Description
Riabni (rituximab-arrx) is a biosimilar to Rituxan (rituximab), a chimeric monoclonal antibody that targets the CD20 antigen found on the surface of pre-B and mature B lymphocytes. Riabni is indicated for the treatment of adult patients with non-Hodgkin’s lymphoma (NHL), chronic lymphocytic leukemia (CLL), rheumatoid arthritis (RA) in combination with methotrexate, granulomatosis with polyangiitis (GPA), and microscopic polyangiitis (MPA). As a biosimilar, Riabni has been shown to be highly similar in safety, purity, and potency to the reference product, with no clinically meaningful differences.
Fact Table |
Formula | C6416H9874N1686O1987S44 |
License | US FDA (2020) |
Bioavailability | 100% (IV only) |
Legal status | Rx-only |
Chemical Name | Rituximab-arrx |
Elimination half-life | 18–22 days |
Dosage (Strength) | 100 mg/10 mL and 500 mg/50 mL single-dose vials |
Pregnancy | May cause fetal harm; use only if benefits justify risks |
Brands | Riabni (biosimilar to Rituxan) |
Protein binding | Not applicable (monoclonal antibody) |
PubChem CID | Not available (biologic) |
MedlinePlus | a601240 |
ChEBI | Not available |
ATC code | L01XC02 |
DrugBank | DB00073 |
KEGG | D08631 |
Routes of administration | Intravenous |
Directions
Riabni is administered by intravenous (IV) infusion. Dosage and frequency vary by indication:
For NHL and CLL: Administered in combination with chemotherapy regimens per treatment cycle schedules.
For RA: 1000 mg IV on days 1 and 15, in combination with methotrexate, repeated every 24 weeks or based on disease activity.
For GPA/MPA: Administered as 375 mg/m² IV once weekly for 4 weeks, or as per updated treatment protocols.
Premedication with antihistamines and antipyretics is recommended prior to each infusion to reduce the risk of infusion-related reactions. Infusions should be administered under medical supervision with facilities available for managing anaphylaxis.
Ingredients
Active Ingredient: Rituximab-arrx
Inactive Ingredients: Polysorbate 80, sodium chloride, sodium citrate, citric acid monohydrate, water for injection. The solution is preservative-free and requires dilution before IV infusion.
Contraindications
Riabni is contraindicated in patients with:
Known severe hypersensitivity (e.g., anaphylaxis) to rituximab or any of the excipients
Active, severe infections, including severe hepatitis B virus (HBV) infection
Cautions
Serious infusion reactions, including fatal reactions, have been reported. Monitor patients closely during and after infusion, especially the first dose. Reactivation of HBV can occur and may lead to fulminant hepatitis; screen all patients for HBV before initiation. Progressive multifocal leukoencephalopathy (PML), a rare and often fatal brain infection, has been reported. Use with caution in patients with preexisting cardiovascular or pulmonary conditions. Immunizations should be completed prior to starting therapy when possible.
Side Effects
Common side effects include:
Infusion-related reactions
Fever
Chills
Fatigue
Headache
Nausea
Infections (e.g., upper respiratory tract infections, bronchitis)
Serious adverse effects may include:
Severe infusion reactions
Tumor lysis syndrome
Hepatitis B reactivation
Progressive multifocal leukoencephalopathy
Severe mucocutaneous reactions
Cytopenias
IMPORTANT NOTE:
The above information is intended to increase awareness of health information and does not suggest treatment or diagnosis. This information is not a substitute for individual medical attention and should not be construed to indicate that use of the drug is safe, appropriate, or effective for you. See your health care professional for medical advice and treatment.
Product Code : 13951