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Taltz ® (ixekizumab)
Taltz® (ixekizumab): Premedication Use Prior to Injection
The decision whether to premedicate a patient should be made at the discretion of the prescribing physician.
According to the protocols for psoriasis and psoriatic arthritis, and axSpA (including AS/r-axSpA and nr-axSpA) trials, if a patient experienced an acute allergic/hypersensitivity reaction after injection of investigational product, consideration for any premedication for future injections was agreed upon between the investigator and sponsor and/or its designee.
Medications considered appropriate for premedication included but were not restricted to acetaminophen/paracetamol up to 1000 mg and antihistamines (for example, oral diphenhydramine 50 mg), given 30 to 60 minutes prior to investigational product injection.
Examples of potential allergic/hypersensitivity reactions that might merit premedication included
mild-to-moderate skin rashes
mild-to-moderate generalized pruritus or urticaria, and
Please note that ixekizumab is contraindicated in patients with serious hypersensitivity to the active substance or to any of the excipients.3
Premedication in Clinical Trials
Of patients experiencing an ISR during the induction period of UNCOVER-1, -2, and -3, one patient who received ixekizumab used premedication for ISR when taking future injections.2
No patients who received ixekizumab during the 24-week double-blind treatment periods of SPIRIT-P1 and SPIRIT-P2 used premedication for ISR with future injections.2
1. Gordon KB, Blauvelt A, Papp KA, et al. Phase 3 trials of ixekizumab in moderate-to-severe plaque psoriasis. N Engl J Med. 2016;375(4):345-356. http://dx.doi.org/10.1056/NEJMoa1512711
AS/r-axSpA = ankylosing spondylitis/radiographic axial spondyloarthritis
axSpA = axial spondyloarthritis
ISR = injection site reaction
nr-axSpA = nonradiographic axial spondyloarthritis
Date of Last Review: September 25, 2020