Description
Crysvita is a medication used to help people with certain hereditary conditions that make it hard for their bodies to absorb phosphate, an essential nutrient. It works by blocking a protein called FGF23, which normally helps control phosphate levels in the body. By stopping FGF23, Crysvita allows the body to keep more of the phosphate it needs. This is especially helpful for individuals with a condition called X-linked hypophosphatemia (XLH), where phosphate absorption is a problem. Crysvita has been approved by the FDA for use in both adults and children over six months old who have XLH.
Fact Table |
Formula | C6444H9948N1712O2016S50 |
License | US FDA, EMA |
Bioavailability | 62% (subcutaneous) |
Legal status | Prescription only (Rx) |
Chemical Name | Burosumab (human IgG1 kappa monoclonal antibody) |
Elimination half-life | 19 days |
Dosage (Strength) | 10 mg/mL, 20 mg/mL, 30 mg/mL solution for injection |
Pregnancy | Consult a doctor (Category Not Assigned) |
Brands | Crysvita |
Protein binding | N/A (monoclonal antibody) |
PubChem CID | 122881780 |
MedlinePlus | a618064 |
ChEBI | N/A |
ATC code | M05BX05 |
DrugBank | DB13975 |
KEGG | D11015 |
Routes of administration | Subcutaneous injection |
Directions
For adults, the recommended starting dose is once every four weeks. For children, the dosing frequency is typically once every two weeks. The amount of Crysvita given is based on the person’s body weight, with the specific dose determined by a healthcare provider. Patients should be aware that more than one injection may be needed, depending on their individual treatment plan.
Ingredients
The active ingredient in Crysvita is Burosumab.
Contraindications
Do not use Crysvita if any of the following apply:
- You are taking oral phosphate supplements or active vitamin D medications (like calcitriol, paricalcitol, doxercalciferol, or calcifediol), as this can raise your phosphate levels too high.
- Your serum phosphorus levels are already normal or above normal for your age.
- You have severe kidney problems or are at the end stage of kidney disease.
Cautions
- Before starting treatment with Crysvita, be sure to inform your healthcare provider about the following:
- Any medical conditions you currently have
- Any allergies
- All medications you are currently taking
- Whether you are pregnant or breastfeeding
- If you experience allergic reactions such as rash or hives while taking Crysvita, stop the treatment immediately and seek medical care.
- Crysvita can cause your phosphorus levels to rise above normal, which might lead to kidney issues like nephrocalcinosis. Your doctor may adjust your dose or pause your treatment depending on your blood phosphorus levels.
- Crysvita injections might cause reactions at the site of injection. If severe reactions occur, stop the treatment and consult your healthcare provider for appropriate care.
Side Effects
Common side effects of the Crysvita injection include fever, cough, vomiting, and pain in the extremities. Children treated with Crysvita may also experience injection site reactions, which include redness, pain, and swelling, as well as headaches and dental issues like tooth abscesses and caries. These side effects are generally a response to the medication's action on the body.
Serious side effects may include hypersensitivity reactions like rash and injection site urticaria, as well as complications related to high phosphorus levels, potentially leading to nephrocalcinosis. If you notice severe skin reactions, severe discomfort around the injection site, or signs suggesting changes in phosphate levels (such as unusual tiredness or joint pain), contact your healthcare provider immediately.
References
- Crysvita (Burosumab) Product Monograph. Bedminster, NJ: Kyowa Kirin, Inc.; 2020.
- Crysvita (Burosumab) Drug Label Information. Bedminster, NJ: Kyowa Kirin, Inc.; 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 : 14971