IXINITY- coagulation factor ix (recombinant)
Cangene BioPharma
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HIGHLIGHTS OF PRESCRIBING INFORMATIONThese highlights do not include all the information needed to use IXINITY safely and effectively. See full prescribing information for IXINITY.
Initial U.S. Approval: 2015 INDICATIONS AND USAGEIXINITY is a coagulation factor IX (recombinant) indicated in adults and children ≥ 12 years of age with hemophilia B for control and prevention of bleeding episodes, and for perioperative management (1) IXINITY is not indicated for induction of immune tolerance in patients with hemophilia B DOSAGE AND ADMINISTRATIONFor intravenous use after reconstitution only. One international unit (IU) of IXINITY per kg body weight increases the circulating activity of factor IX by 0.98 IU/dL (2.1) Initial dose (2.1) Required factor IX units (IU) = body weight (kg) x desired factor IX increase (% of normal or IU/dL) x reciprocal of observed recovery (IU/kg per IU/dL). Maintenance dose: Depends upon the type of bleed or surgery, clinical response, and the severity of the underlying factor IX deficiency (2.1) DOSAGE FORMS AND STRENGTHSIXINITY is available as a lyophilized white or almost white powder, in single-use glass vials containing nominally 500, 1000, or 1500 international units (IU) per vial (3). CONTRAINDICATIONSDo not use in patients with known hypersensitivity to IXINITY or its excipients, including hamster protein (4) WARNINGS AND PRECAUTIONS
ADVERSE REACTIONSThe most common adverse reaction observed in > 2% of patients in clinical trials was headache (6.1). To report SUSPECTED ADVERSE REACTIONS, contact Cangene Corporation at 1-800-768-2304 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch. USE IN SPECIFIC POPULATIONS
See 17 for PATIENT COUNSELING INFORMATION and FDA-approved patient labeling. Revised: 8/2015 |
IXINITY is a coagulation factor IX (recombinant) indicated in adults and children ≥ 12 years of age with hemophilia B for control and prevention of bleeding episodes, and for perioperative management.
IXINITY is not indicated for induction of immune tolerance in patients with hemophilia B
For intravenous use after reconstitution only.
Initial Dose
Calculate the initial dose of IXINITY based on the empirical finding that one international unit (IU) of IXINITY per kg body weight increases the circulating level of factor IX by 0.98 international units/dL (IU/dL) of plasma in adults and children ≥ 12 years of age.
Initial Dose = body weight (kg) x desired factor IX increase (% of normal or IU/dL)
x reciprocal of observed recovery (IU/kg per IU/dL)
Incremental Recovery in Previously Treated Patients (PTPs)
Base calculation of the dose on the patient’s individual incremental recovery using serial factor IX activity assays, to account for the wide range of inter-individual differences in incremental recovery and the type of aPTT reagent used for the assay. Titrate the dose based on the patient’s clinical response and individual pharmacokinetics, in particular incremental recovery and half-life.
For an incremental recovery of 0.98 IU/dL, the dose is calculated as follows:
Dose (IU) = body weight (kg) x desired factor IX increase (% of normal or IU/dL)
x 1.02 dL/kg
Examples (assuming patient’s baseline factor IX level is < 1% of normal):
Control and Prevention of Bleeding and Perioperative Management
Guides for dosing IXINITY in the control and prevention of bleeding episodes (Table 1) and perioperative management (Table 2) are provided in the tables below. Individual patients may vary in their response to factor IX, and may demonstrate different levels of in vivo recovery and different half-lives.
For surgical procedures, initiate treatment with IXINITY early enough pre-operatively to achieve and maintain the desired factor IX level before starting the procedure.
