Legal Terms of Use

THIS WEBSITE, WHICH IS ACCESSIBLE UNDER THE DOMAIN NAME WWW.RASUVO.COM, IS MAINTAINED BY MEDAC PHARMA, INC., A DELAWARE CORPORATION. THE INFORMATION CONTAINED ON THIS WEBSITE, INCLUDING ANY INFORMATION REGARDING PRODUCTS OF MEDAC PHARMA, INC., IS INTENDED SOLELY FOR RESIDENTS OF THE UNITED STATES.

Your access to and use of the materials and information contained on this website are subject to the following terms and conditions. If you choose to access the website or make use of any of the information or materials it contains, you agree to be bound by these terms. If you do not accept these terms, do not use this website.

Proprietary Materials

The content appearing on this website is protected by copyright. You may view and copy materials and information on the website solely for your own non-commercial, personal and informational use. All copyright and other proprietary notices appearing on the website must be retained on any copies you make. No other use of the content provided on the website is authorized and is therefore expressly prohibited.

In addition, all trademarks and logos displayed on the website are the property of Medac Pharma, Inc. You are not permitted to use these trademarks or logos without the prior written permission of Medac Pharma, Inc.

Third-Party Websites

INFORMATION PERTAINING TO THE BUSINESS PARTNERS OF MEDAC PHARMA, INC., INCLUDING ITS PARENT COMPANY, MEDAC GMBH, IS AVAILABLE THROUGH THE SEPARATE WEBSITES OF THOSE PARTIES.

Medac Pharma, Inc., may provide links to websites operated by other parties, including the business partners of Medac Pharma, Inc., as a convenience to the users of this website. Such third-party websites are not under the control of Medac Pharma, Inc., and Medac Pharma, Inc., is not responsible for the content of any third-party website.

Disclaimers and Limitation of Liability

The statements and all materials contained on this website are provided for your general information only. The information is not intended to provide medical advice or patient-specific treatment advice. Users of this website should be aware that products described on this website have not yet been approved for use in the United States.

Although Medac Pharma, Inc., uses reasonable efforts to provide correct and current information on this website, the company assumes no responsibility for the accuracy or reliability of the information. The information and materials contained on the website at times may become out-of-date or may include omissions or other errors. Medac Pharma, Inc., may change the information provided on the website at any time without notice.

All information provided on this website is provided “AS IS” and without any warranty of any kind, either express or implied, including any implied warranties of merchantability, fitness for a particular purpose or non-infringement of third-party rights, in each case to the fullest extent permitted by law.

Medac Pharma, Inc., and its agents will not be liable for any direct, indirect, incidental, consequential, special or punitive damages arising out of your use of the website or the materials, information or links it contains.

Inquiries

Any information you choose to submit to Medac Pharma, Inc., through this website or by using an e-mail address appearing on this website will be treated by Medac Pharma, Inc., in accordance with the privacy policy for this website that is available through this link.

Updates

Medac Pharma, Inc., reserves the right to amend these terms of use from time to time, and an updated version of the applicable terms of use will reflect those changes. Medac Pharma, Inc., will provide prior notice of any changes to the terms of use and will update the effective date listed in the applicable terms of use.
Effective October 16, 2013

PRIVACY POLICY

Any information you choose to submit to Medac Pharma, Inc., through this website or by using an e-mail address appearing on this website will be treated by Medac Pharma, Inc., in accordance with the following privacy policy. Please read this entire privacy policy before submitting information to this website. By using this website and submitting information via this website, you agree with the terms of this privacy policy. Your use of this website is also subject to the Terms of Use for this website that are available through this link.

What We Collect

Medac Pharma, Inc., collects personally identifiable information from the users of this website only when such information is voluntarily provided by you through this website or by using an email address appearing on this website. This personally identifiable information may include your name and email address, any employment information submitted through the “Career Page” (including any personally identifiable information contained within a cover letter and resume submitted through the “Career Page”), and any other information that you submit that may be used to identify you individually.

How the Information Is Used

Medac Pharma, Inc., may use this personally identifiable information to respond to an email or other inquiry, to send news articles, updates or notices about our company and the products we offer that we think may be of interest to you or to respond regarding career opportunities that may be of interest to you. Personally identifiable information will not be sold, rented or exchanged with unaffiliated entities unless you are first notified and expressly consent to such transfer.

