Evolocumab

Highest phase reached
Drug type
First approval year

First approval year
Listing at source
Listed
Highest phase reached

Drug type
Drug name
Evolocumab

  • repatha
  • Repatha
  • repatha sureclick
  • Repatha sureclick

  • amg 145
  • AMG-145
  • evolocumab
  • Evolocumab
  • EVOLOCUMAB (GENETICAL RECOMBINATION)
  • evolocumab [INN]
  • EVOLOCUMAB [JAN]
  • EVOLOCUMAB [MI]
  • EVOLOCUMAB [PURPLE BOOK CDER]
  • EVOLOCUMAB [USAN]
  • Evolocumab [WHO-DD]
  • evolocumab genetical recombination
  • evolocumab inn
  • evolocumab jan
  • evolocumab mi
  • evolocumab purple book cder
  • evolocumab usan
  • evolocumab who dd
  • Evolocumab(420 mg injections)
  • immunoglobulin g2 lambda anti homo sapiens pcsk9 proprotein convertase subtilisin kexin type 9 homo sapiens monoclonal antibody
  • IMMUNOGLOBULIN G2-LAMBDA, ANTI-(HOMO SAPIENS PCSK9 (PROPROTEIN CONVERTASE SUBTILISIN/KEXIN TYPE 9)), HOMO SAPIENS MONOCLONAL ANTIBODY
  • Repatha
  • Repatha®

ATC classification codes
  • C10AX13
Sources for recorded values
CAS registry numbers
  • 1256937-27-5
ChEMBL ID
CHEMBL2364655
RxNorm IDs (RxCUI)
  • 1665684
FDA ingredient codes (UNII)
  • LKC0U3A8NJ

Applicant
AMGEN INC
Approval date
27 Aug 2015
Application number
BLA125522

Status
Authorised
Status date
17 Jul 2015
Authorisation date
17 Jul 2015
Approved indications
Hypercholesterolaemia and mixed dyslipidaemia Repatha is indicated in adults with primary hypercholesterolaemia (heterozygous familial and non-familial) or mixed dyslipidaemia, as an adjunct to diet: in combination with a statin or statin with other lipid lowering therapies in patients unable to reach LDL-C goals with the maximum tolerated dose of a statin or, alone or in combination with other lipid-lowering therapies in patients who are statin-intolerant, or for whom a statin is contraindicated. Homozygous familial hypercholesterolaemia Repatha is indicated in adults and adolescents aged 12 years and over with homozygous familial hypercholesterolaemia in combination with other lipid-lowering therapies. Established atherosclerotic cardiovascular disease Repatha is indicated in adults with established atherosclerotic cardiovascular disease (myocardial infarction, stroke or peripheral arterial disease) to reduce cardiovascular risk by lowering LDL-C levels, as an adjunct to correction of other risk factors: in combination with the maximum tolerated dose of a statin with or without other lipid-lowering therapies or, alone or in combination with other lipid-lowering therapies in patients who are statin-intolerant, or for whom a statin is contraindicated. For study results with respect to effects on LDL-C, cardiovascular events and populations studied see section 5.1.
Product number
EMEA/H/C/003766
Authorisation holder
Amgen Europe B.V.
Priority medicines scheme
No
Generic
No
Biosimilar
No
Generic medicines
0
Biosimilar medicines
0
Advanced therapy
No
Conditional approval
No
Additional monitoring
No
Accelerated assessment
No
Exceptional circumstances
No

Therapeutic areas

  • Dyslipidemias
  • Hypercholesterolemia
European medicines record

Patents
0
Designations
1
Earliest recorded loss of exclusivity
24 Sept 2028
First in class
No
Fast track
No
Breakthrough designation
No
Orphan designation
No
Priority review
No
Orphan exclusivity
No
Accelerated approval
No
Availability
Prescription only

Pharmacology name
evolocumab
Type
Antibody
Drug name stem
-mab
Approval recorded by Guide to Pharmacology
Yes

Administration routes

  • Parenteral

  • Action
    Binding
    Action type
    Binding
    Target
    proprotein convertase subtilisin/kexin type 9
    Gene symbol
    PCSK9
    Protein identifier
    Q8NBP7
    Median affinity
    9.72
    Affinity units
    pKd
    Primary target
    Yes
  • Mechanism
    Subtilisin/kexin type 9 inhibitor
    Action type
    Inhibitor
    Target
    Proprotein convertase subtilisin/kexin type 9
    Protein identifier
    Q8NBP7

Open Targets mechanisms

  • Mechanism
    Subtilisin/kexin type 9 inhibitor
    Action type
    Inhibitor
    Target
    Proprotein convertase subtilisin/kexin type 9

