1 Dosing Considerations • Single-use pre-filled syringe or single-use vial* for intravitreal injection only. • Each pre-filled syringe or vial should only be used for the treatment of a single eye. • Beovu must be administered by a qualified physician experienced in administering intravitreal injections.
• The safety and efficacy of Beovu administered in both eyes concurrently have not been studied. 05 mL) administered by intravitreal injection every 4 weeks (monthly) for the first three doses. Thereafter, the physician may modify treatment intervals based on disease activity as assessed by visual acuity and/or anatomical parameters.
A disease activity assessment is suggested 16 weeks (4 months) after treatment start and assessed regularly after that. In patients without disease activity, treatment up to every 12 weeks (3 months) could be considered. 1 Clinical Trials by Indication, Treatment of wet AMD); however, the interval between two doses should not be less than every 8 weeks (2 months) (see 7 WARNINGS AND PRECAUTIONS).
05 mL) administered by intravitreal injection every 6 weeks for the first five doses. Thereafter, the physician may modify treatment intervals based on disease activity as assessed by visual acuity and/or anatomical parameters. In patients without disease activity, treatment up to every 12 weeks (3 months) could be considered.
1 Clinical Trials by Indication, Treatment of DME); however, the interval between two doses should not be less than every 8 weeks (2 months) (see 7 WARNINGS AND PRECAUTIONS). Special populations Renal impairment (see 10 CLINICAL PHARMACOLOGY).
Hepatic impairment Brolucizumab has not been studied in patients with hepatic impairment (see 10 CLINICAL PHARMACOLOGY). Pediatric patients (below 18 years) The safety and efficacy of Beovu in pediatric patients have not been established.
No data are available to Health Canada. Geriatrics (65 years or above) In the HAWK and HARRIER clinical studies, approximately 90% (978/1088) of patients randomized to treatment with Beovu were ≥ 65 years of age and approximately 60% (648/1088) were ≥ 75 years of age.
In the KESTREL and KITE clinical studies, approximately 45% (164/368) of patients randomized to treatment with Beovu were ≥ 65 years of age and approximately 10% (37/368) were ≥ 75 years of age. No dosage regimen adjustment is required for geriatric use (see 10 CLINICAL PHARMACOLOGY).
4 Administration As with all medicinal products for intravitreal use, Beovu should be inspected visually prior to administration (see 12 SPECIAL HANDLING INSTRUCTIONS). The injection procedure must be carried out under aseptic conditions, which include the use of surgical hand disinfection, sterile gloves, a sterile drape and a sterile eyelid speculum (or equivalent).
Sterile paracentesis equipment should be available as a precautionary measure. Adequate anesthesia and a broad-spectrum topical microbicide to disinfect the periocular skin, eyelid and ocular surface should be administered prior to the injection.
Patient’s medical history for hypersensitivity reactions should be carefully evaluated prior to performing the intravitreal procedure (see 2 CONTRAINDICATIONS). Immediately following the intravitreal injection, patients should be monitored for elevation in intraocular pressure.
Appropriate monitoring may consist of a check for perfusion of the optic nerve head or tonometry. g. eye pain, redness of the eye, photophobia, blurring of vision) without delay. For information on preparation of Beovu, see Instructions for use below.
0 mm posterior to the limbus into the vitreous cavity, avoiding the horizontal meridian and aiming towards the center of the globe. 05 mL is then delivered slowly; a different scleral site should be used for subsequent injections. Instruction for use of the Beovu pre-filled syringe Storage and inspection Store Beovu in the refrigerator (2°C to 8°C).
Do not freeze. Keep the pre- filled syringe in its sealed blister and the outer carton in order to protect from light. Prior to use, the unopened blister with pre-filled syringe of Beovu may be kept at room temperature (below 25°C) for up to 24 hours.
Make sure that your pack contains a sterile pre-filled syringe in a sealed blister. After opening the blister pack, proceed under aseptic conditions. Beovu is a clear to slightly opalescent and colourless to slightly brownish- yellow aqueous solution.
The solution should be inspected visually upon removal from the refrigerator and prior to administration. If particulates or cloudiness are visible, the pre-filled syringe must not be used and appropriate replacement procedures followed.
The pre-filled syringe is sterile and for single-use only. Do not use if the packaging, or pre-filled syringe are damaged or expired. How to prepare and administer Beovu The intravitreal injection procedure must be carried out under aseptic conditions, which includes the use of surgical hand disinfection, sterile gloves, a sterile drape, a sterile eyelid speculum (or equivalent), and the availability of sterile paracentesis equipment (if required).
Adequate anesthesia and a broad-spectrum topical microbicide to disinfect the periocular skin, eyelid and ocular surface should […]