Here you'll learn important information about FIRAZYR, the first prefilled, self-administered, subcutaneous injection to treat acute attacks of HAE in adults 18 years or older.1
Efficacy
FIRAZYR can be used to treat all types of acute HAE attacks: cutaneous, abdominal, and laryngeal.1
FIRAZYR was shown to be effective in reducing symptoms of an HAE attack
FIRAZYR can be used to treat all types of acute hereditary angioedema (HAE) attacks: cutaneous, abdominal, and laryngeal.1
In the pivotal trial (Trial 1):
The median time to 50% reduction in symptoms was 2.0 hours for those treated with FIRAZYR vs 19.8 hours for those given placebo (P<0.001)1
The median time to almost complete symptom relief was 8.0 hours vs 36.0 hours for FIRAZYR and placebo, respectively1
In a second placebo-controlled trial and an active-controlled trial, a total of 26 and 35 patients, respectively, received FIRAZYR for the treatment of an acute HAE attack1
Across the 3 controlled trials, median time to 50% reduction from baseline symptoms ranged from 2.0 to 2.3 hours in patients treated with FIRAZYR (N=223)1
9 of 10 attacks were treated with a single dose of FIRAZYR1
Trial 1 study design1
Trial 1 was a randomized, placebo-controlled, double-blind, parallel-group study of 98 adult patients with a median age of 36 years. Patients who had developed moderate
to severe cutaneous or abdominal or mild to moderate laryngeal attacks of HAE were randomized to receive either FIRAZYR 30 mg or
placebo by subcutaneous injection. Patients with severe laryngeal attacks of HAE received open-label FIRAZYR 30 mg. The primary endpoint was assessed using a 100 mm 3-item composite visual analog score (VAS), comprising averaged assessments of skin swelling, skin pain, and abdominal pain. Response was defined as at least a 50% reduction from the pretreatment composite
3-item VAS score.
Multiple Attacks & Laryngeal Attacks
FIRAZYR was shown to be effective in reducing symptoms of an HAE attack
Multiple hereditary angioedema (HAE) attacks
In all 3 controlled trials, patients were eligible for treatment of subsequent attacks in an open-label extension.1
A total of 225 patients were treated with 1,076 doses of 30 mg FIRAZYR for 987 attacks of acute HAE.1
In an assessment of the first 5 attacks treated with FIRAZYR (621 doses for a total of 582 attacks), patients experienced a similar median time to 50% reduction in symptoms.1
Laryngeal attacks
FIRAZYR is used to treat attacks of HAE in adults 18 years of age and older.1
A total of 60 patients with laryngeal attacks were treated with FIRAZYR in the controlled trials.1
Efficacy results were similar to those observed for nonlaryngeal (cutaneous and abdominal) sites of attack.1
Please note that given the potential for airway obstruction during acute laryngeal HAE attacks, patients should be advised to seek medical attention in an appropriate healthcare facility immediately, in addition to treatment with FIRAZYR.1
Firazyr Safety Profile
Indication
FIRAZYR is indicated for the treatment of acute attacks of hereditary angioedema (HAE) in adults 18 years of age and older.1
Warnings and precautions
Given the potential for airway obstruction during acute laryngeal HAE attacks, patients should be advised to seek medical attention in an appropriate healthcare facility immediately, in addition to treatment with FIRAZYR.1
Adverse reactions
The safety of FIRAZYR was evaluated in 3 controlled trials that included 223 patients who received FIRAZYR 30 mg (n=113), placebo (n=75) or comparator (n=38).1
The most commonly reported adverse reactions in patients treated with FIRAZYR were injection-site reactions, which occurred in almost all patients (97%) in clinical trials. These injection-site reactions included bruising, hematoma, burning, erythema, hypoesthesia, irritation, numbness, edema, pain, pressure sensation, pruritus, swelling, urticaria, and warmth. Other common adverse reactions included pyrexia (4%), transaminase increase (4%) and dizziness (3%), as well as rash, nausea, and headache.1
The data described below represent adverse reactions observed from the 2 placebo-controlled trials, consisting of 77 patients who received FIRAZYR at a dose of 30 mg SC, and 75 who received placebo.1
aEvents occurring within 14 days of study drug administration.
