Winrevair (Sotatercept-csrk) – Pulmonary Arterial Hypertension | HongKong DengYue Medicine

  • Generic Name/Brand Name: Sotatercept-csrk / Winrevair
  • Indications: Pulmonary Arterial Hypertension
  • Dosage Form: Injection
  • Specification: 45 mg/60 mg

Winrevair Application Scope

Winrevair™ (sotatercept-csrk) is the first FDA-approved activin signaling inhibitor for adults with pulmonary arterial hypertension (PAH), enhancing exercise capacity, improving WHO functional class, and reducing the risk of clinical worsening events.

winrevair

Characteristics

  • Ingredients:

    • Sotatercept-csrk

  • Properties: Sotatercept-csrk is a recombinant fusion protein that acts as an activin signaling inhibitor, targeting the TGF-β superfamily pathways.

  • Packaging Specification: Available in single-dose vials containing either 45 mg or 60 mg of lyophilized powder for subcutaneous injection.

  • Storage:

    • Store refrigerated at 2°C to 8°C (36°F to 46°F)

    • Do not freeze

    • Keep in original packaging to protect from light.

  • Expiry Date: ​Refer to the expiration date printed on the vial label and packaging

  • Executive Standard: ​Manufactured by FDA and EMA regulatory standards

  • Approval Number: FDA approval granted in March 2024.

  • Date of Revision: ​May 9, 2025.

  • Manufacturer: Merck Sharp & Dohme LLC (U.S.); Merck Sharp & Dohme B.V., Haarlem, The Netherlands (EU).

Guidelines for the Use of Winrevair

  • Dosage and Administration: Administered via subcutaneous injection every 3 weeks.

    • Starting dose: 0.3 mg/kg
    • Target dose: 0.7 mg/kg, adjusted based on hemoglobin and platelet levels.

 

  • Adverse Reactions: Common side effects (≥10%) include headache, nosebleeds, rash, telangiectasia, diarrhea, dizziness, and erythema.

  • Contraindications: No known contraindications.

  • Precautions:

    • Monitor for erythrocytosis; elevated hemoglobin levels may increase the risk of thromboembolic events.

    • Monitor for thrombocytopenia; decreased platelet counts may increase bleeding risk.

    • Advise patients on the potential risk of serious bleeding, especially if on prostacyclin therapy or antithrombotic agents.

    • Potential embryo-fetal toxicity; advise effective contraception during treatment and for 4 months after the final dose.

Interactions

  • Drug Interactions: Moderate interactions observed with efgartigimod alfa and rozanolixizumab.

Note:

  • If there is a new packaging for the drug, the new packaging shall prevail. The above information is sourced from DengYue Medicine.
  • It is only for internal discussion among medical staff and does not serve as a basis for medication. For specific medication guidelines, please consult the attending physician.
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