Route of administration and standard dosing recommendations for approved complement inhibitors in adult patients with PNH
Drug . | Target . | Route . | Loading dose . | Maintenance dose . | Frequency . |
---|---|---|---|---|---|
Eculizumab | C5 | Intravenous over 1 h | 600 mg weekly ×4 doses; maintenance dosing starting week 5 | 900 mg | Every 2 wk |
Ravulizumab | C5 | Intravenous over 1 h | ≥40 to <60 kg: 2400 mg ≥60 to <100 kg: 2700 mg ≥100 kg: 3000 mg; start maintenance dosing 2 wk later | ≥40 to <60 kg: 3000 mg ≥60 to <100 kg: 3300 mg ≥100 kg: 3600 mg | Every 8 wk |
Pegcetacoplan | C3 | Subcutaneous infusion over 30-60 min | Overlap with C5 inhibitor for 4 wk | 1080 mg | Twice weekly; every 3 d for LDH >2× ULN |
Drug . | Target . | Route . | Loading dose . | Maintenance dose . | Frequency . |
---|---|---|---|---|---|
Eculizumab | C5 | Intravenous over 1 h | 600 mg weekly ×4 doses; maintenance dosing starting week 5 | 900 mg | Every 2 wk |
Ravulizumab | C5 | Intravenous over 1 h | ≥40 to <60 kg: 2400 mg ≥60 to <100 kg: 2700 mg ≥100 kg: 3000 mg; start maintenance dosing 2 wk later | ≥40 to <60 kg: 3000 mg ≥60 to <100 kg: 3300 mg ≥100 kg: 3600 mg | Every 8 wk |
Pegcetacoplan | C3 | Subcutaneous infusion over 30-60 min | Overlap with C5 inhibitor for 4 wk | 1080 mg | Twice weekly; every 3 d for LDH >2× ULN |