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UPTRAVI® IV

UPTRAVI®: Available for Intravenous Use

Uninterrupted treatment is key in managing pulmonary arterial hypertension (PAH, WHO Group I), a progressive disease.1

UPTRAVI® IV Is for the Treatment of PAH (WHO Group I) in FC II-III Patients Who Are Temporarily Unable to Take Oral Therapy2

  • Avoid treatment disruptions when your patients are unable to take oral therapy by temporarily transitioning them from their current oral dose to IV treatment and returning to UPTRAVI® Tablets when possible2,3
dosing illustration

Remain confident that your patients can receive UPTRAVI® treatment at home, in the hospital, and after discharge

  • Expected to maintain similar UPTRAVI® efficacy and safety, with the exception of infusion-site reactions, when temporarily using UPTRAVI® IV in the hospital2,3
  • Bypass re-titration when transitioning between UPTRAVI® IV and UPTRAVI® Tablets2
  • UPTRAVI® Tablets (twice daily)*
  • 200 mcg
  • 400 mcg
  • 600 mcg
  • 800 mcg
  • 1000 mcg
  • 1200 mcg
  • 1400 mcg
  • 1600 mcg
  • UPTRAVI® IV (twice daily infusions)
  • 225 mcg
  • 450 mcg
  • 675 mcg
  • 900 mcg
  • 1125 mcg
  • 1350 mcg
  • 1575 mcg
  • 1800 mcg

Administer UPTRAVI® IV twice daily by intravenous infusion at a dose that corresponds to the patient’s current dose of UPTRAVI® Tablets.

Please see complete UPTRAVI® IV dosing and administration instructions as listed in the full Prescribing Information.

UPTRAVI® IV INSTRUCTIONS FOR USE VIDEO

Watch the video below to learn more about storage, reconstitution, dilution, and administration of UPTRAVI® IV.

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About UPTRAVI® IV
About UPTRAVI® IV
Storage and handling
Storage and Handling
Reconstitution
Reconstitution
Dilution
Dilution
Administration
Administration
Important Safety Information
Important Safety Information

Downloadable Resources

UPTRAVI® IV Instructions for Use Guide

Use this guide to learn about storage, reconstitution, dilution, and administration of UPTRAVI® IV.

Temporarily Switching to UPTRAVI® IV From UPTRAVI® Tablets Was Well Tolerated With Comparable Exposure to the Active Metabolite

Study design3

  • Phase 3, prospective, multicenter, open-label, single-sequence crossover study
  • Twenty patients with PAH in FC I-III receiving a stable dose of UPTRAVI® Tablets for ≥28 days prior to enrollment were included
  • Patients were monitored to assess the safety, tolerability, and pharmacokinetics (including exposure to the active metabolite ACT‍-‍333679) of switching from a stable dose of UPTRAVI® Tablets to a corresponding dose of UPTRAVI® IV and back to UPTRAVI® Tablets
  • The dosing regimen for UPTRAVI® IV was selected to help patients achieve similar exposure to the active metabolite when compared with UPTRAVI® Tablets
Pharmacokinetic and safety mobile study design

Baseline patient characteristics (N=20)3

  • Mean age: 57 years
  • Female: 80%
  • Etiology: idiopathic or heritable PAH (70%), PAH-CTD (20%), PAH-CHD (5%), PoPH (5%)
baseline patient characteristics chart

Results2,3

Comparable exposure to the active metabolite following UPTRAVI® Tablets and UPTRAVI® IV administration

Mean (SD) ACT-333679 concentration (ng/mL) over time (hours) mobile graph

Time to the maximum concentration of the active metabolite was comparable

Safety2,3

  • The transition from UPTRAVI® Tablets to UPTRAVI® IV and back was well tolerated: Patient tolerability was similar between UPTRAVI® IV and Tablets
  • 10% of patients reported infusion-site reactions during UPTRAVI® IV administration, including infusion-site erythema/redness, pain, and swelling

*Once daily for patients with moderate hepatic impairment and co-administration with moderate CYP2C8 inhibitors.

In the study, 1 patient (5%) was in FC I. UPTRAVI® is indicated for the treatment of PAH (WHO Group I, FC II-III) to delay disease progression and reduce the risk of hospitalization for PAH.

AUCt,ss=area under the plasma concentration–time curve during a dose interval at steady state; BID=twice daily; Cmax,ss=maximum concentration at steady state; ERA=endothelin receptor antagonist; FC=Functional Class; IV=intravenous; PAH-CHD=PAH associated with congenital heart disease with repaired shunts; PAH-CTD=PAH associated with connective tissue disease; PDE5i=phosphodiesterase type-5 inhibitor; PoPH=portopulmonary hypertension; SD=standard deviation; sGC=soluble guanylate cyclase; WHO=World Health Organization.

References: 1. Narechania S, Torbic H, Tonelli AR. Treatment discontinuation or interruption in pulmonary arterial hypertension. J Cardiovasc Ther. 2020;25(2):131-141. 2. UPTRAVI® (selexipag) full Prescribing Information. Actelion Pharmaceuticals US, Inc. 3. Klose H, Chin KM, Ewert R, et al. Temporarily switching from oral to intravenous selexipag in patients with pulmonary arterial hypertension: safety, tolerability, and pharmacokinetic results from an open-label, phase III study. Respir Res. 2021;22(1):34. doi:10.1186/s12931-020-01594-8.