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Ranibizumab

Ranibizumab
Monoclonal antibody
Type Fab fragment
Source Humanized (from mouse)
Target VEGF-A
Clinical data
Trade names Lucentis
AHFS/Drugs.com Monograph
MedlinePlus a607044
License data
Pregnancy
category
  • US: C (Risk not ruled out)
Routes of
administration
Intravitreal injection
ATC code S01LA04 (WHO)
Legal status
Legal status
Pharmacokinetic data
Biological half-life Approx. 9 days
Identifiers
CAS Number 347396-82-1 YesY
DrugBank DB01270 YesY
ChemSpider none
UNII ZL1R02VT79 YesY
KEGG D05697 N
ChEMBL CHEMBL1201825 N
Chemical and physical data
Formula C2158H3282N562O681S12
Molar mass 48,350 g/mol
 NYesY (what is this?)  

Ranibizumab (trade name Lucentis among others) is a monoclonal antibody fragment (Fab) created from the same parent mouse antibody as bevacizumab. It is an anti-angiogenic that has been approved to treat the "wet" type of age-related macular degeneration (AMD, also ARMD), a common form of age-related vision loss.

Its effectiveness is similar to that of bevacizumab. Its rates of side effects also appear similar. However, ranibizumab typically costs $2,000 a dose, while the equivalent dose of bevacizumab typically costs $50.

Ranibizumab was developed by Genentech and is marketed in the United States by Genentech and elsewhere by Novartis, under the brand name Lucentis.

Ranibizumab is a monoclonal antibody that inhibits angiogenesis by inhibiting Vascular endothelial growth factor A, a mechanism similar to Bevacizumab.

It is often used for age-related wet macular degeneration. Its effectiveness is similar to that of bevacizumab and aflibercept.

A 2014 Cochrane review did not find a difference between bevacizumab and ranibizumab in deaths or total severe side effects when used for macular degeneration. There; however, was not a lot of evidence and thus this conclusion is not that certain.

Ranibizumab does appear to result in a lower risk of stomach and intestinal problems. It is also associated with a low rate of eye related side effects.

The most common side effects in clinical trials were conjunctival haemorrhage, eye pain, vitreous floaters, increased intraocular pressure, and intraocular inflammation.


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