Garadacimab

Garadacimab
Monoclonal antibody
TypeWhole antibody
SourceHuman
TargetCoagulation factor XIIa
Clinical data
Trade namesAndembry
Other namesCSL-312, garadacimab-gxii
AHFS/Drugs.comAndembry
License data
Routes of
administration
Subcutaneous
Drug classBleeding suppressant
ATC code
Legal status
Legal status
Identifiers
CAS Number
DrugBank
UNII
KEGG
Chemical and physical data
FormulaC6470H10004N1724O2022S42
Molar mass145639.77 g·mol−1

Garadacimab, sold under the brand name Andembry, is a human monoclonal antibody used for the treatment of hereditary angioedema.[5][6] Garadacimab is a monoclonal antibody against the activated coagulation factor XIIa (FXIIa), with potential anti-inflammatory and anticoagulant activities.[8][9]

Garadacimab is a fully human, recombinant, IgG4 lambda monoclonal antibody that binds to the catalytic domain of activated factor XII (FXIIa).[6] FXIIa is the first factor activated in the contact system, which leads to the production of bradykinin.[6] The inhibition of FXIIa therefore prevents the activation of prekallikrein into kallikrein and the generation of bradykinin, which is associated with inflammation and swelling in attacks of hereditary angioedema.[6]

Garadacimab was authorized for medical use in the European Union in February 2025,[6][7] and approved in the United States in June 2025.[10][11]

  1. ^ https://www.tga.gov.au/resources/prescription-medicines-registrations/andembry-csl-behring-australia-pty-ltd Archived 17 April 2025 at the Wayback Machine
  2. ^ https://www.tga.gov.au/resources/artg/443611
  3. ^ https://www.tga.gov.au/resources/artg/428253 Archived 18 April 2025 at the Wayback Machine
  4. ^ "Andembry 200 mg Solution for injection in pre-filled pen". (emc). 11 March 2025. Archived from the original on 21 March 2025. Retrieved 12 March 2025.
  5. ^ a b "Andembry- garadacimab injection, solution". DailyMed. 19 June 2025. Retrieved 6 July 2025.
  6. ^ a b c d e f Cite error: The named reference Andembry EPAR was invoked but never defined (see the help page).
  7. ^ a b Cite error: The named reference Andembry PI was invoked but never defined (see the help page).
  8. ^ "Garadacimab (Code C166633)". NCI Thesaurus. 25 November 2024. Archived from the original on 15 June 2024. Retrieved 13 December 2024. This article incorporates text from this source, which is in the public domain.
  9. ^ Cohn DM, Renné T (October 2024). "Targeting factor XIIa for therapeutic interference with hereditary angioedema". Journal of Internal Medicine. 296 (4): 311–326. doi:10.1111/joim.20008. PMID 39331688.
  10. ^ Cite error: The named reference Novel Drug Approvals for 2025 was invoked but never defined (see the help page).
  11. ^ https://www.accessdata.fda.gov/drugsatfda_docs/appletter/2025/761367Orig1s000ltr.pdf