Adapted from Srivastava et al. 2013 (1). |
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Type of Bleeding Episode |
Desired Peak Factor IX Level (% of normal or IU/dL) |
Dosing Interval (hours) |
Duration of therapy (days) |
Minor Early bleeds: uncomplicated hemarthroses and superficial muscle (except iliopsoas) with no neurovascular compromise, other soft tissue |
30-60 |
24 |
1-3, until healing is achieved |
Moderate Hemarthrosis of longer duration, recurrent hemarthrosis, mucous membranes, deep lacerations, hematuria |
40-60 |
24 |
2-7, until healing is achieved |
Major or Life Threatening Iliopsoas, deep muscle with neurovascular injury, substantial blood loss, CNS, pharyngeal, retropharyngeal, retroperitoneal |
60-100 |
12-24 |
2-14, until healing is achieved |
Adapted from Srivastava et al. 2013 (1). |
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Type of Surgery |
Desired Peak Factor IX Level (% of normal or IU/dL) |
Dosing Interval (hours) |
Duration of Therapy (days) |
Minor (including uncomplicated dental extractions) |
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Pre-op |
50-80 | ||
Post-op |
30-80 |
24 |
1-5, depending on type of procedure |
Major |
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Pre-op |
60-80 | ||
Post-op |
40-60 30-50 20-40 |
8-24 |
1-3 4-6 7-14 |
The procedures below are provided as general recommendations for the preparation and reconstitution of IXINITY.
Before starting reconstitution and administration you will need the following items:
Always work on a clean surface and wash your hands before performing the following procedures: |
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POOLING INSTRUCTIONS
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For intravenous use after reconstitution only.
Dispose of any unused product or waste material in accordance with local requirements.
IXINITY is available as a lyophilized white or almost white powder, in single-use glass vials containing nominally 500, 1000, or 1500 IU per vial.
IXINITY is contraindicated in patients who have known hypersensitivity to IXINITY or its excipients, including hamster protein [see Warnings and Precautions (5.1)].
Hypersensitivity reactions, including anaphylaxis, may occur with IXINITY, and have been reported with factor IX containing products. Signs of allergic reactions, which can progress to anaphylaxis, may include angioedema, chest tightness, hypotension, lethargy, nausea, vomiting, paresthesia, restlessness, wheezing and dyspnea. Immediately discontinue administration and initiate appropriate treatment if allergic or anaphylactic-type reactions occur. In case of severe allergic reactions, consider alternative hemostatic measures.
There are literature reports of allergic reactions occurring in close temporal association with the development of factor IX inhibitors.
IXINITY contains trace amounts of Chinese hamster ovary (CHO) proteins. Patients treated with this product may develop hypersensitivity to CHO proteins.
If expected factor IX activity plasma levels are not attained, or if bleeding is not controlled as expected with the calculated dose, perform an assay that measures factor IX inhibitor concentration [see Warnings and Precautions (5)].
Patients with factor IX inhibitors are at an increased risk of severe hypersensitivity reactions or anaphylaxis if re-exposed to IXINITY.
Nephrotic syndrome may occur with IXINITY. Nephrotic syndrome has been reported following attempted immune tolerance induction in hemophilia B patients with factor IX inhibitors and a history of allergic reactions.
Thromboembolism may occur with using IXINITY (e.g., pulmonary embolism, venous thrombosis, and arterial thrombosis), and has been associated with the use of factor IX containing products. Because of the potential risk for thromboembolism with the use of factor IX products, monitor for early signs of thromboembolism and consumptive coagulopathy when administering IXINITY to patients with liver disease, fibrinolysis, peri-operative status, or risk for thromboembolic events or disseminated intravascular coagulation.
The most common adverse reaction (> 2%) reported in clinical trials was headache.
Because clinical trials are conducted under widely varying conditions, adverse reaction rates observed in the clinical trials of a drug cannot be directly compared to rates in the clinical trials of another drug and may not reflect the rates observed in clinical practice.
A total of 14 adverse reactions were reported following IXINITY administration among 6 of the 77 subjects who received at least one dose of IXINITY in trials of previously treated patients (PTPs), which included 11 subjects < 18 years of age. A total of 9641 infusions of IXINITY were administered to the 77 subjects. The adverse reactions that were assessed as probably or possibly related to study drug are provided in the table below.