The third trial was active-controlled and comprised 35 patients who received FIRAZYR 30 mg and 38 patients who received the comparator. Adverse reactions for FIRAZYR were similar in nature and frequency to those reported above.1
Drug interactions
FIRAZYR is a bradykinin B2 receptor antagonist and thereby has the potential to have a pharmacodynamic interaction with ACE inhibitors where FIRAZYR may attenuate the antihypertensive effect of ACE inhibitors. Clinical trials to date have excluded subjects taking ACE inhibitors.1
Use in specific populations
There are no adequate and well-controlled studies of FIRAZYR in pregnant women. FIRAZYR should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus.1
Because many drugs are excreted in human milk, caution should be exercised when FIRAZYR is administered to a nursing woman.1
Clinical studies of FIRAZYR included a limited number of subjects aged 65 and over. Elderly patients are likely to have increased systemic exposure. Reported clinical experience has not identified differences in efficacy and safety between elderly and younger patients.1
Safety and effectiveness in patients below 18 years of age have not been established.1
Adverse reactions in self-administration study
The safety of self-administration was evaluated in a separate, open-label trial in 56 patients with HAE. In this trial, the safety profile of FIRAZYR in patients who self-administered FIRAZYR was similar in nature and frequency to that of patients whose therapy was administered by healthcare professionals.1
Immunogenicity
Across repeated treatment in the controlled trials, 4 patients tested positive for anti-icatibant antibodies. Three of these patients had subsequent tests, which were negative. No hypersensitivity or anaphylactic reactions were reported with FIRAZYR. No association between anti-icatibant antibodies and efficacy was observed.1
To report suspected adverse events, please contact Shire at 1-800-828-2088 or the FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.
Dosing & Administration
A portable, subcutaneous treatment that can be carried with patients every day
FIRAZYR (icatibant) is indicated for the treatment of acute attacks of hereditary angioedema (HAE) in adults 18 years of age and older.1
FIRAZYR is the first prefilled, self-administered, subcutaneous injection to treat acute HAE attacks, that is ready to use as soon as patients recognize the symptoms of an attack1
Requires no reconstitution/mixing, no dose calculation, no special handling, no dose titration, and no refrigeration1
FIRAZYR may be stored at room temperature. Store between 36°F and 77°F (2°C and 25°C).
FIRAZYR is administered over at least 30 seconds into the abdominal area.1
Patients may self-administer FIRAZYR upon recognition of symptoms of an HAE attack, after training by a healthcare professional.1
FIRAZYR is available as a 3-mL, prefilled, single-use syringe (30 mg).1
If response is inadequate or symptoms recur, additional doses may be administered at intervals of 6 hours or longer.1
No more than 3 doses may be used in a 24-hour period
FIRAZYR is available in a convenient pack containing 3 cartons1
Single cartons are also available
Downloadable Materials
Whether you are considering FIRAZYR for your patients or you are ready to get them started, you will find downloadable resources and forms below that may be helpful to you. FIRAZYR is indicated for the treatment of acute attacks of HAE in adults 18 years of age and older.1
When you prescribe FIRAZYR for your patients, Takeda Patient Support is here for them. Our support specialists provide several services, including:
Benefits investigation to help determine your patient’s insurance benefits and eligibility for certain services
Specialty pharmacy (or site of care) triage and coordination (if available)
Enrollment in the Takeda Patient Support Co-Pay Assistance Program, if they're eligible*
Arrange for Takeda product administration training (at home, if requested by your office) and education for your patient
Information about financial assistance options for your patient, if they‘re eligible*
*To be eligible, your patient must be enrolled in Takeda Patient Support and have commercial insurance. Other terms and conditions apply. Contact us for more details.
Need assistance?
Our support specialists are never more than a tap or a call away—1-866-888-0660, Monday through Friday, 8:30 AM to 8:00 PM ET.
