Co-administration may increase risk of myopathy and muscle injury. CPK elevation and myalgia occurred in patients on ELAFIBRANOR monotherapy.
Source: NLP:elafibranor
Brand names: Iqirvo
Peroxisome Proliferator-activated Receptor Agonist · Peroxisome Proliferator-activated Receptor Agonists · Cytochrome P450 3A4 Inducers
Route: Oral
Contraindications
4 CONTRAINDICATIONS None. None.
Pregnancy & Breastfeeding
8.1 Pregnancy Risk Summary Based on data from animal reproduction studies, IQIRVO may cause fetal harm when administered during pregnancy. Treatment of pregnant rats with elafibranor during organogenesis through lactation resulted in stillbirths, reduced survival, decrease in pup body weight, and/or blue/black discoloration of the caudal section of body, which occurred at maternal plasma drug exposures lower than or approximately equal to human exposure at the recommended dose ( see Data ). There are insufficient data from human pregnancies exposed to IQIRVO to allow an assessment of a drug-associated risk of major birth defects, miscarriage, or other adverse maternal or fetal outcomes. The background risk of major birth defects and miscarriage for the indicated population is unknown. All pregnancies have a background risk of birth defect, loss, or other adverse outcomes. In the U.S. general population, the estimated background risk of major birth defects and miscarriage in clinically recognized pregnancies is 2-4% and 15-20%, respectively. Report pregnancies to Ipsen Pharmaceuticals, Inc. Adverse Event reporting line at 1-855-463-5127 and [https://www.ipsen.com/contact-us/]. Data Animal Data No effects on embryo-fetal development were observed in pregnant rats treated orally with up to 300 mg/kg/day elafibranor (15-times the recommended dose based on combined AUC [area under the plasma concentration-time curve] for elafibranor and GFT1007) during the period of organogenesis. No adverse effects on embryo-fetal development were observed in pregnant rabbits treated orally with doses up to 100 mg/kg/day elafibranor, which produced systemic exposures (combined AUC for elafibranor and GFT1007) during the period of organogenesis that were less than the human exposure. Administration of 300 mg/kg/day (3.9-times the recommended dose based on combined AUC for elafibranor and GFT1007) produced marked maternal toxicity, embryo-lethality, reduced fetal weight, and a low inciden
4 interactions on record
Co-administration may increase risk of myopathy and muscle injury. CPK elevation and myalgia occurred in patients on ELAFIBRANOR monotherapy.
Source: NLP:elafibranor
Bile acid sequestrants may reduce ELAFIBRANOR absorption and systemic exposure, decreasing efficacy.
Source: NLP:elafibranor
ELAFIBRANOR is a weak CYP3A4 inducer that may reduce systemic exposure of progestin and ethinyl estradiol, potentially leading to contraceptive failure and breakthrough bleeding.
Source: NLP:elafibranor
Rifampin induces metabolizing enzymes, reducing systemic exposure of elafibranor and its active metabolite, potentially resulting in delayed or suboptimal biochemical response.
Source: NLP:elafibranor