MedDRA Standard System Organ Class | Adverse Reaction | Number of Events | Number of Patients (n = 77) (%) |
Congenital, familial and genetic disorders | Hemophilia (i.e. lack of efficacy) | 1 | 1 (1.3%) |
General disorders and administration site conditions |
Asthenia |
1 |
1 (1.3%) |
Injection site discomfort |
1 |
1 (1.3%) |
|
Infections and infestations |
Influenza |
1 |
1 (1.3%) |
Nervous system disorders |
Headache |
5 |
2 (2.6%) |
Dysgeusia |
1 |
1 (1.3%) |
|
Lethargy |
1 |
1 (1.3%) |
|
Psychiatric disorders |
Apathy |
1 |
1 (1.3%) |
Depression |
1 |
1 (1.3%) |
|
Skin and subcutaneous tissue disorders |
Rash pruritic |
1 |
1 (1.3%) |
All subjects participating in the clinical trial were monitored for inhibitory and non-inhibitory antibodies to factor IX and antibodies for CHO proteins at the following time points; pre-infusion, after the first 5 exposure days, and then every 3 months thereafter.
No subjects in IXINITY clinical trials developed inhibitors to factor IX, including 55 subjects with more than 50 exposure days and 45 of those subjects with more than 100 exposure days. Non-inhibitory factor IX binding antibodies were detected in 30% (23/77) of subjects, including 5 subjects positive at baseline. In three of the subjects, the non-inhibitory factor IX antibodies were persistent, while in the remainder the antibodies were sporadic and non-persistent. No clinical adverse findings related to non-inhibitory factor IX antibody formation were identified. Detection of non-inhibitory antibodies against factor IX has been reported following administration of other factor IX products. The clinical significance of this finding is unknown.
In IXINITY clinical trials, 29% (20/68) of subjects tested positive for antibodies against CHO cell proteins. No clinical adverse findings were associated with these antibodies. Reports have been published of sporadic detection of antibodies against CHO cell proteins in subjects treated with other recombinant coagulation factor products produced in CHO cells, as well as in non-hemophilic subjects (). The clinical significance of this is unknown. The manufacturing process for IXINITY was modified to include an additional step to ensure increased clearance of CHO proteins to address the anti-CHO protein response seen in clinical trials. The anti-CHO protein response status of the clinical trial subjects who transitioned to the modified product (n = 17) remained negative (n = 10), stable/nonspecific assay binding (n = 5), or declined (n = 2) after the transition to modified IXINITY for at least 3 months.
The detection of antibody formation is dependent on the sensitivity and specificity of the assay. Additionally, the observed incidence of antibody positivity in an assay may be influenced by several factors including assay methodology, sample handling, timing of sample collection and concomitant medications. For these reasons, comparisons of the incidence of antibodies to IXINITY with the incidence of antibodies to other products may be misleading.
Pregnancy Category C
Animal reproduction studies have not been conducted with IXINITY. It is also not known whether IXINITY can cause fetal harm when administered to a pregnant woman or can affect reproductive capacity. IXINITY should be given to a pregnant woman only if clearly needed.
It is not known whether IXINITY is excreted into human milk. Because many drugs are excreted into human milk, caution should be exercised when IXINITY is administered to a nursing woman.
The safety and effectiveness of IXINITY in pediatric patients below the age of 12 years have not been established.
Clinical studies of IXINITY did not include subjects aged 65 and over. It is not known whether elderly patients respond differently than younger patients. Individualize dose selection for elderly patients [see Dosage and Administration (2.1)].
IXINITY [coagulation factor IX (recombinant)] is a purified protein that has 415 amino acids. It has an amino acid sequence that is comparable to the Thr148 allelic form of plasma-derived factor IX. Coagulation factor IX (recombinant) is a single-chain glycoprotein with a molecular mass of about 55,000 Dalton that is secreted by a genetically engineered mammalian cell line derived from Chinese hamster ovary (CHO) cells. No human or animal proteins are added during any stage of manufacturing or formulation of IXINITY. The CHO cell line secretes recombinant factor IX into a defined cell culture medium that does not contain hormones. The recombinant factor IX is purified by a chromatography purification process. The process includes three validated steps for virus inactivation and removal, namely, solvent/detergent treatment, a chromatographic step, and nanofiltration. The process also includes a validated step to reduce the presence of CHO proteins in the final drug product.
