Ofatumumab
About Ofatumumab
Ofatumumab is a prescription medicine used to treat relapsing forms of multiple sclerosis (RMS) in adults. It helps manage conditions like clinically isolated syndrome, relapsing-remitting disease, and active secondary progressive disease. This injection works by targeting specific immune cells in your body to help reduce the frequency of symptom flare-ups.
To achieve the best results, you must inject Ofatumumab consistently according to the schedule your healthcare provider establishes. Because it is given as an injection under the skin, it can be taken with or without food. Making healthy lifestyle choices, such as staying cool, managing stress, and eating a balanced diet, can further support your nervous system during treatment.
While using Ofatumumab, you may experience mild side effects like injection site reactions or cold-like symptoms. However, you must contact your doctor immediately if you experience serious symptoms, such as severe infections, vision changes, or signs of liver damage. Regular medical check-ups are essential to monitor your health and catch any potential issues early.
Do not take this if you have an active hepatitis B infection. Before starting Ofatumumab, your doctor will complete a pre-treatment evaluation, including hepatitis B screening, complete blood count (CBC), liver enzyme tests, and a vaccination review (live vaccines should be given at least 4 weeks before starting, and non-live vaccines at least 2 weeks before). In India, Ofatumumab (Kesimpta) is a speciality cold-chain prescription medicine available through major hospital pharmacies, authorised distributor networks, and specialised neurology centres.
Certain medicines that weaken the immune system can interact with Ofatumumab, increasing your risk of infections. Talk to your doctor or pharmacist if you are pregnant, planning to become pregnant, or breastfeeding, as this medicine may affect an unborn baby. Additionally, it is wise to avoid smoking and limit alcohol intake, as these habits can worsen multiple sclerosis symptoms and affect how your body responds to therapy.
Uses of Ofatumumab
Medicinal Benefits
Ofatumumab helps manage multiple sclerosis by reducing disease activity and protecting the nervous system from further damage. The key benefits of Ofatumumab are as follows:
- Reduces Relapses: By decreasing the frequency of multiple sclerosis relapses, Ofatumumab helps you maintain a more consistent daily routine with fewer sudden disruptions.
- Delays Disability Progression: It helps slow the worsening of physical disability, allowing you to preserve strength, mobility, and independence for a longer period.
- Reduces Brain Lesions: Ofatumumab helps reduce the number of active brain lesions visible on MRI scans, indicating reduced inflammation in the central nervous system and helping protect the brain and spinal cord from further harm.
Directions for Use
- Follow your doctor's instructions on the dosage and timing of this medication.
- Ofatumumab will be administered by a healthcare professional.
- Do not self-administer.
Storage
Side Effects of Ofatumumab
Common Side Effects (Usually mild):
- Pain, redness, itching, or swelling at the injection site
- Cold symptoms such as a runny nose, sore throat, or sinus pain
- Mild fever, headache, or muscle aches shortly after injection
- Urinary tract infections
Serious Side Effects (Consult your doctor right away):
- Difficulty breathing, swelling of the face, lips, or throat, or severe skin rash (signs of a severe allergic reaction)
- High fever, persistent chills, severe cough, or painful urination (signs of a serious infection)
- Yellowing of your eyes or skin, dark urine, or severe right-sided stomach pain (signs of liver damage)
- Progressive weakness on one side of your body, vision changes, clumsiness, or confusion (which could be signs of progressive multifocal leukoencephalopathy, a rare but serious brain infection)
Drug Warnings
- Inspect Before Use: Always check the liquid in the syringe or pen before injecting. It should be clear to slightly cloudy and colourless to pale yellow. Do not use it if you notice particles, cloudiness, or discolouration.
- Rotate Injection Sites: Change your injection site with every dose. Avoid injecting into the exact same area repeatedly, as this helps prevent tissue damage and skin irritation.
- Use Needles Safely: Never reuse a needle, pre-filled syringe, or auto-injector. Dispose of them immediately after a single use in a proper sharps container.
- Complete Hepatitis B Screening: Ensure your hepatitis B screening is completed and negative before starting Ofatumumab.
- Update Immunisations Early: Complete necessary vaccinations before starting therapy: receive live vaccines at least 4 weeks before and non-live vaccines at least 2 weeks before your initial dose.
- Use Effective Contraception: Women who can become pregnant must use reliable birth control throughout treatment and continue for at least 6 months after the final dose.
- Avoid Live Vaccines: Do not receive live vaccines while using this medicine and for several months after stopping treatment, as the vaccine may not work effectively or may increase the risk of infection.
Drug Interactions
- Immune-Suppressing Medicines: Medicines that suppress the immune system (such as other MS disease-modifying therapies, corticosteroids, or chemotherapy) may increase your risk of serious infections when taken with Ofatumumab.
- Vaccines: Vaccines, especially live vaccines, may interact with this medicine; Ofatumumab can lower your body's ability to develop an immune response to the vaccine, making it less effective.
Drug-Drug Interactions Checker List:
Safety Advice
Alcohol
consult your doctorIt is unknown whether Ofatumumab interacts with alcohol. Consult your doctor.
