Tofidence (Tocilizumab) – Immunology | HongKong DengYue Medicine

  • Generic Name/Brand Name: ​Tocilizumab/Actemra® (and biosimilars: Avtozma, Tyenne, Tofidence)
  • Indications: Rheumatoid arthritis, Systemic juvenile idiopathic arthritis (sJIA), Cytokine release syndrome (CRS), Giant cell arteritis (GCA), COVID-19 pneumonia
  • Dosage Form: ​Injection
  • Specification: 400 mg/20 mL x 1 vial

Tofidence (Tocilizumab) Application Scope

An IL‑6 receptor antagonist for treating various autoimmune and inflammatory conditions, including arthritis types, vasculitis, lung disease, cytokine release syndrome, and severe COVID‑19.

tocilizumab injection
tocilizumab injection

Tocilizumab Characteristics

  • Ingredients:
    Tocilizumab, a humanized monoclonal antibody targeting soluble and membrane-bound IL‑6 receptors
  • Properties:
    Inhibits IL‑6 signaling to reduce inflammation and modulate immune response
  • Packaging Specification:
    IV vials or SC prefilled syringe/autoinjector; packaged in cartons with safety caps
  • Storage: Refrigerate at 2–8 °C; do not freeze; protect from light; IV diluted solution stable up to manufacturer guidelines
  • Expiry Date: As labeled on the container (typically up to 30 months when refrigerated)
  • Executive Standard: Meets FDA, EMA, ICH Q6B, European Pharmacopoeia standards for monoclonal antibodies
  • Approval Number: FDA-approved 2010; EMA and others per local regulatory filings
  • Date of Revision: /
  • Manufacturer: Tofidence

Guidelines for the Use of Tocilizumab

  • Dosage and Administration:

    • Recommended Dose: Varies by indication and route (IV or SC). For RA, typically 162 mg SC once weekly or IV infusion every 4 weeks.

    • Administration:
      Administer via intravenous infusion or subcutaneous injection, depending on formulation.

    • Missed Dose:
      If a dose is missed, administer as soon as possible. Resume schedule based on most recent dose timing.

  • Adverse Reactions:

    • Common Adverse Reactions: Upper respiratory tract infections, headache, hypertension, increased liver enzymes.

    • Serious Adverse Reactions: Serious infections, gastrointestinal perforation, anaphylaxis, demyelinating disorders, elevated liver enzymes.​

  • Contraindications:

    Patients with known hypersensitivity to Tocilizumab or any excipients.

  • Precautions:

    • Infections: Do not administer during active infection. Monitor closely for signs of infection.

    • Liver Function: Monitor ALT/AST levels regularly.

    • Neutrophil and Platelet Count: Monitor during treatment.

    • Live Vaccines: Avoid concurrent administration of live vaccines.

    • Pregnancy and Lactation: Use only if potential benefit justifies the risk. Inform healthcare provider if pregnant or breastfeeding.

Tocilizumab Interactions

May interact with CYP450 substrates due to IL-6 inhibition. Monitor drugs with narrow therapeutic index (e.g., warfarin, cyclosporine).

 

Note:

  • If there is a new packaging for the drug, the new packaging shall prevail. The above information is sourced from DengYue Medicine.
  •  This content is for reference only. Prescription drugs must be used under a doctor’s guidance and purchased from authorized sources.
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