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Data updated: Mar 10, 2026

SYLVANT

SILTUXIMAB Interleukin-6 Antagonists
Immunology Approved 2014-04-23

SYLVANT (siltuximab) is an interleukin-6 (IL-6) antagonist indicated for the treatment of patients with multicentric Castleman's disease (MCD). The therapy is specifically for use in patients who are human immunodeficiency virus (HIV) negative and human herpesvirus-8 (HHV-8) negative. It addresses the systemic manifestations of MCD that are linked to the overproduction of the IL-6 cytokine.

Source: FDA Label • RECORDATI RARE DISEASES, INC. • Interleukin-6 Antagonist

How SYLVANT Works

Siltuximab works by binding directly to human IL-6, a protein involved in normal physiologic processes such as immunoglobulin secretion. By binding to this cytokine, the drug prevents IL-6 from interacting with both soluble and membrane-bound IL-6 receptors. This blockade inhibits the signaling pathways that contribute to the clinical symptoms of multicentric Castleman's disease.

Source: FDA Label
1
Indication
--
Phase 3 Trials
1
Priority Reviews
11
Years on Market

Details

Status
Prescription
First Approved
2014-04-23
Routes
INJECTION
Dosage Forms
INJECTABLE

Companies

Active Ingredient: SILTUXIMAB

SYLVANT Approval History

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What SYLVANT Treats

1 indications

SYLVANT is approved for 1 conditions since its original approval in 2014. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Multicentric Castleman's Disease
Source: FDA Label

SYLVANT Target & Pathway

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Target

IL-6 (Interleukin-6) Cytokine

A cytokine involved in inflammation and immune regulation. Elevated IL-6 drives inflammation in rheumatoid arthritis and is linked to cytokine release syndrome. Blocking IL-6 or its receptor reduces inflammatory responses in autoimmune conditions.

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Active Pipeline

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Ongoing clinical trials by development phase

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Key Completed Trials

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Completed studies with published results, ranked by significance

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Trial Timeline

Full development history with FDA approval milestones

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Understanding FDA Approval Types
Count Type What it means
- ORIG Original approval - drug first enters market
- SUPPL - Efficacy New indication (new disease/condition approved)
- SUPPL - Labeling Label text changes (warnings, dosing updates)
- SUPPL - Manufacturing Production changes (new facility)
- SUPPL - Chemistry Formulation changes (new dosage strength)

Green lines in the timeline show ORIG and Efficacy approvals - the clinically meaningful milestones.

SYLVANT FDA Label Details

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Indications & Usage

FDA Label (PDF)

SYLVANT is indicated for the treatment of patients with multicentric Castleman's disease (MCD) who are human immunodeficiency virus (HIV) negative and human herpesvirus-8 (HHV-8) negative. SYLVANT is an interleukin-6 (IL-6) antagonist indicated for the treatment of patients with multicentric Castleman's disease (MCD) who are human immunodeficiency virus (HIV) negative and human herpesvirus-8 (HHV-8) negative. Limitations of Use SYLVANT was not studied in patients with MCD who are HIV positive or HHV-8 positive because SYLVANT did not bind to virally produced IL-6 in a nonclinical study. Limita...

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Data Sources

Data sourced from official FDA and NIH databases. Click links to verify on original sources.