Onpattro

(patisiran)

Provider Summary

Primary Uses

hATTR amyloidosis with polyneuropathy in adults per label/payer criteria

Mechanism of Action

siRNA that reduces hepatic production of transthyretin (TTR).

Pre-treatment / Baseline Requirement

Premedication is required prior to each infusion to reduce infusion-related reactions (corticosteroid, acetaminophen, H1 and H2 blockers per PI); vitamin A supplementation at recommended daily allowance is advised; assess for infusion center readiness and monitor during infusion.

Common side effects

Infusion-related reactions, flushing, nausea, back pain, dyspnea, peripheral edema.

Serious adverse effects / key risks

Severe infusion reactions/hypersensitivity; vitamin A deficiency effects if not supplemented.

Referral requirements

Standard infusion referral form + drug-specific checklist

Onpattro

Patient & Caregiver Education

What it treats

hATTR amyloidosis with polyneuropathy in adults

How it works

Uses RNA-interference to reduce a disease-driving protein made by the liver.

Before treatment

Tell your clinician if you have an active infection/fever, are pregnant/planning pregnancy, or have major heart/nerve problems. Depending on the medication, you may need labs or screening tests (e.g., TB/hepatitis) and a vaccine review.

Common side effects

Infusion-related reactions, flushing, nausea, back pain, dyspnea, peripheral edema.

Get urgent help for:

Severe infusion reactions/hypersensitivity; vitamin A deficiency effects if not supplemented.

On treatment Day:

Plan to stay for monitoring. If you feel dizzy, drowsy, or unwell afterward, do not drive and follow your clinician’s instructions.