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Ofatumumab

Generic Name
Ofatumumab
Brand Names
Arzerra, Kesimpta
Drug Type
Biotech
CAS Number
679818-59-8
Unique Ingredient Identifier
M95KG522R0

Overview

Ofatumumab is a novel anti-CD20 monoclonal antibody that targets B-cells. It is an IgG1κ human monoclonal antibody produced from a recombinant murine cell line (NS0) via transgenic mouse and hybridoma technology. Ofatumumab works by recognizing antigens that are expressed on the tumour cells in certain cancers; however, the antigen is not tumour-specific and can also be found in normal B-cells. Ofatumumab was first approved by the FDA in 2009. It is used in the treatment of recurrent, progressive, or recurrent chronic lymphocytic leukemia (CLL) or CLL in treatment-naive patients in whom fludarabine-based therapy is considered inappropriate. Ofatumumab is used as monotherapy or in combination with other medications, depending on the patient profile and previous treatment history. Although it has a similar molecular mechanism of action as rituximab, another CD-20 monoclonal antibody used in the treatment of rheumatoid arthritis and B-cell non-Hodgkin's lymphoma, ofatumumab has a higher affinity towards CD20. Ofatumumab is available for intravenous administration and is marketed as Arzerra. In Phase III clinical trials consisting of subjects with relapsing forms of multiple sclerosis (RMS), subcutaneous administration of ofatumumab reduced the number of relapses and delayed disease progression. In February 2020, FDA and EMA approved Supplemental Biologics License Application (sBLA) and Marketing Authorization Application (MAA), respectively, for ofatumumab for the treatment of RMS in adults. The FDA subsequently approved ofatumumab for the treatment of RMS on August 20, 2020. The potential therapeutic use of ofatumumab in various lymphomas and rheumatoid arthritis has also been investigated.

Background

Ofatumumab is a novel anti-CD20 monoclonal antibody that targets B-cells. It is an IgG1κ human monoclonal antibody produced from a recombinant murine cell line (NS0) via transgenic mouse and hybridoma technology. Ofatumumab works by recognizing antigens that are expressed on the tumour cells in certain cancers; however, the antigen is not tumour-specific and can also be found in normal B-cells. Ofatumumab was first approved by the FDA in 2009. It is used in the treatment of recurrent, progressive, or recurrent chronic lymphocytic leukemia (CLL) or CLL in treatment-naive patients in whom fludarabine-based therapy is considered inappropriate. Ofatumumab is used as monotherapy or in combination with other medications, depending on the patient profile and previous treatment history. Although it has a similar molecular mechanism of action as rituximab, another CD-20 monoclonal antibody used in the treatment of rheumatoid arthritis and B-cell non-Hodgkin's lymphoma, ofatumumab has a higher affinity towards CD20. Ofatumumab is available for intravenous administration and is marketed as Arzerra. In Phase III clinical trials consisting of subjects with relapsing forms of multiple sclerosis (RMS), subcutaneous administration of ofatumumab reduced the number of relapses and delayed disease progression. In February 2020, FDA and EMA approved Supplemental Biologics License Application (sBLA) and Marketing Authorization Application (MAA), respectively, for ofatumumab for the treatment of RMS in adults. The FDA subsequently approved ofatumumab for the treatment of RMS on August 20, 2020. The potential therapeutic use of ofatumumab in various lymphomas and rheumatoid arthritis has also been investigated.

Indication

Ofatumumab is indicated, in combination with chlorambucil, for the treatment of previously untreated patients with chronic lymphocytic leukemia (CLL) for whom fludarabine-based therapy is considered inappropriate. In patients with recurrent or progressive CLL, ofatumumab is indicated for extended treatment of patients who are in complete or partial response after at least two lines of therapy for recurrent or progressive CLL. Ofatumumab is indicated for the treatment of patients with CLL refractory to fludarabine and alemtuzumab. Ofatumumab is also indicated for the treatment of adult patients with relapsing forms of multiple sclerosis, including active secondary progressive disease, clinically isolated syndrome, and relapsing-remitting disease.

Associated Conditions

  • Chronic Lymphocytic Leukemia
  • Chronic Lymphocytic Leukemia (CLL) - Refractory
  • Clinically Isolated Syndrome (CIS)
  • Relapsing Multiple Sclerosis (RMS)
  • Relapsing Remitting Multiple Sclerosis (RRMS)
  • Active Secondary Progressive Multiple Sclerosis (SPMS)
  • Progressive Chronic Lymphocytic Leukaemia (CLL)
  • Recurrent Chronic Lymphocytic Leukaemia (CLL)

FDA Approved Products

ARZERRA
Manufacturer:Novartis Pharmaceuticals Corporation
Route:INTRAVENOUS
Strength:20 mg in 1 mL
Approved: 2016/01/19
NDC:0078-0669
ARZERRA
Manufacturer:Novartis Pharmaceuticals Corporation
Route:INTRAVENOUS
Strength:20 mg in 1 mL
Approved: 2016/01/19
NDC:0078-0690
KESIMPTA
Manufacturer:Novartis Pharmaceuticals Corporation
Route:SUBCUTANEOUS
Strength:20 mg in 0.4 mL
Approved: 2020/08/20
NDC:0078-1007

Singapore Approved Products

KESIMPTA SOLUTION FOR INJECTION IN PRE-FILLED PEN 20MG/0.4ML
Manufacturer:Novartis Pharma Stein AG
Form:INJECTION, SOLUTION
Strength:20mg/0.4ml
Online:Yes
Approved: 2021/02/05
Approval:SIN16101P
KESIMPTA SOLUTION FOR INJECTION IN PRE-FILLED SYRINGE 20MG/0.4ML
Manufacturer:Novartis Pharma Stein AG
Form:INJECTION, SOLUTION
Strength:20mg/0.4ml
Online:Yes
Approved: 2021/02/05
Approval:SIN16100P

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