Raxibacumab

(Raxibacumab®)

Raxibacumab

Drug updated on 12/11/2024

Dosage FormInjection (intravenous; 1700 mg/34 mL [50 mg/mL])
Drug ClassMonoclonal antibodies directed against the protective antigen of Bacillus anthracis
Ongoing and
Completed Studies
ClinicalTrials.gov

Indication

  • Indicated for the treatment of adult and pediatric patients with inhalational anthrax due to bacillus anthracis in combination with appropriate antibacterial drugs, and for prophylaxis of inhalational anthrax when alternative therapies are not available or are not appropriate.

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Summary
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  • This summary is based on the review of one randomized controlled trial. [1]
  • The primary outcome, geometric mean concentrations (GMCs) of anti-protective antigen antibodies 4 weeks after the first AVA (Anthrax Vaccine Adsorbed) dose, was 26.5 µg/mL (95% confidence interval (CI) 23.6-29.8) for the AVA group and 22.5 µg/mL (95% CI 20.1-25.1) for the AVA plus raxibacumab group, with a GMC ratio of 1.18 (90% CI 1.03-1.35; p=0.0019), meeting the non-inferiority margin.
  • The co-administration of raxibacumab with AVA did not negatively impact AVA’s immunogenicity, as shown by comparable GMC levels between the AVA alone and AVA plus raxibacumab groups.
  • The study population consisted of healthy volunteers aged 18-65 years with no prior exposure to protective antigen, with no specific effectiveness differences noted among subgroups.
  • Adverse events were reported in 87 (30%) of 286 participants in the AVA group and 80 (29%) of 280 participants in the AVA plus raxibacumab group, with no significant differences between groups.
  • No treatment-related serious adverse events were reported in either group.

Product Monograph / Prescribing Information

Document TitleYearSource
Raxibacumab (raxibacumab) Prescribing Information.2021Emergent BioSolutions, Washington, DC

Randomized Controlled Trials

Document TitleSex DistributionYearSource
Effect of raxibacumab on immunogenicity of Anthrax Vaccine Adsorbed: a phase 4, open-label, parallel-group, randomised non-inferiority study
573Subjects
F: 51%
M: 49%
2020The Lancet. Infectious Diseases

Sex Distribution:

F:51%
M:49%
573Subjects

Year:

2020

Source:The Lancet. Infectious Diseases

Clinical Practice Guidelines