  • Condition
    Cardiovascular Diseases
    Highest recorded phase
    4
    Condition identifier
    EFO:0000319
    Subject identifier
    D002318
  • Condition
    Glioblastoma
    Highest recorded phase
    0.5
    Condition identifier
    EFO:0000519
    Subject identifier
    D005909
  • Condition
    Myocardial Infarction
    Highest recorded phase
    4
    Condition identifier
    EFO:0000612
    Subject identifier
    D009203
  • Condition
    Stroke
    Highest recorded phase
    4
    Condition identifier
    EFO:0000712
    Subject identifier
    D020521
  • Condition
    Coronary Artery Disease
    Highest recorded phase
    4
    Condition identifier
    EFO:0001645
    Subject identifier
    D003324
  • Condition
    Carcinoma, Non-Small-Cell Lung
    Highest recorded phase
    1
    Condition identifier
    EFO:0003060
    Subject identifier
    D002289
  • Condition
    Heart Failure
    Highest recorded phase
    2
    Condition identifier
    EFO:0003144
    Subject identifier
    D006333
  • Condition
    Aortic Aneurysm, Abdominal
    Highest recorded phase
    0.5
    Condition identifier
    EFO:0004214
    Subject identifier
    D017544
  • Condition
    Hyperlipoproteinemia Type II
    Highest recorded phase
    4
    Condition identifier
    EFO:0004911
    Subject identifier
    D006938
  • Condition
    Acute Coronary Syndrome
    Highest recorded phase
    3
    Condition identifier
    EFO:0005672
    Subject identifier
    D054058
  • Condition
    Carcinoma, Renal Cell
    Highest recorded phase
    2
    Condition identifier
    EFO:0005708
    Subject identifier
    D002292
  • Condition
    ST Elevation Myocardial Infarction
    Highest recorded phase
    2
    Condition identifier
    EFO:0008585
    Subject identifier
    D000072657
  • Condition
    Dyslipidemias
    Highest recorded phase
    4
    Condition identifier
    HP:0003119
    Subject identifier
    D050171
  • Condition
    Hypercholesterolemia
    Highest recorded phase
    4
    Condition identifier
    HP:0003124
    Subject identifier
    D006937
  • Condition
    Sepsis
    Highest recorded phase
    2
    Condition identifier
    HP:0100806
    Subject identifier
    D018805
  • Condition
    Lung Neoplasms
    Highest recorded phase
    2
    Condition identifier
    MONDO:0008903
    Subject identifier
    D008175
  • Condition
    Hyperlipoproteinemia Type II
    Highest recorded phase
    4
    Condition identifier
    MONDO:0018328
    Subject identifier
    D006938
  • Condition
    Hyperlipidemias
    Highest recorded phase
    3
    Condition identifier
    MONDO:0021187
    Subject identifier
    D006949
  • Condition
    Severe Acute Respiratory Syndrome
    Highest recorded phase
    3
    Condition identifier
    MONDO:0100096
    Subject identifier
    D045169
  • Condition
    Lipid Metabolism Disorders
    Highest recorded phase
    3
    Condition identifier
    Orphanet:309005
    Subject identifier
    D052439
  • Condition
    Hyperlipidemia, Familial Combined
    Highest recorded phase
    3
    Condition identifier
    Orphanet:79211
    Subject identifier
    D006950

  • Condition identifier
    EFO_0000319
  • Condition identifier
    EFO_0000612
  • Condition identifier
    EFO_0000712
  • Condition identifier
    EFO_0001645
  • Condition identifier
    EFO_0003144
    Highest recorded phase
    2
  • Condition identifier
    EFO_0004214
  • Condition identifier
    EFO_0004265
  • Condition identifier
    EFO_0004911
  • Condition identifier
    EFO_0005672
    Highest recorded phase
    3
  • Condition identifier
    EFO_0008585
    Highest recorded phase
    2
  • Condition identifier
    EFO_0008585
    Highest recorded phase
    3
  • Condition identifier
    EFO_0008586
    Highest recorded phase
    2
  • Condition identifier
    EFO_0010673
    Highest recorded phase
    2
  • Condition identifier
    EFO_0020921
  • Condition identifier
    EFO_0020925
  • Condition identifier
    HP_0001297
    Highest recorded phase
    3
  • Condition identifier
    HP_0003124
  • Condition identifier
    HP_0003124
    Highest recorded phase
    4
  • Condition identifier
    HP_0100806
    Highest recorded phase
    2
  • Condition identifier
    MONDO_0002525
  • Condition identifier
    MONDO_0002525
    Highest recorded phase
    4
  • Condition identifier
    MONDO_0004781
    Highest recorded phase
    2
  • Condition identifier
    MONDO_0004995
    Highest recorded phase
    4
  • Condition identifier
    MONDO_0005010
    Highest recorded phase
    4
  • Condition identifier
    MONDO_0005068
    Highest recorded phase
    4

And 22 more, listed on the interactive page.

