Drug | Mechanism of action | Use in IEI |
Abatacept | CTLA-Ig, competitive inhibitor of CD28-B7 thereby preventing secondary activation of T cells | CTLA-4 haploinsufficiency, LRBA deficiency |
Adalimumab | Recombinant human monoclonal antibody to TNF-alpha | CANDLE syndrome, PAPA syndrome, STING-associated vasculopathy with onset in infancy, Blau syndrome, POMP deficiency |
Alemtuzumab | Antibody to CD52 that is found on lymphocytes, monocytes, macrophages, NK cells, and some granulocytes resulting in lysis of cells | HLH, autoimmune cytopenias |
Anakinra | Recombinant IL-1 receptor agonist | Cryopyrin-associated periodic fever syndromes |
Baricitinib | Inhibition of JAK enzymes that, when inhibited, prevent activation of STATs | STAT1-GOF, CANDLE syndrome |
Belatacept | Blocks T cell costimulation by binding CD80 and CD86 on APCs | CTLA-4 haploinsufficiency |
Canakinumab | Binds IL-1-beta, which prevents its interaction with surface receptors | Deficiency of IL-1 receptor antagonist |
Cyclosporine | Prevents activation of resting T-lymphocytes by blocking IL-2; inhibits production of IL-2 | HLH, autoimmune cytopenias |
Eculizumab | Humanized monoclonal antibody targeting C5 | Complement deficiencies |
Emapalumab | Monoclonal antibody to IFN-gamma | HLH |
Etanercept | Recombinant TNF receptor that prevents TNF from binding to surface receptors | STING-associated vasculopathy with onset in infancy, CANDLE syndrome, POMP deficiency, PAPA syndrome, Blau syndrome |
Glucocorticoids | Suppression of migration of polymorphonuclear leukocytes and reversal of increased capillary permeability; suppresses the immune system by reducing activity and volume of the lymphatic system | CGD (granulomatous stigmata) |
Infliximab | Chimeric monoclonal antibody that binds to TNF-alpha, interfering with TNF-alpha activity | STING-associated vasculopathy with onset in infancy, CANDLE syndrome, POMP deficiency, PAPA syndrome, Blau syndrome |
Leniolisib | A selective inhibitor of PI3K-delta | Activated PI3K-delta syndrome |
Mycophenolate mofetil | Inhibition of inosine monophosphate dehydrogenase that inhibits nucleotide synthesis, which has cytostatic effects on T and B lymphocytes | Autoimmune lymphoproliferative disorders |
Rilonacept | Reduces inflammation by binding to IL-1-beta (some binding of IL-1-alpha and IL-1 receptor antagonist) and preventing interaction with cell surface receptors | Deficiency of IL-1 receptor antagonist |
Rituximab | Monoclonal antibody to CD20, which is found on B cells and regulates cell cycle initiation | Autoimmune cytopenias (commonly in CVID) |
Ruxolitinib | Selective inhibitor of JAK1 and JAK2 | STAT3-GOF, STAT1-GOF, CANDLE syndrome |
Sirolimus | Modulates mTOR by binding FK protein, which as a result inhibits IL-2 mediated signal transduction | NLRC4-GOF, POMP deficiency, CTLA-4 haploinsufficiency, activated PI3K-delta syndrome |
Tadekinig-alfa | IL-18 binding protein as IL-18 is proinflammatory cytokine | NLRC4-GOF |
Tocilizumab | IL-6 receptor antagonist | STAT3-GOF |
Ustekinumab | Human monoclonal antibody, which binds to proinflammatory cytokines IL-12 and IL-23 | Activated PI3K-delta syndrome |