Description
Benlysta (Belimumab) is a human monoclonal antibody used to treat active systemic lupus erythematosus (SLE) and lupus nephritis. Belimumab works by blocking the B-cell activating factor (BAFF) or B-lymphocyte stimulator (BLyS), which plays a role in the survival and function of B cells. By targeting this factor, Benlysta reduces the number of abnormal B cells, helping to alleviate the symptoms of SLE and improving overall health.
Fact Table
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Formula
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C6358H9904N1728O2010S44
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License
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US DailyMed, EU EMA
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Bioavailability
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74-82%
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Legal status
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Rx-Only
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Chemical Name
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Belimumab
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Elimination half-life
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1.8 days and 19.4 days
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Dosage (Strength)
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120mg/vial, 400mg/vial
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Pregnancy
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Consult a healthcare provider for advice - might affect the baby's immune system
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Brands
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Benlysta
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Protein binding
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Unknown
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PubChem CID
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Not Assigned
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MedlinePlus
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a611027
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ChEBI
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Not Assigned
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ATC code
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L04AA26
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DrugBank
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DB08879
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KEGG
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D03068
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Routes of administration
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Intravenous, subcutaneous
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Directions
Benlysta is administered intravenously (IV) or subcutaneously (SQ), and the standard Benlysta dosing may vary based on the condition being treated. For adults and children with SLE or lupus nephritis, the recommended IV dose is 10 mg/kg. The infusion is given every 2 weeks for the first three doses and then every 4 weeks thereafter.
Before using Benlysta, allow the vial to reach room temperature by leaving it out of the refrigerator for 10 to 15 minutes. The powder should then be reconstituted with Sterile Water for Injection, USP, to achieve a concentration of 80 mg/mL Belimumab.
Ingredients
The active ingredient in Benlysta is Belimumab, a protein designed to target specific cells of the immune system involved in the autoimmune response. The medication comes in the form of a sterile, preservative-free, lyophilized powder, which is reconstituted and diluted before being administered through intravenous infusion.
Contraindications
Avoid taking or using Benlysta if any of the following apply:
- Benlysta has not been evaluated in patients with severe active central nervous system lupus, and its use in these cases is not recommended.
- Benlysta has not been studied in combination with other biologic medications, and its use in these situations is not recommended.
- Allergy or hypersensitivity to Benlysta or any of its ingredients.
Cautions
- When using Benlysta, it's important to be aware of certain cautions and warnings. Discuss the following with a healthcare provider before starting treatment:
- Any medical conditions you have.
- Other medications you are taking.
- Whether you are pregnant or breastfeeding.
- Immunosuppressive agents, including Benlysta, can lead to serious and sometimes fatal infections. Exercise caution if you have severe or chronic infections. Treatment may need to be paused if a new infection develops during Benlysta therapy.
- Monitor for signs of new or worsening neurological symptoms indicative of progressive multifocal leukoencephalopathy (PML). If PML is confirmed, discontinue all immunosuppressant therapy, including Benlysta.
- There is a risk of serious hypersensitivity reactions, such as anaphylaxis. Immediate medical attention should be sought if symptoms of a severe allergic reaction occur, such as hives, swelling of the face or throat, or trouble breathing.
- Monitor for depression and suicidal thoughts before and during treatment with Benlysta. Inform your healthcare provider about any new or worsening depression or thoughts of suicide.
- Avoid administering live vaccines with Benlysta as the immune response may be decreased. Discuss your vaccination history and any upcoming vaccinations with your healthcare provider.
Side Effects
Benlysta may cause side effects. Common Benlysta side effects may include nausea, diarrhea, pain in the arms or legs, and respiratory infections, such as the common cold. Some patients might also experience symptoms like insomnia, migraine, and injection site reactions.
In addition to the common side effects, Belimumab can also result in more serious side effects that require immediate medical attention. These severe side effects may include progressive multifocal leukoencephalopathy with symptoms like memory loss, dizziness, loss of vision, and trouble talking or walking. Benlysta may also increase your risk of certain cancers. If you experience serious side effects, seek medical advice as soon as possible.
References:
- Benlysta (Belimumab) Product Monograph. Durham, NC: GlaxoSmithKline; 2023.
- Benlysta (Belimumab) Drug Label Information. Durham, NC: GlaxoSmithKline; 2023.
About Dr. Gerardo Sison (Page Author)
Dr. Sison graduated with honors from the University of Florida. He began his career in pharmacy counseling patients in a community setting and later served in hospitals and clinics. He has also worked in medication therapy management services. Read More....
IMPORTANT NOTE:
The above information is intended to increase awareness of health information and does not suggest treatment or diagnosis. This information is not a substitute for individual medical attention and should not be construed to indicate that use of the drug is safe, appropriate, or effective for you. See your health care professional for medical advice and treatment.
Product Code : 12495