IXINITY is formulated as a sterile, nonpyrogenic lyophilized powder to be reconstituted with Sterile Water for Injection for intravenous administration. It does not contain any preservatives and is available in single-use vials containing the labeled amount of factor IX activity, expressed in international units (IU). Each vial contains nominally 500, 1000, or 1500 IU of recombinant coagulation factor IX. After reconstitution of the lyophilized powder, all dosage strengths yield a clear, colorless solution. The concentrations of excipients are:
Excipient |
Concentration |
Histidine |
10 mM |
Mannitol |
3% |
Trehalose Dihydrate |
1% |
Sodium Chloride |
66 mM |
Polysorbate 80 |
0.0075% |
Hemophilia B is a sex-linked hereditary disorder of blood coagulation caused by a deficiency in factor IX and results in bleeding into joints, muscles or internal organs, either spontaneously or as a result of accidental or surgical trauma. Treatment with IXINITY replaces factor IX, thereby enabling a temporary correction of the factor deficiency and correction of the bleeding tendencies.
The administration of IXINITY increases plasma levels of factor IX and can temporarily correct the coagulation defect in these patients, as reflected by decrease in the aPTT.
Pharmacokinetic studies with IXINITY were conducted in 32 previously treated patients (PTPs) ≥ 12 years of age with severe to moderately severe hemophilia B (factor IX ≤ 2 IU/dL). Intravenous administration of 75 ± 5 IU/kg of IXINITY to 32 PTPs showed an initial recovery ranging from 51 to 113% (median 70%). The results of pharmacokinetic studies are summarized below in Table 4.
Parameters |
Mean (± SD)
|
AUC0–∞ (IU/dL/hr) |
1573 (± 451) (862-2643) |
Incremental Recovery (IU/dL per IU/kg) |
0.98 (± 0.21) (0.67-1.50) |
Terminal Half-life (hours) |
24 (± 7) (13-43) |
Cmax (IU/dL) |
73 (± 17) (51-113) |
Mean Residence Time (hours) |
32 (± 6) (19-47) |
VDss (mL/kg) |
175 (± 57) (102-314) |
Clearance [mL/(kg·hr)] |
5.1 (± 1.3) (2.8-7.7) |
Pharmacokinetic parameters were re-assessed in a subset of 14 subjects after routine treatment with IXINITY for a median of 5.8 months (range 3.1 to 18.6 months) as summarized in Table 5 below.
Parameters |
Initial
|
Repeat-Dosing PK
|
AUC0–∞ (IU/dL/hr) |
1438 (± 409) |
1530 (± 435) |
Incremental Recovery (IU/dL per IU/kg) |
0.96 (± 0.22) |
0.95 (± 0.18) |
Terminal Half-life (hours) |
24 (± 7) |
24 (± 6) |
Cmax (IU/dL) |
73 (± 16) |
73 (± 15) |
Mean Residence Time (hours) |
30 (± 6) |
31 (± 5) |
VDss (mL/kg) |
193 (± 62) |
185 (± 70) |
Clearance [mL/(kg·hr)] |
5.6 (± 1.3) |
5.3 (± 1.5) |
Repeat dosing did not impact the pharmacokinetics of IXINITY.
The PK data were divided into two subgroups of subjects with a BMI ≤ 30 (n = 26) or BMI > 30 (n = 6). The AUC(0-∞) and Cmax values of IXINITY were 40% and 34% higher, respectively, in subjects with BMI > 30.
No macroscopic or microscopic pathologies in reproductive organs were observed in repeated dose toxicity studies of IXINITY in animals. Animal studies regarding impairment of fertility were not conducted.
No nonclinical investigations of genotoxicity, carcinogenicity, or toxicity to reproduction and development have been conducted with IXINITY.
The efficacy of IXINITY was evaluated in a prospective, open-label, uncontrolled multicenter study in which a total of 77 subjects (76 male, 1 female carrier in surgery study) were exposed to IXINITY for treatment of hemophilia B or for perioperative management. All male subjects either had severe or moderately severe (factor IX level ≤ 2 IU/dL) hemophilia B, or had factor IX levels between 2-8 IU/dL and clinically severe hemophilia B with recurrent hemarthroses and required surgery (n = 3 in surgery study, 1 continued to treatment phase). Previously treated patients (PTPs) were defined as patients with a minimum of 150 exposures to another factor IX preparation. Of the 77 subjects, 68 PTPs between 7 and 64 years of age received IXINITY either as routine or on-demand treatment. Routine treatment was defined as PTPs who received a starting dose of 40-70 international units (IU) per kg twice weekly. Excluded from the study were patients with a history of a detectable factor IX inhibitor (≥ 0.6 BU), a history of hypersensitivity reactions following exposure to factor IX-containing products, a known allergic reaction to hamster proteins, evidence of severe liver impairment, evidence of impaired renal function, CD4 count < 400 cells/mm3, or any coagulation defect other than hemophilia B. In addition, there was a prospective, open-label, uncontrolled, multicenter substudy where 17 subjects (16 male, 1 female carrier) underwent surgeries (19 major procedures in males) receiving IXINITY for perioperative management; some of the surgery subjects also participated in the treatment trial.
