- Approval Id
- 8486e90c5a02158a
- Drug Name
- SIMPONI® I.V. CONCENTRATE FOR SOLUTION FOR INFUSION 12.5MG/1 ML
- Product Name
- SIMPONI® I.V. CONCENTRATE FOR SOLUTION FOR INFUSION 12.5MG/1 ML
- Approval Number
- SIN14734P
- Approval Date
- 2015-02-23
- Registrant
- JOHNSON & JOHNSON INTERNATIONAL (SINGAPORE) PTE LTD
- Licence Holder
- JOHNSON & JOHNSON INTERNATIONAL (SINGAPORE) PTE LTD
- Drug Type
- Therapeutic
- Forensic Classification
- PRESCRIPTION ONLY MEDICINES
- Dosage Form
- INFUSION, SOLUTION CONCENTRATE
- Dosage
- <p><strong>2 DOSAGE AND ADMINISTRATION</strong><br>
<strong>2.1 Dosage in Adults with Rheumatoid Arthritis, Psoriatic Arthritis, and Ankylosing Spondylitis</strong><br>
The SIMPONI® I.V. dosage regimen is 2 mg per kg given as an intravenous infusion over 30 minutes at weeks 0 and 4, and every 8 weeks thereafter. Follow the dilution and administration instructions for SIMPONI® I.V. [<em>see Dosage and Administration (2.4)</em>].</p>
<p>For patients with rheumatoid arthritis (RA), SIMPONI® I.V. should be given in combination with methotrexate.</p>
<p>The efficacy and safety of switching between intravenous and subcutaneous formulations and routes of administration have not been established.</p>
<p><strong>2.2 Dosage in Pediatric Patients with Polyarticular Juvenile Idiopathic Arthritis and Psoriatic Arthritis</strong></p>
<p>The SIMPONI® I.V. dosage regimen, based on body surface area (BSA), is 80 mg/m<sup>2</sup> given as an intravenous infusion over 30 minutes at weeks 0 and 4, and every 8 weeks thereafter. Follow the dilution and administration instructions for SIMPONI® I.V. <em>[see Dosage and Administration (2.4)].</em></p>
<p><strong>2.3 Evaluation for Tuberculosis and Hepatitis B Prior to Dosage</strong></p>
<p>Prior to initiating SIMPONI® I.V. and periodically during therapy, evaluate patients for active tuberculosis and test for latent infection <em>[see Warnings and Precautions (5.1)</em> – <em>please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information</em><em>]</em>. Prior to initiating SIMPONI® I.V., test patients for hepatitis B viral infection <em>[see Warnings and Precautions (5.1)</em> – <em>please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information</em><em>]</em>.</p>
<p><strong>2.4 Important Administration Instructions</strong></p>
<p>SIMPONI® I.V. solution for intravenous infusion should be diluted by a healthcare professional using aseptic technique as follows:</p>
<ol>
<li>Calculate the dosage and the number of SIMPONI® I.V. vials needed based on the recommended adult dosage of 2 mg/kg and the patient’s weight for RA, PsA and AS. Calculate the dosage and number of SIMPONI® I.V. vials needed based on the recommended pediatric dosage of 80 mg/m<sup>2</sup> and the patient’s body surface area (BSA), for pJIA and pediatric patients with PsA. Each 4 mL vial of SIMPONI® I.V. contains 50 mg of golimumab.</li>
<li>Check that the solution in each vial is colorless to light yellow. The solution may develop a few fine translucent particles, as golimumab is a protein. Do not use if opaque particles, discoloration, or other foreign particles are present.</li>
<li>Dilute the total volume of the SIMPONI® I.V. solution with 0.9% Sodium Chloride Injection, USP to a final volume of 100 mL. For example, this can be accomplished by withdrawing a volume of the 0.9% Sodium Chloride Injection, USP from the 100-mL infusion bag or bottle equal to the total volume of SIMPONI® I.V.. Slowly add the total volume of SIMPONI® I.V. solution to the 100-mL infusion bag or bottle. Gently mix. Discard any unused solution remaining in the vials. Alternatively, SIMPONI® I.V. can be diluted using the same method described above with 0.45% Sodium Chloride Injection, USP.</li>
<li>Prior to infusion, visually inspect the diluted SIMPONI® I.V. solution for particulate matter or discoloration. Do not use if these are present.</li>
<li>Use only an infusion set with an in-line, sterile, non-pyrogenic, low protein-binding filter (pore size 0.22 micrometer or less).</li>
<li>Do not infuse SIMPONI® I.V. concomitantly in the same intravenous line with other agents. No physical biochemical compatibility studies have been conducted to evaluate the use of SIMPONI® I.V. with other intravenous agents in the same intravenous line.</li>
<li>Infuse the diluted solution over 30 minutes.</li>
<li>Once diluted, the infusion solution can be stored for up to 4 hours at room temperature.</li>
</ol>
- Route Of Administration
- INTRAVENOUS
- Indication Info
- <p><strong>1 INDICATIONS AND USAGE</strong><br>
<strong>1.1 Rheumatoid arthritis (RA)</strong><br>
SIMPONI® I.V., in combination with methotrexate (MTX), is indicated for:</p>
<ul>
<li>Reducing signs and symptoms, inhibiting the progression of structural damage, improving physical function and improving health related quality of life in adult patients with moderate to severe active rheumatoid arthritis.</li>
</ul>
<p><strong>1.2 Psoriatic Arthritis (PsA)</strong></p>
<p>SIMPONI® I.V. is indicated for the treatment of active psoriatic arthritis when the response to previous disease-modifying anti-rheumatic drug therapy has been inadequate in patients 2 years of age and older.</p>
<p><strong>1.3 Ankylosing Spondylitis (AS)</strong></p>
<p>SIMPONI® I.V. is indicated for the treatment of adult patients with active ankylosing spondylitis who have had an inadequate response to conventional therapy.</p>
<p><strong>1.4 Polyarticular Juvenile Idiopathic Arthritis (pJIA)</strong></p>
<p>SIMPONI® I.V., in combination with methotrexate, is indicated for the treatment of active polyarticular juvenile idiopathic arthritis in patients 2 years of age and older who have responded inadequately to previous therapy with methotrexate.</p>
- Contraindications
- <p><strong>4 CONTRAINDICATIONS</strong><br>
Hypersensitivity to the active substance or to any of the excipients listed in section 17 – <em>please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information</em>.</p>
<p>Concurrent administration of SIMPONI® I.V. with abatacept or anakinra (see sections 5.6 and 5.7 – <em>please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information</em>).</p>
<p>Active tuberculosis or other severe infections such as sepsis, and opportunistic infections (see section 5.1 – <em>please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information</em>).</p>
<p>Moderate or severe heart failure (NYHA class III/IV) (see section 5.3 – <em>please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information</em>).</p>
- Atc Code
- L04AB06
- Atc Item Name
- golimumab
- Pharma Manufacturer Name
- JOHNSON & JOHNSON INTERNATIONAL (SINGAPORE) PTE. LTD.
- Company Detail Path
- /organization/johnson-and-johnson-international-singapore-pte-ltd