Brand Name

Spherusol

Generic Name
immitis Spherule-Derived
View Brand Information
FDA approval date: July 29, 2011
Classification: Skin Test Antigen
Form: Injection

What is Spherusol (immitis Spherule-Derived)?

Spherusol ® is a skin test antigen indicated for the detection of delayed-type hypersensitivity to Coccidioides immitis in individuals with a history of pulmonary coccidioidomycosis. Spherusol ® is approved for use in individuals 18-64 years of age. The use of Spherusol ® to detect delayed-type hypersensitivity responses in a general population with unknown exposure to C. immitis has not been evaluated. Persons with acute or disseminated coccidioidomycosis may not develop a delayed-type hypersensitivity response to Spherusol ®. Persons with immunodeficiency and a history of coccidioidomycosis may not develop a delayed-type hypersensitivity response to Spherusol ®. Spherusol ® is a skin test antigen indicated for the detection of delayed-type hypersensitivity to Coccidioides immitis in individuals with a history of pulmonary coccidioidomycosis. Spherusol ® is approved for use in individuals 18-64 years of age. The use of Spherusol ® to detect delayed-type hypersensitivity responses in a general population with unknown exposure to C. immitis has not been evaluated. Persons with acute or disseminated coccidioidomycosis may not develop a delayed-type hypersensitivity response to Spherusol ®. Persons with immunodeficiency and a history of coccidioidomycosis may not develop a delayed-type hypersensitivity response to Spherusol ®.

Brand Information

Spherusol (Coccidioides immitis Spherule-Derived Skin Test Antigen)
WARNING
  • The expected response to Spherusol
  • Systemic reactions can occur with skin test antigens and in certain individuals these reactions may be life-threatening or cause death. Emergency measures and personnel trained in their use should be immediately available. Patients should be observed for at least 20 minutes following the administration of a skin test. (
  • Spherusol
  • To report SUSPECTED ADVERSE REACTIONS, contact Nielsen BioSciences, Inc. at (855) 855-1212 or MEDWATCH, Food and Drug Administration (FDA), 5600 Fishers Lane, Rockville, MD 20852-9782. Telephone: (800) 332-1088 or
1INDICATIONS AND USAGE
Spherusol
  • The use of Spherusol
  • Persons with acute or disseminated coccidioidomycosis may not develop a delayed-type hypersensitivity response to Spherusol
  • Persons with immunodeficiency and a history of coccidioidomycosis may not develop a delayed-type hypersensitivity response to Spherusol
2DOSAGE FORMS AND STRENGTHS
Spherusol
3CONTRAINDICATIONS
A severe allergic reaction (e.g., anaphylaxis) to Spherusol
4DESCRIPTION
Spherusol
The potency of each lot of Spherusol
5CLINICAL STUDIES
The delayed-type hypersensitivity response following administration of Spherusol
The use of Spherusol
6REFERENCES
  1. Edwards, PQ and Palmer CE. Prevalence of sensitivity to coccodioidin, with special reference to specific and nonspecific reactions to coccidioidin. Dis Chest. 31:35. 35-60, 1957.
  2. Emmons, C.W., Binford, C. H., Ulz, J.P. Kwon-Chung, K.J. Medical Mycology, Leanne Febiger, Philadelphia, Chapter 17, 230, 1977.
  3. Emmons CW and Olson BJ. Studies of the role of fungi in pulmonary disease. I. Cross-reactions with histoplasmin. Pub Health Rep. 60(47):1383, 1945.
  4. Levine HB, Restrepon A, Eyck DR, and Stevens DA. Spherulin and coccidioidin: cross-reactions in dermal sensitivity to histoplasmin and paracoccidioidin. Am J Epidemiol. 101(6):512, 1975.
  5. Zweiman, B. Cell-mediated immunity in health and disease. Allergy Principles and Practices, Mosby, Saint Louis, Chapter 50: 696, 1998.
7HOW SUPPLIED/STORAGE AND HANDLING
Spherusol
NDC# 59584-140-01: multi-dose vial.
Store refrigerated at 2° to 8°C (35° to 46°F). Do not freeze. Discard if frozen.
Do not use after expiration date.
8PATIENT COUNSELING INFORMATION
Patients should be:
  • Informed of the potential benefits and risks of skin testing with Spherusol
  • Instructed to report any adverse events to their healthcare provider.