11.341 | ICD10CM | Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema |
| E11.3411 | ICD10CM | Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, right eye |
| E11.3412 | ICD10CM | Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, left eye |
| E11.3413 | ICD10CM | Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, bilateral |
| E11.3419 | ICD10CM | Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, unspecified eye |
| E11.351 | ICD10CM | Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema |
| E11.3511 | ICD10CM | Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema, right eye |
| E11.3512 | ICD10CM | Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema, left eye |
| E11.3513 | ICD10CM | Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema, bilateral |
| E11.3519 | ICD10CM | Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema, unspecified eye |
| E13.311 | ICD10CM | Other specified diabetes mellitus with unspecified diabetic retinopathy with macular edema |
| E13.321 | ICD10CM | Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema |
| E13.3211 | ICD10CM | Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, right eye |
| E13.3212 | ICD10CM | Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, left eye |
| E13.3213 | ICD10CM | Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, bilateral |
| E13.3219 | ICD10CM | Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, unspecified eye |
| E13.331 | ICD10CM | Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema |
| E13.3311 | ICD10CM | Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, right eye |
| E13.3312 | ICD10CM | Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, left eye |
| E13.3313 | ICD10CM | Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, bilateral |
| E13.3319 | ICD10CM | Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, unspecified eye |
| E13.341 | ICD10CM | Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema |
| E13.3411 | ICD10CM | Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, right eye |
| E13.3412 | ICD10CM | Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, left eye |
| E13.3413 | ICD10CM | Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, bilateral |
| E13.3419 | ICD10CM | Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, unspecified eye |
| E13.351 | ICD10CM | Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema |
| E13.3511 | ICD10CM | Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema, right eye |
| E13.3512 | ICD10CM | Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema, left eye |
| E13.3513 | ICD10CM | Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema, bilateral |
| E13.3519 | ICD10CM | Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema, unspecified eye |
| Macular edema following retinal vein occlusion | ||
| H34.8110 | ICD10CM | Central retinal vein occlusion, right eye, with macular edema |
| H34.8120 | ICD10CM | Central retinal vein occlusion, left eye, with macular edema |
| H34.8130 | ICD10CM | Central retinal vein occlusion, bilateral, with macular edema |
| H34.8190 | ICD10CM | Central retinal vein occlusion, unspecified eye, with macular edema |
| H34.8310 | ICD10CM | Tributary (branch) retinal vein occlusion, right eye, with macular edema |
| H34.8320 | ICD10CM | Tributary (branch) retinal vein occlusion, left eye, with macular edema |
| H34.8330 | ICD10CM | Tributary (branch) retinal vein occlusion, bilateral, with macular edema |
| H34.8390 | ICD10CM | Tributary (branch) retinal vein occlusion, unspecified eye, with macular edema |
| Neovascular age-related macular degeneration | ||
| H35.32 | ICD10CM | Exudative age-related macular degeneration |
| H35.321 | ICD10CM | Exudative age-related macular degeneration, right eye |
| H35.3210 | ICD10CM | Exudative age-related macular degeneration, right eye, stage unspecified |
| H35.3211 | ICD10CM | Exudative age-related macular degeneration, right eye, with active choroidal neovascularization |
| H35.3212 | ICD10CM | Exudative age-related macular degeneration, right eye, with inactive choroidal neovascularization |
| H35.3213 | ICD10CM | Exudative age-related macular degeneration, right eye, with inactive scar |
| H35.322 | ICD10CM | Exudative age-related macular degeneration, left eye |
| H35.3220 | ICD10CM | Exudative age-related macular degeneration, left eye, stage unspecified |
| H35.3221 | ICD10CM | Exudative age-related macular degeneration, left eye, with active choroidal neovascularization |
| H35.3222 | ICD10CM | Exudative age-related macular degeneration, left eye, with inactive choroidal neovascularization |
| H35.3223 | ICD10CM | Exudative age-related macular degeneration, left eye, with inactive scar |
| H35.323 | ICD10CM | Exudative age-related macular degeneration, bilateral |
| H35.3230 | ICD10CM | Exudative age-related macular degeneration, bilateral, stage unspecified |
| H35.3231 | ICD10CM | Exudative age-related macular degeneration, bilateral, with active choroidal neovascularization |
| H35.3232 | ICD10CM | Exudative age-related macular degeneration, bilateral, with inactive choroidal neovascularization |
| H35.3233 | ICD10CM | Exudative age-related macular degeneration, bilateral, with inactive scar |
| H35.329 | ICD10CM | Exudative age-related macular degeneration, unspecified eye |
| H35.3290 | ICD10CM | Exudative age-related macular degeneration, unspecified eye, stage unspecified |
| H35.3291 | ICD10CM | Exudative age-related macular degeneration, unspecified eye, with active choroidal neovascularization |
| H35.3292 | ICD10CM | Exudative age-related macular degeneration, unspecified eye, with inactive choroidal neovascularization |
| H35.3293 | ICD10CM | Exudative age-related macular degeneration, unspecified eye, with inactive scar |
ICD code information from First Databank (FDB).
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Last reviewed · Source: First Databank (FDB) drug data
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