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Molecule

Inebilizumab

CD19-directed Cytolytic Antibody
Available on requestBiologicOrphanCold chainImmunology and transplantMultiple sclerosis
Presentations
1
Brands
1
Manufacturers
1
Available from stock
0

Inebilizumab is a CD19-directed cytolytic antibody indicated for the treatment of neuromyelitis optica spectrum disorder (NMOSD) in adult patients who are anti-aquaporin-4 (AQP4) antibody positive, among other approved uses. It is available as injection for intravenous use. MedsAcross supplies Inebilizumab for export from India to licensed hospitals, importers and physicians acting for named patients, with the documents each country requires.

Information from the US FDA prescribing information, retrieved 12 November 2026. Not yet medically reviewed.How we review

Key facts

Pharmacological class
CD19-directed Cytolytic Antibody, CD19-directed Antibody Interactions
ATC classification
L04AA Immunosuppressive drug, subgroup L04AA · Immunosuppressive drug
US FDA first approval
11 June 2020
EU status
Authorised
Orphan designation
Yes
WHO essential medicine
Not recorded
India (CDSCO)
Not yet confirmed against CDSCO approval lists
Routes
Intravenous
Dosage forms
Injection
Biologic
Yes
Identifiers
UNII 74T7185BMMCAS 1299440-37-1DrugBank DB12530Q25326696

Clinical information

From the regulator-approved product information. Each section names its source.

Uses

UPLIZNA is a CD19-directed cytolytic antibody indicated for the treatment of: Neuromyelitis optica spectrum disorder (NMOSD) in adult patients who are anti-aquaporin-4 (AQP4) antibody positive. Immunoglobulin G4-related disease (IgG4-RD) in adult patients. Generalized myasthenia gravis (gMG) in adult patients who are anti-acetylcholine receptor (AChR) or anti-muscle specific tyrosine kinase (MuSK) antibody positive.

Source: US FDA prescribing information

How it works

The mechanism by which inebilizumab-cdon exerts its therapeutic effects in NMOSD, IgG4-RD, and gMG is presumed to involve binding to CD19, a cell surface antigen presents on pre-B and mature B lymphocytes. Following cell surface binding to B lymphocytes, inebilizumab-cdon results in antibody-dependent cellular cytolysis.

Source: US FDA prescribing information

Dosing overview

Hepatitis B virus, quantitative serum immunoglobulins, and tuberculosis screening is required before the first dose. Prior to every infusion: Determine if there is an active infection. Premedicate with a corticosteroid, an antihistamine, and an antipyretic. UPLIZNA must be diluted in 250 mL of 0.9% Sodium Chloride Injection, USP prior to administration. UPLIZNA is administered as an intravenous infusion titrated to completion, approximately 90 minutes. The recommended dose is: Initial dose: 300 mg intravenous infusion followed two weeks later by a second 300 mg intravenous infusion. Subsequent doses (starting 6 months from the first infusion): single 300 mg intravenous infusion every 6 months. Monitor patients closely during the infusion and for at least one hour after completion of the infusion.

Source: US FDA prescribing information

Contraindications

UPLIZNA is contraindicated in patients with: A history of a life-threatening infusion reaction to UPLIZNA Active hepatitis B infection Active or untreated latent tuberculosis Previous life-threatening reaction to infusion of UPLIZNA. Active hepatitis B infection. Active or untreated latent tuberculosis

Source: US FDA prescribing information

Warnings and precautions

Infusion reactions: Administer premedications prior to infusion. Management recommendations for infusion reactions depend on the type and severity of the reaction. Permanently discontinue UPLIZNA if a life-threatening or disabling infusion reaction occurs. Infections: Serious, including life-threatening and fatal infections, have occurred in patients treated with B-cell depleting therapies, including UPLIZNA. Delay UPLIZNA administration in patients with an active infection until the infection is resolved. Vaccination with live-attenuated or live vaccines is not recommended during treatment and after discontinuation, until B-cell repletion. Immunoglobulin levels: Monitor the level of immunoglobulins at the beginning, during, and after discontinuation of treatment with UPLIZNA until B-cell repletion.

Source: US FDA prescribing information

Side effects

The following clinically significant adverse reactions are described elsewhere in the labeling: Infusion Reactions Infections Reduction in Immunoglobulins The most common adverse reactions (at least 10% of patients treated with UPLIZNA and greater than placebo) were NMOSD: urinary tract infection and arthralgia. IgG4-RD: urinary tract infections and lymphopenia. gMG: headache and infusion-related reactions.

Source: US FDA prescribing information

Interactions

Immunosuppressive or Immune-Modulating Therapies Concomitant usage of UPLIZNA with immunosuppressant drugs, including systemic corticosteroids, may increase the risk of infection. Consider the risk of additive immune system effects when co-administering immunosuppressive therapies with UPLIZNA.

Source: US FDA prescribing information

Storage

Store in a refrigerator at 2°C to 8°C (36°F to 46°F) in original carton to protect from light. Do not freeze. Do not shake. Store vials upright.

Source: US FDA prescribing information

For healthcare professionals and buyers. This is not medical advice. Treatment decisions belong to the prescriber.

All presentations

1 presentations of Inebilizumab, sorted by availability.

MedicineManufacturerRegisterAvailability
Uplizna 100 mg/10 mL injectionIntravenous Cold chainHorizon TherapeuticsUS FDAAvailable on request

Brands by market

1 brand names across 1 markets.

Brand names by country

United States

Manufacturers

Regulatory status

Approval facts from US FDA, EMA and CDSCO data, and registration status by country where we hold register data.

RegisterStatusSource
US FDAFirst approved 11 June 2020Drugs@FDA
EU (EMA)AuthorisedEMA medicines data
India (CDSCO)Not yet confirmed against CDSCO approval lists—
AustriaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
BelgiumRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
BulgariaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CroatiaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CyprusRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CzechiaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
DenmarkRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
EstoniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
FinlandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
FranceRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
GermanyRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
GreeceRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
HungaryRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
IcelandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
IrelandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
ItalyRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LatviaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LiechtensteinRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LithuaniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LuxembourgRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
MaltaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
NetherlandsRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
NorwayRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
PolandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
PortugalRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
RomaniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SlovakiaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SloveniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SpainRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SwedenRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
United StatesRegisteredUS FDA (NDC directory, openFDA)Checked 12 November 2026

Questions and answers

Is Inebilizumab available for export from India?

Yes, on request. MedsAcross lists 1 presentations of Inebilizumab and sources them for licensed hospitals, importers and physicians against valid import documents.

What brand names does Inebilizumab have?

The catalogue lists 1 brand names for Inebilizumab, including Uplizna.

Is Inebilizumab approved by the US FDA?

Yes. The US FDA first approved Inebilizumab on 11 June 2020, according to Drugs@FDA.

Is Inebilizumab authorised in the European Union?

Yes. Inebilizumab has a central EU marketing authorisation (status: authorised), according to European Medicines Agency data.

Does Inebilizumab need cold chain shipping?

At least one listed presentation of Inebilizumab must be kept cold, so it is shipped in temperature-controlled packaging. Check the storage line on each presentation.

Which ATC class is Inebilizumab in?

Inebilizumab is classified under ATC code L04AA (Immunosuppressive drug, subgroup L04AA).

References

  1. UPLIZNA prescribing information (Horizon Therapeutics). U.S. National Library of Medicine, DailyMed. Retrieved 21 September 2026
  2. Uplizna: European public assessment report (EPAR). European Medicines Agency. Retrieved 22 May 2026

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