| Angioedemas, Hereditary

Cinryze vs Kalbitor

Side-by-side clinical, coverage, and cost comparison for angioedemas, hereditary.
Deep comparison between: Cinryze vs Kalbitor with Prescriber.AI
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Safety signalsKalbitor has a higher rate of injection site reactions vs Cinryze based on FDA-approved prescribing information
Coverage gaps3 major payers require step therapy for Kalbitor but not Cinryze, including UnitedHealthcare
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Cinryze
Kalbitor
At A Glance
IV infusion
Every 3-4 days
C1 esterase inhibitor (serpin)
SC injection
As needed
Plasma kallikrein inhibitor
Indications
  • Angioedemas, Hereditary
  • Angioedemas, Hereditary
Dosing
Angioedemas, Hereditary (adults and adolescents 12 years and above) 1,000 IU IV every 3 or 4 days at 1 mL/min (10 min); for inadequate responders, doses up to 2,000 IU (not exceeding 80 IU/kg) every 3 or 4 days may be considered.
Angioedemas, Hereditary (pediatric patients 6-11 years) 500 IU IV every 3 or 4 days at 1 mL/min (5 min); dose may be adjusted up to 1,000 IU every 3 or 4 days based on individual response.
Angioedemas, Hereditary 30 mg (3 mL) subcutaneously in three 10 mg (1 mL) injections per attack; an additional 30 mg may be administered within 24 hours if the attack persists.
Contraindications
  • Life-threatening immediate hypersensitivity reactions, including anaphylaxis, to CINRYZE or any of its excipients
  • Known clinical hypersensitivity to KALBITOR
Adverse Reactions
Most common (>=5%) Headache, nausea, rash, vomiting, fever
Serious Cerebrovascular accident
Postmarketing Local infusion site reactions (inflammation or hematoma at infusion site), hypersensitivity
Most common (>=3%) Headache, nausea, diarrhea, pyrexia, injection site reactions, nasopharyngitis
Serious Hypersensitivity reactions including anaphylaxis
Postmarketing Similar adverse reactions as observed in clinical trials
Pharmacology
C1 esterase inhibitor (serpin) that regulates complement and intrinsic coagulation (contact system) pathway activation; suppresses contact system activation by inactivating plasma kallikrein and factor XIIa, modulating vascular permeability by preventing bradykinin generation.
Plasma kallikrein inhibitor; ecallantide is a potent, selective, reversible inhibitor of plasma kallikrein that blocks its binding site, reducing the conversion of HMW kininogen to bradykinin and thereby treating symptoms during acute episodic attacks of HAE.
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Most Common Insurance
Anthem BCBS
Cinryze
  • Covered on 5 commercial plans
  • PA (9/12) · Step Therapy (5/12) · Qty limit (9/12)
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Kalbitor
  • Covered on 5 commercial plans
  • PA (10/12) · Step Therapy (0/12) · Qty limit (0/12)
View full coverage details ›
UnitedHealthcare
Cinryze
  • Covered on 4 commercial plans
  • PA (2/8) · Step Therapy (0/8) · Qty limit (0/8)
View full coverage details ›
Kalbitor
  • Covered on 4 commercial plans
  • PA (1/8) · Step Therapy (0/8) · Qty limit (0/8)
View full coverage details ›
Humana
Cinryze
  • Covered on 0 commercial plans
  • PA (3/3) · Step Therapy (3/3) · Qty limit (2/3)
View full coverage details ›
Kalbitor
  • Covered on 0 commercial plans
  • PA (1/3) · Step Therapy (0/3) · Qty limit (0/3)
View full coverage details ›
Coverage data sourced from MMIT. Updated monthly.
Savings
Cost estimate not availableAccessia Health: Hereditary Angioedema - Private Insurance
Commercial or private insurance
Medicare, Medicaid, VA, TRICARE
Cost estimate not availableAccessia Health: Hereditary Angioedema - Private Insurance
Commercial or private insurance
Medicare, Medicaid, VA, TRICARE
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CinryzeView full Cinryze profile
KalbitorView full Kalbitor profile
Clinical data sourced from FDA-approved labeling. Coverage data via MMIT. Updated monthly.