Identification
- Summary
Anthrax immune globulin human is an immunizing agent used for the treatment of inhalational anthrax in adult and pediatric patients in combination with antibacterial agents.
- Brand Names
- Anthrasil
- Generic Name
- Anthrax immune globulin human
- DrugBank Accession Number
- DB09057
- Background
Anthrax immune globulin is a human antibody given with antibiotics for the treatment of anthrax. It is derived from the plasma of humans immunized with BioThrax (adsorbed anthrax vaccine), which is then further purified. Available as the product Anthrasil (FDA), the result is a solution for slow IV infusion containing polyclonal antibodies that bind the protective antigen (PA) component of Bacillus anthracis lethal and edema toxins. This binding of antibody to PA prevents PA-mediated cellular entry of toxic factors. It is administered in combination with appropriate antibiotic therapy as the immunoglobulin itself is not known to have direct antibacterial activity against anthrax bacteria, which otherwise may continue to grow and produce anthrax toxins.
- Type
- Biotech
- Groups
- Approved
- Biologic Classification
- Protein Based Therapies
Polyclonal antibody (pAb) - Protein Chemical Formula
- Not Available
- Protein Average Weight
- Not Available
- Sequences
- Not Available
- Synonyms
- Anthrax immune globulin (human)
- Anthrax immune globulin human
- Anthrax immunoglobulin (human)
- Bacillus anthracis immune globulin human
Pharmacology
- Indication
Anthrax immune globulin is indicated for the treatment of inhalational anthrax in adult and pediatric patients in combination with appropriate antibacterial drugs.
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- Contraindications & Blackbox Warnings
Avoid life-threatening adverse drug eventsImprove clinical decision support with information on contraindications & blackbox warnings, population restrictions, harmful risks, & more.Avoid life-threatening adverse drug events & improve clinical decision support.- Pharmacodynamics
Not Available
- Mechanism of action
Polyclonal anthrax immune globulin is a passive immunizing agent that neutralizes anthrax toxin by binding to Protective Antigen (PA) to prevent PA-mediated cellular entry of anthrax edema factor and lethal factor. It is administered in combination with appropriate antibiotic therapy as the immunoglobulin itself is not known to have direct antibacterial activity against anthrax bacteria, which otherwise may continue to grow and produce anthrax toxins.
Target Actions Organism AProtective antigen antibodyBacillus anthracis - Absorption
Peak levels were reached immediately after infusion and then declined over the duration of study (84 days). Mean activity remained above the lower limit of quantitation (5 milliunits per mL) over the entire 84-day post-dose period for the three doses studied. Cmax was found to be 83.0 mU/mL while Tmax was found to be 0.116 days.
- Volume of distribution
5714.8 mL
- Protein binding
Not Available
- Metabolism
- Not Available
- Route of elimination
Not Available
- Half-life
24.3 days
- Clearance
174.2 mL/day
- Adverse Effects
Improve decision support & research outcomesWith structured adverse effects data, including: blackbox warnings, adverse reactions, warning & precautions, & incidence rates.Improve decision support & research outcomes with our structured adverse effects data.- Toxicity
The most common adverse reactions to Anthrasil observed in >5% of healthy volunteers in clinical trials were headache, infusion site pain and swelling, nausea, and back pain.
- Pathways
- Not Available
- Pharmacogenomic Effects/ADRs
- Not Available
Interactions
- Drug Interactions
- This information should not be interpreted without the help of a healthcare provider. If you believe you are experiencing an interaction, contact a healthcare provider immediately. The absence of an interaction does not necessarily mean no interactions exist.