Pregnancy
unsafeOfatumumab is not recommended for use in pregnancy as it may cause fatal B-lymphocyte depletion in your foetus. Hence, if you are pregnant or planning pregnancy, inform your doctor before receiving Ofatumumab.
Breast Feeding
cautionIf you are breastfeeding, inform your doctor before receiving Ofatumumab. Your doctor may prescribe this medicine if the benefits outweigh the risks.
Driving
cautionOfatumumab will be administered in the hospital setting. Hence, driving is not recommended.
Liver
cautionIf you have a pre-existing or a history of liver disease, inform your doctor before receiving Ofatumumab. Ofatumumab may cause increased bilirubin levels and liver failure. Hence, inform your doctor if you observe any symptoms such as fatigue, yellow discolouration of eyes, and dark coloured urine. A dose adjustment of this medicine or a suitable alternative may be advised based on your condition. A dose adjustment of this medicine or a suitable alternative may be advised based on your condition.
Kidney
cautionIf you have a pre-existing or a history of kidney disease, inform your doctor before receiving Ofatumumab. A dose adjustment of this medicine or a suitable alternative may be advised based on your condition.
Children
unsafeOfatumumab is not recommended for use in children as the safety and efficacy are not established.
Habit Forming
Diet & Lifestyle Advise
- Stay Cool: Heat can temporarily worsen multiple sclerosis symptoms. Take cool baths, drink iced beverages, and stay in air-conditioned spaces during hot weather to manage your symptoms.
- Infection Prevention: Because Ofatumumab targets immune cells, you are more prone to infections. Wash your hands frequently, avoid close contact with people who are sick, and ensure your food is thoroughly cooked.
- Anti-Inflammatory Diet: Focus on a diet rich in omega-3 fatty acids, colourful vegetables, and whole grains. This supports overall nerve health and may help manage underlying systemic inflammation.
- Gentle, Consistent Exercise: Engage in low-impact activities like swimming, stretching, or walking to maintain muscle strength, flexibility, and balance without overheating.
Special Advise
- A blood test should be performed, such as a liver function test or renal function test, to check for liver/kidney function.
- Weekly blood tests should be done during the treatment to check for CBC (Complete blood count).
Patients Concern
Disease/Condition Glossary
Chronic Lymphocytic Leukaemia: It is a type of cancer that occurs in the bone marrow and blood. It increases the number of lymphocytes (a type of white blood cell). The symptoms include fever, enlarged liver, bone or joint pain, shortness of breath, weakness, and bleeding from gums or bruises.
Multiple sclerosis: Multiple sclerosis is a condition that affects the brain and spinal cord. The immune system attacks the protective covering of the nerves (myelin) and causes disrupted communication between the brain and body due to nerve damage. This causes symptoms such as problems with sensation, balance, vision, pain, impaired coordination, and fatigue.
FAQs
Ofatumumab is used to treat chronic lymphocytic leukemia and multiple sclerosis.
Ofatumumab contains Ofatumumab, which works by inhibiting the B-cell lymphocytes that are responsible for the multiplication of cancer cells.
You should avoid taking Ofatumumab if you are pregnant, as it can cause fetal B-cell depletion and lower blood cell counts in an unborn baby. Women who can become pregnant must use effective birth control during treatment and for at least 6 months following their final dose. If you are breastfeeding or planning to breastfeed, talk to your doctor to evaluate safe feeding options.
Yes, you must get tested for a hepatitis B infection before starting your first dose of Ofatumumab. This medicine can reactivate a hidden hepatitis B virus, which can lead to serious liver damage. If you test positive, your doctor will need to treat the infection before you can start this medicine. Talk to your doctor about your lab results.
You should avoid live vaccines while taking Ofatumumab, as your weakened immune system may not be able to handle them safely. Non-live vaccines, like the annual flu shot, are generally safer, but this medicine may still reduce how well they protect you. Talk to your doctor or pharmacist before scheduling any vaccinations.
Do not use the pre-filled pen or syringe if the liquid looks cloudy, contains floating particles, or is deeply colored. The liquid should normally be clear to slightly cloudy and colourless to pale yellow. If it looks unusual, store it safely and contact your pharmacist for a replacement.
Rotating your injection sites helps protect the skin and the fatty tissue beneath it from becoming hard, scarred, or painful. By switching between your stomach, thighs, and upper arms, you allow each injection site time to heal properly. Talk to your doctor or nurse if you need help planning your injection sites.
There is no direct drug interaction between alcohol and Ofatumumab. However, drinking alcohol can worsen common multiple sclerosis symptoms like balance issues and fatigue, and it can put extra stress on your liver. It is best to limit alcohol use and talk to your doctor about what is safe for you.
When travelling, you must keep Ofatumumab refrigerated. Use an insulated travel bag with cold gel packs to maintain the proper temperature, ensuring the medicine does not freeze or touch the ice packs directly. Never check the medicine in your airline baggage; always keep it in your carry-on luggage. Talk to your pharmacist for travel-specific storage tips.
