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Kineret (ANAKINRA)
Kineret blocks the action of interleukin-1, a protein that promotes inflammation.
Kineret (Anakinra) is a small molecule Interleukin-1 Receptor Antagonist developed by Biovitrum AB, targeting the Interleukin-1 receptor, type I. It was FDA-approved in 2001 for various inflammatory conditions, including rheumatoid arthritis, Still's disease, and familial Mediterranean fever. Kineret works by blocking the action of interleukin-1, a protein that promotes inflammation. The commercial status of Kineret is patented, and it is not yet available as a generic. Key safety considerations include increased risk of infections and neutropenia.
At a glance
| Generic name | ANAKINRA |
|---|---|
| Sponsor | Biovitrum Ab |
| Drug class | Interleukin-1 Receptor Antagonist [EPC] |
| Target | Interleukin-1 receptor, type I |
| Modality | Recombinant protein |
| Therapeutic area | Immunology |
| Phase | FDA-approved |
| First approval | 2001 |
Mechanism of action
KINERET blocks the biologic activity of IL-1 alpha and beta by competitively inhibiting IL-1 binding to the interleukin-1 type receptor (IL-1RI), which is expressed in wide variety of tissues and organs.IL-1 production is induced in response to inflammatory stimuli and mediates various physiologic responses including inflammatory and immunological responses. IL-1 has broad range of activities including cartilage degradation by its induction of the rapid loss of proteoglycans, as well as stimulation of bone resorption. The levels of the naturally occurring IL-1Ra in synovium and synovial fluid from RA patients are not sufficient to compete with the elevated amount of locally produced IL-1.Spontaneous mutations in the CIAS1/NLRP3 gene have been identified in majority of patients with cryopyrin-associated periodic syndromes such as NOMID. CIAS1/NLRP3 encodes for cryopyrin, component of the inflammasome. The activated inflammasome results in proteolytic maturation
Approved indications
- COVID19 pneumonia requiring supplemental oxygen
- Chronic infantile neurological, cutaneous and articular syndrome
- Cryopyrin associated periodic syndrome
- Familial Mediterranean fever
- Rheumatoid arthritis
- Still's disease
Common side effects
- injection site reaction
- infection
- serious infections
- serious infections
Drug interactions
- etanercept
Key clinical trials
- Targeted Reversal of Inflammation in Pediatric Sepsis-induced MODS (PHASE2,PHASE3)
- IL-1 Inhibition in Early TNBC (PHASE2)
- IL1 Inhibition in FOP
- Anakinra in Preventing Severe Chimeric Antigen Receptor T-Cell Related Encephalopathy Syndrome in Patients With Recurrent or Refractory Large B-cell Lymphoma (PHASE2)
- Pilot Study of Atorvastatin and Anakinra in Children With Coronary Artery Abnormalities Secondary to Kawasaki Disease (EARLY_PHASE1)
- Advancing Reperfusion Therapy for Ischemic Stroke: Safety and Efficacy of Anakinra for Futile Reperfusion Following Endovascular Treatment in Patients With Acute Ischemic Stroke (PHASE2)
- Empagliflozin and Anakinra for the Treatment of Postprandial Hypoglycemia in Patients With Prediabetes (PHASE2)
- Interleukin-1 Receptor Antagonist (IL-1RA) (ANAKINRA) IN SEVERE SYSTEMIC-ONSET JUVENILE IDIOPATHIC ARTHRITIS (PHASE2,PHASE3)
Primary sources
Every claim on this page is sourced from regulatory or scientific primary sources. See our editorial policy for full methodology.
| Source | Used for |
|---|---|
| FDA label | Mechanism, indications, dosing, boxed warnings, drug interactions |
| ClinicalTrials.gov | Trial enrolment, design, endpoints, results |
Competitive intelligence
For the full competitive landscape — auto-detected comparators, recent regulatory actions across the set, upcoming PDUFA, patent timeline, sponsor landscape:
- Kineret CI brief — competitive landscape report
- Kineret updates RSS · CI watch RSS
- Biovitrum Ab portfolio CI