Solutions: Use a higher concentration with smaller reconstitution volume, which does not actually solve the stability issue since the same amount of time passes Start at a higher dose point if your protocol allows (only if you have already titrated up with a smaller vial) Consider aliquoting into smaller sterile vials and freezing portions for later use (reduces contamination risk to the main vial) Share the reconstitution timing with your dosing schedule, only reconstituting when you are at a dose where you will use the vial within 28-60 days For researchers at 10 mg or 15 mg weekly, the 60 mg vial is perfect
In lupus, these checkpoints fail
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In general, efficient IN delivery to the CNS in humans can be achieved by optimizing the right combination of formulation delivery device, delivery volume, and head position to target specific nasal cavity regions [8]
Dropping from daily to three-times-weekly extends remaining supply while maintaining some benefit
Lung injury was graded from 0 (normal) to 4 (severe) based on neutrophil infiltration, congestion, edema, and alveolar wall thickness