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Safety


Not an actual patient. Individual results will vary. 

Safety profile of ILARIS from FMF, HIDS/MKD, and TRAPS clinical trials

Most Common Adverse Drug Reactions (≥3%) in Patients Treated With ILARIS1
Injection site reaction
 
10.1%
 
Infections, including nasopharyngitis10.7%
Upper respiratory tract infection7.1%
Rhinitis5.3%
Gastroenteritis3.0%
Pharyngitis3.0%
  • The most common adverse reactions (≥10%) were injection site reactions and nasopharyngitis1
  • Serious infections (eg, conjunctivitis, pneumonia, pharyngitis, pharyngotonsillitis) were observed in approximately 2.4% (0.03 per 100 patient-days) of patients receiving ILARIS1
     

No new or unexpected safety findings of ILARIS emerged in the PFS clinical trial1,2

Among all 3 patient cohorts in the ILARIS group:

  • No deaths were reported
  • No anti-canakinumab antibodies were detected in any patient
  • Few patients discontinued treatment due to AEs:
    • FMF: 0 patients
    • HIDS/MKD: 2 patients 
    • TRAPS: 1 patient

FMF, HIDS/MKD, and TRAPS Safety Population1

In Part 2, 90 patients were initially randomized to ILARIS 150 mg and 91 patients were randomized to placebo every 4 weeks1:

  • ILARIS group: 55.6% of patients remained on the initial dose through Week 16, with 6.7% receiving an additional ILARIS dose between Day 7 and Day 15 
  • Placebo group: 9.9% of patients remained on placebo through Week 16, with 28.6% switching to ILARIS treatment by Day 15 

Overall, there were 58 patients with FMF, 68 patients with HIDS/MKD, and 43 patients with TRAPS in the safety set with a cumulative exposure of 47.61 patient-years. The cumulative exposure in the placebo group was 8.03 patient-years.1
 

Safety profile of ILARIS from CAPS clinical trials

Most Common Adverse Drug Reactions (≥10%) in Patients Treated With ILARIS1
Preferred term ILARIS (N=35), n (%)
Number of patients with AEs

35 (100)

 

Nasopharyngitis12 (34)
Diarrhea7 (20)
Influenza6 (17)
Rhinitis6 (17)
Nausea5 (14)
Headache5 (14)
Bronchitis4 (11)
Gastroenteritis4 (11)
Pharyngitis4 (11)
Weight increased4 (11)
Musculoskeletal pain4 (11)
Vertigo4 (11)

A total of 9 serious adverse reactions were reported with ILARIS in CAPS clinical trials, including infections and vertigo1* 

  • 1 patient discontinued treatment due to potential infection 

9% of patients experienced injection site reactions in Part 11

  • Injection site reactions occurred in 1 patient in each arm (7%) of Part 2 and in 1 patient in Part 3 
  • No severe injection site reactions were reported 

Infections, predominantly of the upper respiratory tract, in some instances serious, were reported with ILARIS1

  • Generally, the observed infections responded to standard therapy 
  • Isolated cases of unusual or opportunistic infections (eg, aspergillosis, atypical mycobacterial infections, cytomegalovirus, herpes zoster) were reported during ILARIS treatment. A causal relationship of ILARIS to these events cannot be excluded 
     
AE, adverse event; CAPS, cryopyrin-associated periodic syndromes; FMF, familial Mediterranean fever; HIDS, hyperimmunoglobulin D syndrome; MKD, mevalonate kinase deficiency; PFS, periodic fever syndromes; TRAPS, tumor necrosis factor receptor–associated periodic syndrome.

References: 1. Ilaris. Prescribing information. Novartis Pharmaceuticals Corp. 2. Data on file. CACZ885N2301 FMF, HIDS/MKD, and TRAPS Clinical Study Report. 
Novartis Pharmaceuticals Corp; 2016.