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Nomlabofusp Dosing Calculator

Nomlabofusp (CTI-1601): TAT-frataxin fusion protein for Friedreich ataxia.

Pre-filled with the most-reported clinical reconstitution protocol for Nomlabofusp. See how 1 mL and 2 mL of bacteriostatic water change concentration and syringe-draw volume, then adjust the calculator below for your own vial.

Quick answer · Clinical protocol

A 10 mg vial of Nomlabofusp reconstituted with 2 mL of bacteriostatic water yields a concentration of 5.00 mg/mL. At that concentration, a 25 mg dose of Nomlabofusp equals 500 units on a U-100 insulin syringe (5.000 mL). Nomlabofusp is typically administered once daily.

Nomlabofusp reconstitution: 1 mL vs 2 mL bac water

Bacteriostatic water volume is flexible. Less water means higher concentration and smaller injection volumes; more water means lower concentration and easier dose precision. Both options below are valid for a 10 mg vial.

BAC water addedConcentrationVolume per 25 mg doseDraw on U-100 syringe (units)
1 mL10.00 mg/mL2.500 mL250 units
2 mL5.00 mg/mL5.000 mL500 units
Based on a 10 mg vial of Nomlabofusp reconstituted with bacteriostatic water. Insulin-syringe units assume a standard U-100 syringe (100 units = 1 mL).

Calculate your Nomlabofusp dose

Nomlabofusp reconstitution & storage

Nomlabofusp is a recombinant fusion protein supplied in a formulation for subcutaneous injection. Specific reconstitution details depend on the clinical trial formulation. As a protein therapeutic, proper cold chain handling is essential.

Store refrigerated at 2-8 degrees C. Protect from light. Do not freeze. As a recombinant protein, nomlabofusp requires cold chain storage to maintain stability and bioactivity.

Nomlabofusp dosing FAQ

How much bacteriostatic water should I add to a 10 mg vial of Nomlabofusp?

The community standard is 2 mL of bacteriostatic water for a 10 mg Nomlabofusp vial. That gives a concentration of 5.00 mg/mL, so a 25 mg dose is 500 units on a U-100 insulin syringe. Adding 1 mL instead doubles the concentration to 10.00 mg/mL and halves the draw to 250 units. Less water = smaller injection volume but harder to measure precisely.

How many syringe units is a 25 mg dose of Nomlabofusp?

On a standard U-100 insulin syringe, a 25 mg dose of Nomlabofusp is 500 units when the 10 mg vial is reconstituted with 2 mL of bacteriostatic water (5.00 mg/mL). If you use 1 mL of bac water instead, draw 250 units (10.00 mg/mL).

What is the standard Nomlabofusp dose?

Clinical protocols for Nomlabofusp typically use 25 mg–5 mg once daily via subcutaneous injection. 25 mg is a common starting dose. Modified starting regimen implemented to mitigate anaphylaxis risk. Phase 2 studied 25 mg and 50 mg cohorts. Open-label extension uses 25 mg daily. Dose-dependent frataxin increases observed across 25-100 mg range.

Where do you inject Nomlabofusp?

Nomlabofusp is typically injected subcutaneously. Common sites reported in the literature and by users include: Abdomen, Thigh. Rotate sites with each injection to reduce localized irritation.

Can I use sterile water instead of bacteriostatic water for Nomlabofusp?

Bacteriostatic water (containing 0.9% benzyl alcohol as a preservative) is strongly preferred for multi-dose vials like Nomlabofusp because it inhibits microbial growth and lets a single vial be used over multiple weeks. Sterile water has no preservative and should generally be reserved for single-use preparations only.

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Medical Disclaimer

This website is for educational and informational purposes only. The information provided is not intended to diagnose, treat, cure, or prevent any disease. Always consult with a qualified healthcare professional before using any peptide or supplement.