Of the 68 PTPs in the treatment group, subjects were primarily prescribed a routine (n = 58) or an on-demand regimen (n = 9); one subject was not assigned a regimen. Subjects were allowed to switch regimens during the course of the study. As a result, 61 subjects were treated at some point with routine treatment and 12 were treated at some point with an on-demand regimen. Subjects in the routine therapy group received mean intravenous doses of 55 ± 12.8 IU/kg of IXINITY twice weekly. Subjects in the on-demand therapy group received mean doses of 60 ± 18.2 IU/kg (median 59.3, interquartile range 49.9, 71.8) for bleeding episodes. The mean number of exposure days (ED) was 138.2 (median 127.5), including 45 subjects with ≥ 100 ED and 55 subjects with ≥ 50 ED. Median duration on study for the on-demand group was 14.1 months (range 2.3-36.9).
Control and Prevention of Bleeding Episodes
A total of 508 bleeding episodes were treated with IXINITY, of which 286 bleeds were recorded for subjects treated with the routine treatment regimen and 222 with the on-demand regimen. Bleeding resolved in 360 episodes (70.9%) after a single infusion of IXINITY and in 66 (13.0%) episodes after two infusions. For 24 bleeding episodes (4.7%), five or more infusions were required; these 24 bleeding episodes were predominantly related to trauma, target joints, or muscle bleeds.
Hemostatic efficacy to resolve a bleed was rated by subjects as excellent or good in 84% of treated bleeding episodes. Excellent was defined as a dramatic response with abrupt pain relief and clear reduction in joint or hemorrhage site size, and good was defined as pain relief or reduction in hemorrhage size that may have required an additional infusion for resolution.
Perioperative Management
The efficacy analysis of IXINITY in perioperative management included 19 major surgeries performed in 16 male PTPs between 12 and 56 years of age (female carrier not included in efficacy analysis). Efficacy of IXINITY for support of major surgery was based on the surgeon’s assessment of efficacy including: a) at the time of surgery as estimation of blood loss as ‘less than expected’, ‘expected’, or ‘more than expected’; and b) at 12 and 24 hours post-surgical assessments of hemostasis as ‘adequate’, ‘better than adequate’, or ‘poorly controlled’. Transfusion requirements to support surgery were also monitored. There were no transfusions required during the procedures.
IXINITY was administered during major surgical procedures as bolus (n = 13) or continuous infusion (n = 6). IXINITY was rated as adequate or better in controlling hemostasis post-surgery as assessed by the surgeon when used in various procedures, including knee arthroplasty (n = 8), elbow arthroplasty (n = 2), knee amputation (n = 1), percutaneous Achilles tendon lengthening (n = 1), open inguinal hernia repair (n = 1), tibiotalar fusion (n = 1), arthroscopic synovectomy (n = 2), and debridement (ankle, knee) (n = 3). In all instances, blood loss at surgery was ‘expected’ or ‘less than expected’ as assessed by the surgeon.
Srivastava A, et al. World Federation of Hemophilia, Guidelines for the management of hemophilia. Haemophilia. 2013; 19:e1–e47.
Ingerslev J, Christiansen K, Ravn HB, et al. Antibodies to heterologous proteins in hemophilia A patients receiving recombinant factor VIII (Recombinate™). Thromb Haemost. 2002; 87:626–634.
IXINITY is supplied as a lyophilized powder in single-use glass vials containing the labeled amount of factor IX activity, expressed in international units (IU). The actual factor IX activity in IU is stated on the label of each vial.