Need to enroll your patient? Visit our convenient online enrollment portal at TakedaPatientSupport.com/HCP. You can also enroll your patient by faxing the completed Start Form.
If English is not your patient’s preferred language, we may be able to assist them in a language of their choosing.
The Takeda Patient Support Co-Pay Assistance Program may help your patients save on their prescribed Takeda treatment.*
The program can cover up to 100% of your patient’s out-of-pocket co-pay costs, if they’re eligible. To be eligible for this program, your patients must:
1. Be prescribed a Takeda treatment for a Food and Drug Administration (FDA) approved indication.
2. Have commercial insurance. This includes Health Insurance Marketplace plans.
Commercial insurance does not include Medicare, Medicaid, Veterans Affairs (VA), or other federal or state health plans
3. Be enrolled in Takeda Patient Support.
*IMPORTANT NOTICE: Takeda’s Co-pay Assistance Program ("the Program") provides financial support for commercially insured patients who qualify for the Program. Participation in the Program and
provision of financial support is subject to all Program terms and conditions, including but not limited to eligibility requirements, the Program maximum benefit per claim and the annual calendar year Program maximum (“Annual Program Maximum”). The Annual Program Maximum for your prescribed Takeda product can be found by visiting: www.takedapatientsupport.com/copay.
By enrolling in the Program, you agree that the Program is intended solely for the benefit of you—not health plans and/or their partners. Further, you agree to comply with all applicable requirements of your health plan. The Program cannot be used if the patient is a beneficiary of, or any part of the prescription is covered by: 1) any federal, state, or government-funded healthcare program (Medicare, Medicare Advantage, Medicaid, TRICARE, etc.), including a state pharmaceutical assistance program (the Federal Employees Health Benefit (FEHB) Program is not a government-funded healthcare program for the purpose of this offer), 2) the Medicare Prescription Drug Program (Part D), or if the patient is currently in the coverage gap, or 3) insurance that is paying the entire cost of the prescription. No claim for reimbursement of the out-of-pocket expense amount covered by the Program shall be submitted to any third-party payer, whether public or private.
Some health plans have established programs referred to as ‘co-pay maximizer’ programs. A co-pay maximizer program is one in which the amount of a patient’s out-of-pocket costs is adjusted to reflect the availability of support offered by a manufacturer’s co-pay assistance program. If you are enrolled in a co-pay maximizer program, your Annual Program Maximum may vary over time to ensure the program funds are used for your benefit (for the benefit of the patient). Takeda also reserves the right to reduce or eliminate the co-pay assistance available to patients enrolled in an insurance plan that utilizes a co-pay maximizer program.
If you learn your health plan has implemented a co-pay maximizer program, you agree to notify the Program immediately. It may be possible that you are unaware whether you are subject to a co-pay maximizer program when you enroll or re-enroll in the Program. Takeda will monitor program utilization data and reserves the right to discontinue assistance under the Program at any time if Takeda determines that you are subject to a co-pay maximizer, or similar program.
The Program only applies in the United States, including Puerto Rico and other U.S. territories, and does not apply where prohibited by law, taxed, or restricted. This does not constitute health insurance. Void where use is prohibited by your insurance provider. If your insurance situation changes you must notify the Program immediately. Coverage of certain administration charges will not apply for patients residing in states where it is prohibited by law.
This Program offer is not transferable and is limited to one offer per person and may not be combined with any other coupon, discount, prescription savings card, rebate, free trial, patient assistance, co-pay maximizer, alternative funding program, co-pay accumulator, or other offer, including those from third parties and companies that help insurers or health plan manage costs. Not valid if reproduced.
By utilizing the Program, you hereby accept and agree to abide by these terms and conditions. Any individual or entity who enrolls or assists in the enrollment of a patient in the Program represents that the patient meets the eligibility criteria and other requirements described herein. You must meet the Program eligibility requirements every time you use the Program. Takeda reserves the right to rescind, revoke, or amend the Program at any time without notice, and other terms and conditions may apply.
Are You a Healthcare Professional?
The information in this section of FIRAZYR.com is intended for US healthcare professionals only.