MYALEPT (metreleptin)
SELF ADMINISTRATION
Indications for Prior Authorization:
- Adjunct therapy to diet for treatment of leptin deficiency in patients with congenital or acquired lipodystrophy
Patients must meet the following criteria for the indications above:
- Patient must have generalized lipodystrophy with inadequate leptin secreted by adipocytes
The drug is not approved for any use not mentioned above including:
- Human immunodeficiency virus related lipodystrophy
- Liver disease
- Partial lipodystrophy
Dosing:
- Patients less than 40 kg the starting dose is 0.06 mg/kg SC once daily
- For males greater than 40 kg the dose is 2.5 mg SC once daily
- For females greater than 40 kg the dose is 5 mg SC once daily
- Titrate based on clinical response
- Max dose patients < 40 kg is 0.13 mg/kg/day
- Max dose patients >40 kg is 10 mg/day
Approval:
One year
Last review date: May 5, 2014