Kits include one or two single-use vials (containing nominally 500, 1000, or 1500 IU per vial), a 10 mL syringe pre-filled with 5 mL of Sterile Water for Injection with plunger rod attached, vial adapter with filter, and a sterile 20 mL LUER-LOK Administration Syringe. All of the kit components are not made with natural rubber latex.
Color Code |
Nominal Strength |
Kit NDC Number |
Blue |
500 IU |
53270-0270-5 |
Green |
1000 IU |
53270-0271-5 |
Orange |
1500 IU |
53270-0272-5 |
Green |
Multi-kit (2 x 1000 IU) |
53270-0271-6 |
Orange |
Multi-kit (2 x 1500 IU) |
53270-0272-6 |
Store at 2 to 25°C (36 to 77°F).
Do not freeze.
Keep the vial in the carton and protect from light.
Infuse reconstituted solution immediately or within 3 hours of storage at room temperature after reconstitution. Do not refrigerate after reconstitution.
IXINITY® [coagulation factor IX (recombinant)]
This leaflet summarizes important information about IXINITY. Please read it carefully before using this medicine. This information does not take the place of talking with your healthcare provider, and it does not include all of the important information about IXINITY. If you have any questions after reading this, ask your healthcare provider.
What is IXINITY?
IXINITY is a medicine used to replace clotting factor (factor IX) that is missing in people with hemophilia B. Hemophilia B is also called congenital factor IX deficiency or Christmas disease. Hemophilia B is an inherited bleeding disorder that prevents clotting. Your healthcare provider may give you IXINITY when you have surgery.
Who should not use IXINITY?
You should not use IXINITY if you:
Tell your healthcare provider if you are pregnant or breastfeeding because IXINITY may not be right for you.
What should I tell my healthcare provider before using IXINITY?
You should tell your healthcare provider if you:
How should I infuse IXINITY?
IXINITY is given directly into the bloodstream. IXINITY should be administered as ordered by your healthcare provider. You should be trained on how to do infusions by your healthcare provider or hemophilia treatment center. Many people with hemophilia B learn to infuse their IXINITY by themselves or with the help of a family member.
See the step-by-step guide (Instructions for Use) provided at the end of this leaflet.
Your healthcare provider will tell you how much IXINITY to use based on your weight, the severity of you hemophilia B, and where you are bleeding. You may have to have blood tests done after getting IXINITY to be sure that your blood level of factor IX is high enough to stop the bleeding. Call you healthcare provider right away if your bleeding does not stop after taking IXINITY.
What are the possible side effects of IXINITY?
Allergic reactions may occur with IXINITY. Call your healthcare provider or get emergency treatment right away if you get any of the following symptoms: rash, hives, itching, tightness of the throat, chest pain or tightness, difficulty breathing, lightheadedness, dizziness, nausea, or fainting.
Tell your healthcare provider about any side effect that bothers you or does not go away.
The most common side effect of IXINITY in clinical trials was headache.
These are not all the side effects possible with IXINITY. You can ask your healthcare provider for information that is written for healthcare professionals.
Call your healthcare provider for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.
What are the IXINITY dosage strengths?
IXINITY comes in vials containing three different dosage strengths: 500, 1000, and 1500 international units (IU). The actual strength will be printed on the label of the vial and on the box. The three different strengths in the vials are color coded as follows:
Color Code |
Nominal Strength |
Blue |
500 IU |
Green |
1000 IU |
Orange |
1500 IU |
Green |
Multi-kit (2 x 1000 IU) |
Orange |
Multi-kit (2 x 1500 IU) |
Always check the actual dosage strength printed on the label to make sure you are using the strength prescribed by your healthcare provider.
How should I store IXINITY?
Store at 2 to 25°C (36 to 77°F). Do not freeze.
Do not use IXINITY after the expiration date printed on the label. Throw away any unused IXINITY and diluents after it reaches this date.
Reconstituted product (after mixing dry product with Sterile Water for Injection) must be used within 3 hours and cannot be stored or refrigerated. Discard any IXINITY left in the vial at the end of your infusion.
What else should I know about IXINITY?
Your body may form inhibitors to factor IX. An inhibitor is part of the body’s immune system. If you form inhibitors, it may stop IXINITY from working properly. Consult with your healthcare provider to make sure you are carefully monitored with blood tests to check for the development of inhibitors to factor IX. Consult your doctor promptly if bleeding is not controlled with IXINITY as expected.
