{"id":6845,"date":"2020-04-23T10:26:38","date_gmt":"2020-04-23T13:26:38","guid":{"rendered":"https:\/\/doctorhoogstra.com\/es\/alefacept-2\/"},"modified":"2020-04-27T16:50:22","modified_gmt":"2020-04-27T19:50:22","slug":"alefacept-2","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/en\/wiki\/alefacept-2\/","title":{"rendered":"Alefacept"},"content":{"rendered":"<p><\/p><div id=\"ez-toc-container\" class=\"ez-toc-v2_0_88 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewbox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewbox=\"0 0 24 24\" version=\"1.2\" baseprofile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 eztoc-toggle-hide-by-default' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/alefacept-2\/#%C2%BFQue-es-alefacept\" >What is alefacept?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/alefacept-2\/#%C2%BFComo-funciona-alefacept\" >How does alefacept work?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/alefacept-2\/#%C2%BFComo-se-administra-alefacept\" >How is alefacept given?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/alefacept-2\/#Precauciones-si-esta-tomando-alefacept\" >Precautions if you are taking alefacept<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/alefacept-2\/#Efectos-secundarios-de-alefacept\" >Alefacept side effects<\/a><\/li><\/ul><\/nav><\/div>\n\n<section class=\"textBlock\">\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQue-es-alefacept\"><\/span>What is alefacept?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span>Alefacept is no longer available. <span>Astellas Pharma US Inc. (Astellas) voluntarily discontinued the promotion, manufacturing, <span class=\"term\" data-term-id=\"69\">distribution<\/span> and Amevive\u00ae sales. <\/span>This information page is for historical interest only.<\/span><\/p>\n<p>Alefacept belongs to the class of biological response modifiers called <span class=\"term\" data-term-id=\"631\">T cell<\/span> Blockers The Amevive\u00ae product was approved in the US for the treatment of moderate to severe psoriasis in 2003. Clinical trials showed significant improvement in psoriasis after a single 12-week treatment, with some patients requiring no treatment again for several months. This supports the use of alefacept as intermittent therapy for <span class=\"term\" data-term-id=\"319\">chronic<\/span> and <span class=\"term\" data-term-id=\"805\">recurrent<\/span> psoriasis. <span>In 2011, the manufacturers made the decision to stop promoting, manufacturing, distributing and selling Amevive.<\/span><\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFComo-funciona-alefacept\"><\/span>How does alefacept work?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Alefacept is genetically modified from human proteins. It works by blocking <span class=\"term\" data-term-id=\"416\">T cell<\/span> activation and <span class=\"term\" data-term-id=\"893\">proliferation<\/span> by binding to CD2 receptors on <span class=\"term\" data-term-id=\"417\">T cells<\/span>. This prevents T cells from being released <span class=\"term\" data-term-id=\"434\">cytokines<\/span>, Which is the <span class=\"term\" data-term-id=\"949\">primary<\/span> cause of <span class=\"term\" data-term-id=\"148\">inflammation<\/span>, redness, itching and scaly skin patches characteristic of psoriasis.<\/p>\n<div id=\"square-placement-country-holder\" class=\"country-dependent advert\">\n<div class=\"box-placement square-placement\">\n<div class=\"advert__frame\">\n<div id=\"dermnet-dermnet-mobbox\">\n<\/div><\/div><\/div><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFComo-se-administra-alefacept\"><\/span>How is alefacept given?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Alefacept is given by intramuscular (IM) or intravenous (IV) injection under the supervision of a doctor. Both routes are equally effective in treating moderate to severe psoriasis. The IM dose (15 mg) or the IV bolus dose (7.5 mg) is given once a week for 12 consecutive weeks. This is followed by a 12-week observation period. A second course can be given at any time after this observation period. Sometimes the interval between treatments can be extended, especially if patients also follow a <span class=\"term\" data-term-id=\"1330\">current<\/span> management plan for your psoriasis. Typically, patients will request a repeat course of alefacept when they have lost more than half of their maximum improvement.<\/p>\n<p>While a patient is receiving alefacept, laboratory monitoring of their <span class=\"term\" data-term-id=\"420\">lymphocyte<\/span> Counting (T cells) at weekly intervals is recommended.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Precauciones-si-esta-tomando-alefacept\"><\/span>Precautions if you are taking alefacept<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Because alefacept works by selectively selecting only those chemicals involved in causing psoriasis <span class=\"term\" data-term-id=\"1578\">arthritis<\/span> or psoriasis, theoretically it shouldn&#039;t have an effect on the rest of the body&#039;s immune system. Still, caution should be exercised when considering its use in patients prone to infection or in those with chronic or recurrent infections. Compared to other biological response modifiers, alefacept may pose a lower risk of infections.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Efectos-secundarios-de-alefacept\"><\/span>Alefacept side effects<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Alefacept appears to be very well tolerated by IM and IV administration. Side effects were comparable or less during the repeated courses relative to the first course. The most common side effect was chills, which tended to occur within 24 hours of administration and only occurred in the first two doses of the 12-week course.<\/p>\n<div class=\"grey-box\"><em><span style=\"font-size: 0.9em;\">New Zealand approved data sheets are the official source of information for these prescription drugs, including approved uses and risk information. See the New Zealand individual data sheet on the Medsafe website.<\/span><\/em><\/div>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>\u00bfQu\u00e9 es alefacept? Alefacept ya no est\u00e1 disponible. Astellas Pharma U.S. Inc. (Astellas) descontinu\u00f3 voluntariamente la promoci\u00f3n, fabricaci\u00f3n, distribuci\u00f3n y ventas de Amevive\u00ae. Esta p\u00e1gina de informaci\u00f3n es solo de&#8230;<\/p>","protected":false},"author":8,"featured_media":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","format":"standard","meta":{"footnotes":""},"categories":[204],"tags":[],"class_list":["post-6845","wiki","type-wiki","status-publish","format-standard","category-glosario-definiciones"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/6845","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki"}],"about":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/types\/wiki"}],"author":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/comments?post=6845"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/6845\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/media?parent=6845"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/categories?post=6845"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/tags?post=6845"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}