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FDA Approves Sub-q Tx for HAE – Andembry

The FDA recently approved Andembry (garadacimab-gxii) from CSL for the prophylactic treatment of hereditary angioedema (HAE). This approval marks a significant milestone as Garadacimab is the first and only Factor XIIa inhibitor approved for routine prevention of HAE attacks, offering once-monthly dosing for all patients from the start. Additionally, Andembry is approved for subcutaneous, self-injection delivered in 15 seconds or less via an autoinjector with a citrate-free formula.

Hereditary angioedema is a rare, genetic disorder characterized by unpredictable and potentially life-threatening swelling episodes in various parts of the body, including the face, abdomen, and airways. The condition is caused by a deficiency or dysfunction of the C1 esterase inhibitor, leading to uncontrolled activation of the kallikrein-kinin system and excess bradykinin production.

Garadacimab targets activated Factor XII (Factor XIIa), a key driver in the inflammatory cascade of HAE. Its unique mechanism represents a novel therapeutic class, providing a preventive option without requiring titration or loading doses. In clinical trials, Garadacimab demonstrated statistically significant reductions in HAE attacks with a favorable safety profile. Common side effects reported in trials included injection site reactions, upper respiratory tract infections, and headache. No serious treatment-related adverse events were observed.

Specific cost details have not yet been disclosed publicly as of the approval date.
Andembry will be available in the U.S. through specialty pharmacies.

CLICK HERE to access prescribing information


U.S. Food and Drug Administration Approves CSL’s ANDEMBRY (garadacimab-gxii), the Only Prophylactic Hereditary Angioedema (HAE) Treatment Targeting Factor XIIa with Once-Monthly Dosing for All Patients From the Start

CLICK HERE to read the full press release