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Drug: Ustekinumab-auub
Brand: Wezlana 45mg/0.5mL
Manufacturer /
TM Owner
Amgen
Origin: USA

Wezlana 45mg/0.5mL Injection

Wezlana is a prescription monoclonal antibody based on Ustekinumab-auub. It binds precisely to a disease-driving target, blocking harmful signalling or flagging abnormal cells for immune destruction. It is used in the treatment of autoimmune and inflammatory diseases. It is supplied as an injection (45mg/0.5mL). It offers patients a well-established, evidence-based option prescribed and monitored by specialists.
Strength: 45mg/0.5mL
Pack Size: 1s
Storage: 2°C to 8°C
Form: Injection

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Indications & Clinical Uses

  • Wezlana 45 mg/0.5 mL (ustekinumab-auub) is a biosimilar to Stelara and a human interleukin-12 and -23 antagonist given by injection under the skin from a prefilled syringe or vial; the 130 mg/26 mL vial is given by intravenous infusion, and a 90 mg/mL syringe also exists.
  • In the US it is approved for moderate-to-severe plaque psoriasis and active psoriatic arthritis in adults and children aged 6 years and over, and for moderately to severely active Crohn's disease and ulcerative colitis in adults only.
  • In plaque psoriasis, adults weighing 100 kg or less receive 45 mg at start, 4 weeks later, then every 12 weeks; above 100 kg the dose is 90 mg on the same schedule.
  • Marketed as Wezenla in the EU.
  • Do not mix up the 45 mg, 90 mg and 130 mg presentations.

Side Effects

  • The most common side effects in psoriasis and psoriatic arthritis (3% or more) are nasopharyngitis, upper respiratory infection, headache and tiredness.
  • In Crohn's disease maintenance they include nasopharyngitis, injection-site redness, vulvovaginal yeast infection, bronchitis, itching, urinary tract infection and sinusitis; in ulcerative colitis, nasopharyngitis, headache, abdominal pain, influenza, fever, diarrhoea, sinusitis, tiredness and nausea.
  • Serious effects include serious infections, tuberculosis, malignancies, severe hypersensitivity reactions, posterior reversible encephalopathy syndrome (PRES) and noninfectious pneumonia.
  • The US label has no boxed warning.
  • Report fever, cough, headache with vision changes or confusion, or any allergic reaction straight away.

Precautions & Warnings

  • Do not start Wezlana during a clinically important active infection, and have tuberculosis evaluation, with latent TB treated first.
  • Ustekinumab products may increase malignancy risk.
  • If a severe hypersensitivity reaction occurs, stop Wezlana immediately.
  • Monitor for PRES and stop for confirmed noninfectious pneumonia.
  • The prefilled syringes are for subcutaneous use only and must never be used for the intravenous dose; the IV formulation is a separate 130 mg/26 mL vial.
  • Pregnancy data are limited and insufficient to inform a drug-associated risk; a registry of 107 pregnancies showed no ustekinumab-associated risk of major birth defects.
  • Keep refrigerated at 2°C to 8°C in the original carton and do not freeze.

Avoid Interactions

  • Medicines and treatments that increase risk: live vaccines should not be given during treatment, and BCG vaccine should not be given during treatment or for one year before or after it.
  • The label also discusses allergen immunotherapy, so mention it to your healthcare provider.
  • The label says ustekinumab may normalise CYP450 enzyme formation, so patients on CYP450 substrates with a narrow therapeutic index need monitoring.
  • Medicines that reduce efficacy: none identified.
  • Wezlana can be used together with methotrexate, corticosteroids or other immunomodulators.
  • Tell your healthcare provider about all medicines, vaccines and supplements you use, including any planned vaccination.

References

Frequently Asked Questions

Wezlana (ustekinumab-auub), a biosimilar to Stelara, treats moderate-to-severe plaque psoriasis and active psoriatic arthritis in adults and children aged 6 and over. It also treats moderately to severely active Crohn's disease and ulcerative colitis in adults only. In the EU it is sold as Wezenla.

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