  • Event
    back pain
    Reports
    2,952
    Reporting signal score
    2,701.64
  • Event
    blood cholesterol decreased
    Reports
    217
    Reporting signal score
    602.75
  • Event
    condition aggravated
    Reports
    57
    Reporting signal score
    574.208
  • Event
    device defective
    Reports
    272
    Reporting signal score
    562.024
  • Event
    device use error
    Reports
    739
    Reporting signal score
    1,067.51
  • Event
    drug interaction
    Reports
    19
    Reporting signal score
    568.668
  • Event
    influenza like illness
    Reports
    1,900
    Reporting signal score
    2,482.33
  • Event
    injection site bruising
    Reports
    2,370
    Reporting signal score
    3,973.88
  • Event
    injection site haemorrhage
    Reports
    1,588
    Reporting signal score
    2,660.58
  • Event
    injection site mass
    Reports
    653
    Reporting signal score
    808.581
  • Event
    injection site pain
    Reports
    4,676
    Reporting signal score
    5,444.37
  • Event
    injection site swelling
    Reports
    1,019
    Reporting signal score
    742.513
  • Event
    injury associated with device
    Reports
    464
    Reporting signal score
    825.308
  • Event
    low density lipoprotein decreased
    Reports
    359
    Reporting signal score
    1,122.12
  • Event
    low density lipoprotein increased
    Reports
    524
    Reporting signal score
    1,010.61
  • Event
    muscle spasms
    Reports
    1,612
    Reporting signal score
    1,009.51
  • Event
    myalgia
    Reports
    2,971
    Reporting signal score
    2,964.32
  • Event
    nasopharyngitis
    Reports
    1,284
    Reporting signal score
    632.668
  • Event
    pain in extremity
    Reports
    1,912
    Reporting signal score
    737.735
  • Event
    rhinorrhoea
    Reports
    2,177
    Reporting signal score
    4,006.21
  • Event
    wrong technique in device usage process
    Reports
    284
    Reporting signal score
    534.321
  • Event
    wrong technique in product usage process
    Reports
    7,200
    Reporting signal score
    14,713.8

And 23 more, listed on the interactive page.

Dose
140 mg or 420 mg
Route
Subcutaneous
How often
Every 2 weeks or once monthly

Conditions of use

  • Rotate injection sites after each administration

Prodrug
No
Chirality
Single enantiomer
Inorganic
No
Natural product
No

  • Component
    Heavy chain
    Type
    Protein
    Sequence
    EVQLVQSGAEVKKPGASVKVSCKASGYTLTSYGISWVRQAPGQGLEWMGWVSFYNGNTNYAQKLQGRGTMTTDPSTSTAYMELRSLRSDDTAVYYCARGYGMDVWGQGTTVTVSSASTKGPSVFPLAPCSRSTSESTAALGCLVKDYFPEPVTVSWNSGALTSGVHTFPAVLQSSGLYSLSSVVTVPSSNFGTQTYTCNVDHKPSNTKVDKTVERKCCVECPPCPAPPVAGPSVFLFPPKPKDTLMISRTPEVTCVVVDVSHEDPEVQFNWYVDGVEVHNAKTKPREEQFNSTFRVVSVLTVVHQDWLNGKEYKCKVSNKGLPAPIEKTISKTKGQPREPQVYTLPPSREEMTKNQVSLTCLVKGFYPSDIAVEWESNGQPENNYKTTPPMLDSDGSFFLYSKLTVDKSRWQQGNVFSCSVMHEALHNHYTQKSLSLSPGK
  • Component
    Light chain
    Type
    Protein
    Sequence
    ESALTQPASVSGSPGQSITISCTGTSSDVGGYNSVSWYQQHPGKAPKLMIYEVSNRPSGVSNRFSGSKSGNTASLTISGLQAEDEADYYCNSYTSTSMVFGGGTKLTVLGQPKAAPSVTLFPPSSEELQANKATLVCLISDFYPGAVTVAWKADSSPVKAGVETTTPSKQSNNKYAASSYLSLTPEQWKSHRSYSCQVTHEGSTVEKTVAPTECS

  • 72511-143
  • 72511-393
  • 72511-501
  • 72511-750
  • 72511-760

Related records

Trials (181)

Approved for (6)

In development for (13)

Other linked conditions (2)

Targets (1)