Drug Interaction Integrate drug-drug
interactions in your softwareAbatacept The therapeutic efficacy of Anthrax immune globulin human can be decreased when used in combination with Abatacept. Abciximab The risk or severity of adverse effects can be increased when Abciximab is combined with Anthrax immune globulin human. Adalimumab The therapeutic efficacy of Anthrax immune globulin human can be decreased when used in combination with Adalimumab. Aducanumab The risk or severity of adverse effects can be increased when Anthrax immune globulin human is combined with Aducanumab. Aldesleukin The therapeutic efficacy of Anthrax immune globulin human can be decreased when used in combination with Aldesleukin. Alefacept The therapeutic efficacy of Anthrax immune globulin human can be decreased when used in combination with Alefacept. Alemtuzumab The therapeutic efficacy of Anthrax immune globulin human can be decreased when used in combination with Alemtuzumab. Alirocumab The risk or severity of adverse effects can be increased when Anthrax immune globulin human is combined with Alirocumab. Altretamine The therapeutic efficacy of Anthrax immune globulin human can be decreased when used in combination with Altretamine. Amivantamab The risk or severity of adverse effects can be increased when Anthrax immune globulin human is combined with Amivantamab. 
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- No interactions found.
Products
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Name Dosage Strength Route Labeller Marketing Start Marketing End Region Image Anthrasil Liquid 60 [iU]/35mL Intravenous Emergent BioSolutions Canada Inc. 2015-10-05 Not applicable US 
Anthrasil Solution 60 unit / vial Intravenous Emergent Biosolutions Canada Inc 2018-09-26 Not applicable Canada 
Categories
- Drug Categories
- Chemical TaxonomyProvided by Classyfire
- Description
- Not Available
- Kingdom
- Organic Compounds
- Super Class
- Organic Acids
- Class
- Carboxylic Acids and Derivatives
- Sub Class
- Amino Acids, Peptides, and Analogues
- Direct Parent
- Peptides
- Alternative Parents
- Not Available
- Substituents
- Not Available
- Molecular Framework
- Not Available
- External Descriptors
- Not Available
- Affected organisms
- Not Available
Chemical Identifiers
- UNII
- VKZ83S945Z
- CAS number
- Not Available
References
- General References
- Mytle N, Hopkins RJ, Malkevich NV, Basu S, Meister GT, Sanford DC, Comer JE, Van Zandt KE, Al-Ibrahim M, Kramer WG, Howard C, Daczkowski N, Chakrabarti AC, Ionin B, Nabors GS, Skiadopoulos MH: Evaluation of intravenous anthrax immune globulin for treatment of inhalation anthrax. Antimicrob Agents Chemother. 2013 Nov;57(11):5684-92. doi: 10.1128/AAC.00458-13. Epub 2013 Aug 26. [Article]
- External Links
- PubChem Substance
- 347910401
- 1722335
- Drugs.com
- Drugs.com Drug Page
- Wikipedia
- Anthrax_immune_globulin
- FDA label
- Download (4.37 MB)
Clinical Trials
- Clinical Trials
Phase Status Purpose Conditions Count Not Available Not Yet Recruiting Not Available Anthrax 1 Not Available Not Yet Recruiting Not Available Inhaled anthrax caused by Bacillus anthracis 1
Pharmacoeconomics
- Manufacturers
- Not Available
- Packagers
- Not Available
- Dosage Forms
Form Route Strength Liquid Intravenous 60 [iU]/35mL Solution Intravenous 60 unit / vial - Prices
- Not Available
- Patents
- Not Available
Properties
- State
- Solid
- Experimental Properties
- Not Available
Targets
- Kind
- Protein
- Organism
- Bacillus anthracis
- Pharmacological action
- Yes
- Actions
- Antibody
- General Function
- Metal ion binding
- Specific Function
- One of the three proteins composing the anthrax toxin, the agent which infects many mammalian species and that may cause death. PA binds to a receptor (ATR) in sensitive eukaryotic cells, thereby f...
- Gene Name
- pagA
- Uniprot ID
- P13423
- Uniprot Name
- Protective antigen
- Molecular Weight
- 85810.325 Da
Drug created at May 11, 2015 18:08 / Updated at March 24, 2023 20:20