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Active Pharma Ingredients / 06 Aug 2026

ADAVIVINT

Generic Name: ADAVIVINT

ABSTRACT -

Adavivint, also known as lorecivivint or SM04690, is an investigational small-molecule inhibitor of signaling pathways involved in Wnt modulation, with reported activity through CLK2 and DYRK1A inhibition. It has been developed as an intra-articular therapy for knee osteoarthritis and studied for potential disease-modifying effects on inflammation, cartilage catabolism, and joint structure. It is not a routine approved therapy unless approved by a local regulator.

DOSAGE - 

Adavivint is investigational and does not have a universally established approved dosage regimen.

  • It has been studied as an intra-articular injection into the target knee under clinical-trial conditions.
  • Clinical programs have evaluated single-injection, every-six-month, or once-yearly protocol-defined regimens depending on trial design.
  • The dose, injection technique, eligibility criteria, and follow-up schedule must be determined by the protocol or treating specialist.
  • It should not be self-administered or used outside specialist supervision.

SIDE EFFECTS - 

Reported or potential side effects may include:

  • Injection-site pain
  • Joint pain or swelling
  • Arthralgia
  • Headache
  • Upper respiratory tract symptoms
  • Back pain
  • Nausea
  • Transient knee discomfort
  • Rash or itching
  • Laboratory abnormalities if monitored
  • Infection risk related to joint injection procedure
  • Allergic or hypersensitivity reactions

ALLRGIC REACTIONS–

(These symptoms may indicate an allergic reaction to the drug.)

  • Skin rash
  • Itching
  • Hives
  • Swelling of face, lips, tongue, or throat
  • Difficulty breathing
  • Wheezing
  • Severe dizziness
  • Rapid heartbeat
  • Chest tightness
  • Anaphylaxis
  • Severe hypersensitivity reactions

DRUG INTERACTIONS–

The full drug-interaction profile has not been completely established. Use caution with:

  • Intra-articular corticosteroids, hyaluronic acid, or other knee injections close to dosing
  • Anticoagulants or antiplatelet medicines that may increase injection-site bleeding risk
  • Other investigational osteoarthritis disease-modifying therapies
  • Immunosuppressants or infection-risk medicines when joint injection is planned
  • Other investigational medicines or therapies used in the same protocol
  • Medicines that increase the risk of overlapping organ toxicity
  • Immunosuppressive, anticancer, antiviral, cardiovascular, or neurologic medicines when clinically relevant
  • Herbal products and supplements with uncertain pharmacologic effects

PREAUTIONS–

  • Assess knee diagnosis, radiographic severity, infection risk, bleeding risk, and recent joint procedures before injection.
  • Do not inject into an actively infected joint or overlying skin infection.
  • Monitor for post-injection pain, swelling, fever, or signs of septic arthritis.
  • Use only in settings where qualified healthcare professionals can assess eligibility, monitor response, and manage adverse reactions.
  • Review baseline medical history, organ function, concomitant medicines, pregnancy status, and allergy history before use.
  • Monitor clinical symptoms and laboratory values as directed by the clinical protocol or treating specialist.
  • Use caution in patients with severe hepatic, renal, cardiovascular, infectious, immune, or neurologic disease unless specifically allowed by protocol.
  • Use during pregnancy or breastfeeding only if the potential benefit justifies the potential risk and as directed by a physician.
  • Safety and effectiveness in pediatric patients may not be established unless specifically studied.

WARNINGS –

  • Severe joint pain, rapidly increasing swelling, fever, redness, or inability to bear weight after injection requires urgent evaluation for joint infection or inflammatory reaction.
  • This medicine is investigational or has limited publicly established clinical-use information; safety, efficacy, optimal dose, and routine clinical role may not be fully established.
  • It should not be used for self-medication or substituted for an approved therapy unless directed by a qualified specialist or clinical-trial investigator.
  • Treatment should be discontinued and urgent medical care sought if severe allergic reaction, severe adverse reaction, or clinical deterioration is suspected.
  • Use only under medical supervision in an appropriate specialist or clinical-trial setting.
  • Keep out of reach of children.
  • In case of overdose or severe adverse reaction, seek immediate emergency medical attention.

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