Medac Pharma, Inc., reserves the right to disclose personally identifiable information where required by applicable law (such as a search warrant, subpoena or court order). Any communication or material you provide to Medac Pharma, Inc., through this website or by using an email address appearing on this website will be treated by Medac Pharma, Inc., as non-confidential and non-proprietary. In the absence of a written agreement with Medac Pharma, Inc., to the contrary, you agree that you will not submit to the company any information or ideas that you consider to be confidential or proprietary.

How You Can Update Your Information

You may choose at any time to remove your name and email address from the list Medac Pharma, Inc., uses to send correspondence by sending an email to info@medacpharma.com and requesting to be removed. You can also send an email to info@medacpharma.com to update your current email address in order to continue to receive correspondence from Medac Pharma, Inc.

Data Security

Medac Pharma, Inc., takes reasonable steps to protect your personally identifiable information from loss, misuse and unauthorized access. You should keep in mind, however, that no transmission over the Internet is 100% secure or error free and email sent to or from this website may not be secure. You should take care in deciding what information you send to us via email.

Third-Party Websites

Medac Pharma, Inc., may provide links to websites operated by other parties, including the business partners of Medac Pharma, Inc., as a convenience to the users of this website. This privacy policy does not apply to third-party sites, even if they are linked to this website. Websites operated by other parties may have their own privacy policies or no privacy policy at all. Medac Pharma, Inc., encourages you to review the privacy policies of any third-party website before providing any personally identifiable information.

Questions

If you have any questions about this privacy policy, please send all inquiries to info@medacpharma.com.

Updates

Medac Pharma, Inc. reserves the right to amend this privacy policy from time to time and an updated version of the applicable privacy policy will reflect those changes. Medac Pharma, Inc. will provide prior notice of any changes to the privacy policy and will update the effective date listed in the applicable privacy policy.
Effective October 16, 2013

Indications, Important Safety Information, Including Boxed Warning

INDICATIONS

Rasuvo is indicated for the:

  • Management of adults with severe, active rheumatoid arthritis (RA) (ACR criteria) or children with active polyarticular juvenile idiopathic arthritis (pJIA), who are intolerant of or had an inadequate response to first-line therapy, including full dose non-steroidal anti-inflammatory agents (NSAIDs).
  • Symptomatic control of severe, recalcitrant, disabling psoriasis in adults who are not adequately responsive to other forms of therapy, but only when the diagnosis has been established, as by biopsy and/or after dermatologic consultation. It is important to ensure that a psoriasis "flare" is not due to an undiagnosed concomitant disease affecting immune response.
Limitations of Use
Rasuvo is not indicated for treatment of neoplastic diseases.
This product includes the following Boxed Warning:

WARNING: SEVERE TOXIC REACTIONS, INCLUDING EMBRYO-FETAL TOXICITY AND DEATH

Rasuvo should be used only by physicians whose knowledge and experience include the use of antimetabolite therapy. Because of the possibility of serious toxic reactions (which can be fatal), Rasuvo should be used only in patients with psoriasis or rheumatoid arthritis with severe, recalcitrant, disabling disease which is not adequately responsive to other forms of therapy. Deaths have been reported with the use of methotrexate in the treatment of malignancy, psoriasis, and rheumatoid arthritis. Patients should be closely monitored for bone marrow, liver, lung, skin, and kidney toxicities. Patients should be informed by their physician of the risks involved and be under a physician's care throughout therapy.

