Drug General Information (ID: DDIR8OYKDZ)
  Drug Name Ocrelizumab Drug Info Vibrio cholerae CVD 103-HgR strain live antigen (live) Drug Info
  Drug Type Monoclonal antibody Vaccine
  Therapeutic Class Antineoplastics Vaccines

 Mechanism of Ocrelizumab-Vibrio cholerae CVD 103-HgR strain live antigen (live) Interaction (Severity Level: Major)
     Antagonize the effect of vaccine/toxoid Click to Show/Hide Mechanism Graph
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      Drug Name Ocrelizumab Vibrio cholerae CVD 103-HgR strain live antigen (live)
      Mechanism Immunosuppressive effects Vaccine or toxoid
      Key Mechanism Factor 1
Factor Name Vaccine/toxoid
Factor Description The beneficial effects of the vaccine/toxinoid may be reduced, leading to a diminished or suboptimal immune response.
      Mechanism Description
  • Antagonize the effect of Vibrio cholerae CVD 103-HgR strain live antigen (live) when combined with Ocrelizumab 

Recommended Action
      Management Live virus or bacterial vaccines should not be administered to patients during therapy or after discontinuing ocrelizumab therapy until recovery from B-cell repletion occurs. Immunization status should be assessed prior to initiating ocrelizumab and recommended immunization with live or attenuated live vaccines should be completed at least 4 weeks prior to ocrelizumab initiation (some authorities have recommended at least 6 weeks). For infants of mothers exposed to ocrelizumab during pregnancy, live or live-attenuated vaccines should be delayed until B-cell levels have recovered therefore, measuring CD19 positive B-cell levels prior to vaccination in these infants is recommended.

References
1 CDC. Centers for Disease Control and Prevention/ "Recommendations of the advisory committtee on immunization practices (ACIP): use of vaccines and immune globulins in persons with altered immunocompetence." MMWR Morb Mortal Wkly Rep 42(RR-04) (1993): 1-18. [PMID: 20300058]
2 Cerner Multum, Inc. "Australian Product Information.".
3 Fauci AS, Braunwald E, Isselbacher KJ, Wilson JD, Martin JB, Kasper DL, Hauser SL, Longo DL, eds. "Harrison's Principles of Internal Medicine. 14th ed." New York, NY: McGraw-Hill Health Professionals Division (1998):