Medicines are sometimes prescribed for purposes other than those listed here. Do not use IXINITY for a condition for which it is not prescribed. Do not share IXINITY with other people, even if they have the same symptoms as you.
Resources available to patients
For information on patient assistance programs that may be available to you, please call our IXINITY Patient Care Center at 1-855-IXINITY (1-855-494-6489).
IXINITY
[coagulation factor IX (recombinant)]
For intravenous use after reconstitution only
Do not attempt to do an infusion to yourself unless you have been taught how by your healthcare provider or hemophilia center.
Always follow the specific instructions given by your healthcare provider. The steps listed below are general guidelines for using IXINITY. If you are unsure of the procedures, please call your healthcare provider before using IXINITY. Your healthcare provider will prescribe the dose that you should take.
Before starting reconstitution and administration you will need the following items:
IXINITY is supplied in kits that include single-use vials which contain vials of IXINITY (500, 1000, or 1500 IU of powder), a 10 mL syringe pre-filled with 5 mL of Sterile Water for Injection with plunger rod attached (to be used for reconstitution only), a sterile vial adapter with filter and a sterile 20 mL LUER-LOK syringe (Administration Syringe).
RECONSTITUTION INSTRUCTIONS
Wash your hands and then clean a flat area before starting the steps for reconstituting IXINITY. Use an aseptic technique during reconstitution.
The reconstituted solution should be infused immediately or within 3 hours of storage at room temperature after reconstitution. NOTE: The luer tip of the syringe must not be touched by any objects or surfaces when disconnecting the syringe from the vial adapter, and when transferring the Administration Syringe to the infusion set.
If you are using more than one vial, stop here and proceed to the Pooling Instructions.
POOLING INSTRUCTIONS
POOLING is the process of combining two or more reconstituted vials into a larger Administration Syringe prior to intravenous administration.
If you are using more than three vials you may need a larger Administration Syringe (i.e. larger than 20 mL) which is not included.
Do not detach the large LUER-LOK Administration Syringe until you are ready to attach the next vial (with vial adapter attached).
Follow the instructions above for reconstitution of the second vial.
Repeat this POOLING procedure with each vial you will be using.
Once you have pooled the required dose, proceed to administration using the Administration Syringe.
ADMINISTRATION INSTRUCTIONS
For intravenous use after reconstitution only.
IXINITY is administered by intravenous (IV) infusion after reconstitution with diluent (Sterile Water for Injection) supplied in the Pre-filled Syringe.
IXINITY must not be mixed with other medicinal products for infusion.
Reconstituted IXINITY must be pulled into the Administration Syringe prior to infusion.
IXINITY is normally administered intravenously over about 5 minutes at a maximum infusion rate of 10 mL per minute. The infusion rate should be adapted to the comfort level of each patient.
Dispose of all unused solution, empty vials, and used needles and syringes in an appropriate container for throwing away medical waste as it may hurt others if not handled properly.
Contact your healthcare provider or local hemophilia treatment center if you experience any problems.
IXINITY® coagulation factor IX (recombinant) and any and all Emergent BioSolutions Inc. brand, product, service and feature names, logos, and slogans are trademarks or registered trademarks of Emergent BioSolutions Inc. or its subsidiaries in the United States or other countries. All rights reserved.
LUER-LOK™ is a trademark of Becton, Dickinson and Company. All other brand, product, service and feature names or trademarks are the property of their respective owners.
Manufactured by:
Cangene Corporation, a subsidiary of Emergent BioSolutions Inc.
155 Innovation Drive
Winnipeg, Manitoba, Canada R3T 5Y3
U.S. License No. 1201
Distributed by:
Cangene bioPharma, Inc., a subsidiary of Emergent BioSolutions Inc.
1111 South Paca St.
Baltimore, MD 21230-2526
IXINITY
coagulation factor ix (recombinant) kit |
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IXINITY
coagulation factor ix (recombinant) kit |
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IXINITY
coagulation factor ix (recombinant) kit |
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Labeler - Cangene BioPharma (050783398) |
Registrant - Cangene Corporation (244844056) |