Overview
Inappropriate growth of or self-directed antibody production by B-cells is the etiological underpinning of a variety of conditions, including the multiple sclerosis-like neurological condition neuromyelitis optica spectrum disorder (NMOSD). Inebilizumab is a humanized afucosylated monoclonal IgG1 antibody directed against the broadly expressed B-cell surface antigen CD19. Inebilizumab is cytolytic, resulting in B-cell depletion and offering therapeutic benefit to patients suffering from NMOSD. Compared to the anti-CD20 antibody rituximab, which is also used to treat NMOSD, inebilizumab has broader specificity. Inebilizumab was granted FDA approval on June 11, 2020, for the treatment of anti-aquaporin 4 positive NMOSD patients. Given its mechanism of action and good safety profile, it may prove useful in the treatment of other conditions linked to autoimmune antibody production or B-cell malignancies.
Indication
Inebilizumab is indicated for the treatment of aquaporin-4 (AQP4) immunoglobulin-positive (AQP4-IgG) neuromyelitis optica spectrum disorder (NMOSD) in adult patients.
Associated Conditions
- Neuromyelitis Optica Spectrum Disorders
 
Research Report
Inebilizumab: A Comprehensive Monograph on a First-in-Class CD19-Directed Cytolytic Antibody
I. Inebilizumab: A Profile of a First-in-Class CD19-Directed Cytolytic Antibody
1.1. Nomenclature and Regulatory Identification
[Inebilizumab is a high-affinity, humanized monoclonal antibody that represents a significant advancement in the targeted therapy of specific B-cell-mediated autoimmune disorders. To ensure precise identification across clinical, research, and regulatory domains, the molecule is designated by several names and unique identifiers.]
[Its proprietary or brand name is UPLIZNA®.][1][ The United States Adopted Name (USAN) is formally designated as]
inebilizumab-cdon[.][4][ The four-letter, non-meaningful suffix "-cdon" is a convention established by the U.S. Food and Drug Administration (FDA) to distinguish the originator biologic from potential future biosimilars, a critical detail for ensuring accurate pharmacovigilance and attribution of clinical data. The International Nonproprietary Name (INN), recognized globally, is]
inebilizumab[.][5][ During its development, the compound was also known by the codes MEDI-551 and AMG 335.][4]
[For scientific and regulatory tracking, inebilizumab is assigned the following identifiers:]
- DrugBank ID:[ DB12530 ][1]
 - CAS (Chemical Abstracts Service) Number:[ 1299440-37-1 ][1]
 - Anatomical Therapeutic Chemical (ATC) Code:[ L04AG10, classifying it under the category of immunosuppressants and specifically as a monoclonal antibody.][1]
 - KEGG (Kyoto Encyclopedia of Genes and Genomes) ID:[ D11757.][1]
 
1.2. Molecular Architecture and Physicochemical Characteristics
[Inebilizumab is a biologic, or biotech, therapeutic, specifically categorized as a protein-based therapy.][8][ The FDA considers it a]
first-in-class medication[ due to its novel mechanism of action in its approved indications.][1]
Clinical Trials
Title  | Posted  | Study ID  | Phase  | Status  | Sponsor  | 
|---|---|---|---|---|---|
2025/10/30  | Not Applicable  | Not yet recruiting  | |||
2025/06/08  | Phase 4  | Not yet recruiting  | |||
2025/05/23  | Phase 2  | Recruiting  | |||
2024/09/10  | N/A  | AVAILABLE  | |||
2024/08/26  | Phase 2  | Recruiting  | |||
2024/01/18  | Phase 4  | Not yet recruiting  | Hansoh BioMedical R&D Company  | ||
2023/12/22  | Phase 4  | Active, not recruiting  | |||
2023/10/05  | N/A  | Not yet recruiting  | Feng Jinzhou  | ||
2023/06/18  | N/A  | Recruiting  | |||
2023/06/06  | N/A  | Not yet recruiting  | 
FDA Drug Approvals
Approved Product  | Manufacturer  | NDC Code  | Route  | Strength  | Effective Date  | 
|---|---|---|---|---|---|
| Horizon Therapeutics USA, Inc. | 75987-150  | INTRAVENOUS  | 10 mg in 1 mL  | 7/27/2021 | |
| Viela Bio, Inc. | 72677-551  | INTRAVENOUS  | 10 mg in 1 mL  | 12/23/2020 | 
EMA Drug Approvals
Approved Product  | Authorization Holder  | Status  | Issued Date  | 
|---|---|---|---|
Authorised  | 4/25/2022 | 
HSA Drug Approvals
Approved Product  | Manufacturer  | Approval Number  | Dosage Form  | Strength  | Approval Date  | 
|---|---|---|---|---|---|
| No HSA approvals found for this drug. | |||||
NMPA Drug Approvals
Approved Product  | Company  | Approval Number  | Drug Type  | Dosage Form  | Approval Date  | 
|---|---|---|---|---|---|
| No NMPA approvals found for this drug. | |||||
PPB Drug Approvals
Approved Product  | Registration No.  | Company  | Licence No.  | Strength  | Registration Date  | 
|---|---|---|---|---|---|
| No PPB approvals found for this drug. | |||||
TGA Drug Approvals
Approved Product  | ARTG ID  | Sponsor  | Registration Type  | Status  | Registration Date  | 
|---|---|---|---|---|---|
| UPLIZNA inebilizumab 100 mg/10 mL concentrated injection vial | 446050  | Medicine  | A  | 3/12/2025 | 
Health Canada Drug Approvals
Approved Product  | Company  | DIN  | Dosage Form  | Strength  | Market Date  | 
|---|---|---|---|---|---|
| UPLIZNA | Amgen Canada Inc  | 02543931  | Solution - Intravenous  | 10 MG / ML  | 6/18/2024 | 
CIMA AEMPS Drug Approvals
Approved Product  | Company  | Registration Number  | Pharmaceutical Form  | Prescription Type  | Status  | 
|---|---|---|---|---|---|
| UPLIZNA 100 MG CONCENTRADO PARA SOLUCION PARA PERFUSION | 1211602001  | CONCENTRADO PARA SOLUCIÓN PARA PERFUSIÓN  | Uso Hospitalario  | Commercialized | 
Philippines FDA Drug Approvals
Approved Product  | Company  | License Number  | Dosage Form  | Strength  | Approval Date  | 
|---|---|---|---|---|---|
| No Philippines FDA approvals found for this drug. | |||||
Saudi SFDA Drug Approvals
Approved Product  | Company  | License Number  | Dosage Form  | Strength  | Approval Date  | 
|---|---|---|---|---|---|
| No Saudi SFDA approvals found for this drug. | |||||
Malaysia NPRA Drug Approvals
Approved Product  | Company  | Registration Number  | Dosage Form  | Strength  | Approval Date  | 
|---|---|---|---|---|---|
| No Malaysia NPRA approvals found for this drug. | |||||
UK EMC Drug Information
Medicine Name  | MA Holder  | MA Number  | Pharmaceutical Form  | Active Ingredient  | Authorization Date  | 
|---|---|---|---|---|---|
| No UK EMC drug information found for this drug. | |||||
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