  1. Methotrexate has been reported to cause fetal death and/or congenital anomalies. Therefore, Rasuvo is not recommended for females of childbearing potential unless there is clear medical evidence that the benefits can be expected to outweigh the considered risks. Rasuvo is contraindicated in pregnant women.
  2. Methotrexate elimination is reduced in patients with impaired renal functions, ascites, or pleural effusions. Such patients require especially careful monitoring for toxicity, and require dose reduction or, in some cases, discontinuation of Rasuvo administration.
  3. Unexpectedly severe (sometimes fatal) bone marrow suppression, aplastic anemia, and gastrointestinal toxicity have been reported with concomitant administration of methotrexate (usually in high dosage) along with some nonsteroidal anti-inflammatory drugs (NSAIDs).
  4. Methotrexate causes hepatotoxicity, fibrosis and cirrhosis, but generally only after prolonged use. Acutely, liver enzyme elevations are frequently seen. These are usually transient and asymptomatic, and also do not appear predictive of subsequent hepatic disease. Liver biopsy after sustained use often shows histologic changes, and fibrosis and cirrhosis have been reported; these latter lesions may not be preceded by symptoms or abnormal liver function tests in the psoriasis population. For this reason, periodic liver biopsies are usually recommended for psoriatic patients who are under long-term treatment. Persistent abnormalities in liver function tests may precede appearance of fibrosis or cirrhosis in the rheumatoid arthritis population.
  5. Methotrexate-induced lung disease, including acute or chronic interstitial pneumonitis, is a potentially dangerous lesion, which may occur acutely at any time during therapy and has been reported at low doses. It is not always fully reversible and fatalities have been reported. Pulmonary symptoms (especially a dry, nonproductive cough) may require interruption of treatment and careful investigation.
  6. Diarrhea and ulcerative stomatitis require interruption of therapy: otherwise, hemorrhagic enteritis and death from intestinal perforation may occur.
  7. Malignant lymphomas, which may regress following withdrawal of methotrexate, may occur in patients receiving low-dose methotrexate and, thus, may not require cytotoxic treatment. Discontinue Rasuvo first and, if the lymphoma does not regress, appropriate treatment should be instituted.
  8. Like other cytotoxic drugs, methotrexate may induce "tumor lysis syndrome" in patients with rapidly growing tumors.
  9. Severe, occasionally fatal, skin reactions have been reported following single or multiple doses of methotrexate. Reactions have occurred within days of oral, intramuscular, intravenous, or intrathecal methotrexate administration. Recovery has been reported with discontinuation of therapy.
  10. Potentially fatal opportunistic infections, especially Pneumocystis jiroveci pneumonia, may occur with methotrexate therapy.
  11. Methotrexate given concomitantly with radiotherapy may increase the risk of soft tissue necrosis and osteonecrosis.

CONTRAINDICATIONS:

Rasuvo is contraindicated in the following:

  • Pregnancy: Rasuvo can cause fetal death or teratogenic effects when administered to a pregnant woman. Rasuvo is contraindicated in pregnant women. If this drug is used during pregnancy, or if the patient becomes pregnant while taking this drug, the patient should be apprised of the potential hazard to the fetus.
  • Nursing Mothers: Because of the potential for serious adverse reactions from methotrexate in breast fed infants, Rasuvo is contraindicated in nursing mothers.
  • Alcoholism or Liver Disease: Patients with alcoholism, alcoholic liver disease or other chronic liver disease.
  • Immunodeficiency Syndromes: Patients who have overt or laboratory evidence of immunodeficiency syndromes.
  • Preexisting Blood Dyscrasias: Patients who have preexisting blood dyscrasias, such as bone marrow hypoplasia, leukopenia, thrombocytopenia, or significant anemia.
  • Hypersensitivity: Patients with a known hypersensitivity to methotrexate. Severe hypersensitivity reactions have been observed with methotrexate use.

WARNINGS AND PRECAUTIONS

  • Organ System Toxicity: Rasuvo has the potential for serious toxicity. Rasuvo should be used only by physicians whose knowledge and experience include antimetabolite therapy. Because of the possibility of severe toxic reactions (which can be fatal), Rasuvo should be used only in patients with psoriasis or rheumatoid arthritis with severe, recalcitrant, disabling disease which is not adequately responsive to other forms of therapy.
  • Embryo-Fetal Toxicity: Methotrexate has been reported to cause fetal death and/or congenital anomalies. Rasuvo is not recommended for females of childbearing potential unless there is clear medical evidence that the benefits can be expected to outweigh the considered risks. Rasuvo is contraindicated in pregnant women with psoriasis or rheumatoid arthritis. Exclude pregnancy before treatment. Females should be counseled on the serious risks to the fetus should they become pregnant while undergoing treatment. Avoid pregnancy if either partner is receiving Rasuvo. Advise males to avoid pregnancy for a minimum of three months after therapy and females to avoid pregnancy for at least one ovulatory cycle after therapy.
  • Effects on Reproduction: Methotrexate has been reported to cause impairment of fertility, oligospermia and menstrual dysfunction in humans, during and for a short period after cessation of therapy.
  • Laboratory Tests: Patients undergoing Rasuvo therapy should be closely monitored so that toxic effects are detected promptly. Baseline assessment should include a complete blood count with differential and platelet counts, hepatic enzymes, renal function tests and a chest X-ray.
  • Risks from Improper Dosing: The physician and/or pharmacist should emphasize to the patient that Rasuvo is administered once weekly and mistaken daily use has led to fatal toxicity.
  • Patients with Impaired Renal Function, Ascites, or Pleural Effusions: Elimination is reduced. Such patients require especially careful monitoring for toxicity and require dose reduction or, in some cases, discontinuation of Rasuvo administration.
  • Dizziness and Fatigue: May impair ability to drive or operate machinery.
  • Malignant Lymphomas: Non-Hodgkin's lymphoma and other tumors have been reported in patients receiving low-dose oral methotrexate. However, there have been instances of malignant lymphoma arising during treatment with low-dose methotrexate, which have regressed completely following withdrawal of methotrexate, without requiring active anti-lymphoma treatment. Discontinue Rasuvo first and, if the lymphoma does not regress, appropriate treatment should be instituted.
  • Tumor Lysis Syndrome: Like other cytotoxic drugs, methotrexate may induce "tumor lysis syndrome" in patients with rapidly growing tumors.
  • Concomitant Radiation Therapy: Methotrexate given concomitantly with radiotherapy may increase the risk of soft tissue necrosis and osteonecrosis.

ADVERSE REACTIONS

Common adverse reactions are: nausea, abdominal pain, dyspepsia, stomatitis/mouth sores, rash, nasopharyngitis, diarrhea, liver function test abnormalities, vomiting, headache, bronchitis, thrombocytopenia, alopecia, leukopenia, pancytopenia, dizziness, photosensitivity, and "burning of skin lesions". The most frequently reported adverse reactions include ulcerative stomatitis, leukopenia, nausea, and abdominal distress. Other frequently reported adverse reactions are malaise, undue fatigue, chills and fever, dizziness and decreased resistance to infection.

DRUG INTERACTIONS

  • Aspirin, NSAIDs, and Steroids: Concomitant use may elevate and prolong serum methotrexate levels, resulting in deaths from severe hematologic and gastrointestinal toxicity.
  • Proton Pump Inhibitors (PPIs): Concomitant use of some PPIs may elevate and prolong serum levels of methotrexate and cause increased toxicity.
  • Oral Antibiotics: Certain oral antibiotics may decrease intestinal absorption of methotrexate or interfere with enterohepatic circulation by inhibiting bowel flora and suppressing metabolism of the drug by bacteria. Use of Rasuvo with penicillins should be carefully monitored.
  • Hepatotoxins: Patients receiving concomitant therapy with Rasuvo and other potential hepatotoxins should be closely monitored for possible increased risk of hepatotoxicity.
  • Theophylline: Methotrexate may decrease the clearance of theophylline, therefore theophylline levels should be monitored.
  • Folic Acid and Antifolates: Vitamin preparations containing folic acid or its derivatives may decrease responses to systemically administered methotrexate. Folate deficiency states may increase methotrexate toxicity.
  • Mercaptopurine: Methotrexate increases the plasma levels of mercaptopurine, therefore dose adjustment may be required.
  • Other Drugs: Toxicity may be increased because of displacement of certain drugs. Use of Rasuvo with probenecid should be carefully monitored.

USE IN SPECIFIC POPULATIONS

  • Pregnancy: Methotrexate has been reported to cause embryotoxicity, fetal death, congenital anomalies, and abortion in humans and is contraindicated in pregnant women.
  • Nursing Mothers: Because of the potential for serious adverse reactions from methotrexate in breast fed infants, Rasuvo is contraindicated in nursing mothers.
  • Females and Males of Reproductive Potential: Contraception should be used by both females and males while taking Rasuvo. Pregnancy should be avoided if either partner is receiving Rasuvo:
    • for a minimum of 3 months after treatment with Rasuvo for males.
    • during and for at least 1 menstrual cycle after treatment with Rasuvo for females.
  • Pediatric Use: Safety and efficacy of Rasuvo have not been established in pediatric patients with psoriasis or neoplastic disease.
  • Geriatric Use: Use caution in dose selection. Elderly patients should be closely monitored for early signs of hepatic, bone marrow and renal toxicity.
  • Renal Impairment: Elimination is reduced. Patients require careful monitoring for toxicity and require dose reduction or discontinuation of Rasuvo.
  • Hepatic Impairment: Contraindicated in patients with alcoholic liver disease or other chronic liver disease.

DOSAGE AND ADMINISTRATION

Rasuvo is for once weekly subcutaneous use only.
Administer Rasuvo in the abdomen or thigh.