البلد: إسرائيل
اللغة: الإنجليزية
المصدر: Ministry of Health
TRASTUZUMAB DERUXTECAN
ASTRAZENECA (ISRAEL) LTD
L01XC03
POWDER FOR CONCENTRATE FOR SOLUTION FOR INFUSION
TRASTUZUMAB DERUXTECAN 100 MG
I.V
Required
DAIICHI SANKYO EUROPE GMBH, GERMANY
TRASTUZUMAB
HER2-Positive Metastatic Breast CancerENHERTU is indicated for the treatment of adult patients with unresectable or metastatic HER2-positive breast cancer who have received a prior anti-HER2-based regimen either:• in the metastatic setting, or• in the neoadjuvant or adjuvant setting and have developed disease recurrence during or within six months of completing therapy.HER2-Low Metastatic Breast CancerENHERTU is indicated for the treatment of adult patients with unresectable or metastatic HER2-low (IHC 1+ orIHC 2+/ISH-) breast cancer who have received a prior chemotherapy in the metastatic setting or developed diseaserecurrence during or within 6 months of completing adjuvant chemotherapyUnresectable or Metastatic HER2-Mutant Non-Small Cell Lung CancerENHERTU is indicated for the treatment of adult patients with unresectable or metastatic non-small cell lung cancer (NSCLC) whose tumors have activating HER2 (ERBB2) mutations, as detected by an approved test, and who have received a prior systemic therapy. Locally Advanced or Metastatic Gastric CancerENHERTU is indicated for the treatment of adult patients with locally advanced or metastatic HER2-positive gastric or gastroesophageal junction (GEJ) adenocarcinoma who have received a prior trastuzumab-based regimen.
2021-06-30
PATIENT PACKAGE INSERT IN ACCORDANCE WITH THE PHARMACISTS’ REGULATIONS (PREPARATIONS) - 1986 This medicine is dispensed with a doctor’s prescription only Enhertu ® Powder for concentrate for solution for infusion Each vial contains: Trastuzumab Deruxtecan 100 mg For inactive ingredients in the medicine - please see section 6 “Further Information”. Read this leaflet carefully in its entirety before using the medicine. This leaflet contains concise information about the medicine. If you have any further questions, ask the doctor or pharmacist. This medicine has been prescribed for you. Do not pass it on to others. It may harm them, even if it seems to you that their ailment is similar. In addition to the leaflet, a Patient Safety Information Card is available for Enhertu. This card contains important safety information which you must know prior to starting treatment and during the treatment with Enhertu and follow it. Read the Patient Safety Information Card and the Patient Leaflet prior to starting treatment with the medicinal product. Keep the card for further reading if required. 1. WHAT THE MEDICINE INTENDED FOR? • HER2-Positive Metastatic Breast Cancer Enhertu is indicated for the treatment of adult patients with unresectable or metastatic HER2- positive breast cancer who have received a prior anti-HER2-based regimen either: • in the metastatic setting, or • in the neoadjuvant or adjuvant setting and have developed disease recurrence during or within six months of completing therapy. • HER2-Low Metastatic Breast Cancer ENHERTU is indicated for the treatment of adult patients with unresectable or metastatic HER2- low (IHC 1+ or IHC 2+/ISH-) breast cancer who have received a prior chemotherapy in the metastatic setting or developed disease recurrence during or within 6 months of completing adjuvant chemotherapy • Unresectable or Metastatic HER2-Mutant Non-Small Cell Lung Cancer ENHERTU is indicated for the treatment of adult patients with unresectable or metastatic non- small cell lung cancer اقرأ الوثيقة كاملة
1 FULL PRESCRIBING INFORMATION 1. NAME OF THE MEDICINAL PRODUCT Enhertu ® QUALITATIVE AND QUANTITATIVE COMPOSITION One vial of powder for concentrate for solution for infusion contains 100 mg of trastuzumab deruxtecan. After reconstitution, one vial of 5 mL solution contains 20 mg/mL of trastuzumab deruxtecan (see section 11). Trastuzumab deruxtecan is an antibody-drug conjugate (ADC) that contains a humanised anti-HER2 IgG1 monoclonal antibody (mAb) with the same amino acid sequence as trastuzumab, produced by mammalian (Chinese Hamster Ovary) cells, covalently linked to DXd, an exatecan derivative and a topoisomerase I inhibitor, via a tetrapeptide- based cleavable linker. Approximately 8 molecules of deruxtecan are attached to each antibody molecule. For the full list of excipients, see section 11. PHARMACEUTICAL FORM Powder for concentrate for solution for infusion For the full list of excipients, see section 11. Patient safety information Card The marketing of Enhertu is subject to a risk management plan (RMP) including a "patient safety information card". The patient safety information card, emphasizes important safety information that the patient should be aware of before and during treatment. Please explain to the patient the need to review the card before starting treatment WARNING: INTERSTITIAL LUNG DISEASE and EMBRYO-FETAL TOXICITY • Interstitial Lung Disease (ILD) and pneumonitis, including fatal cases, have been reported with ENHERTU. Monitor for and promptly investigate signs and symptoms including cough, dyspnea, fever, and other new or worsening respiratory symptoms. Permanently discontinue ENHERTU in all patients with Grade 2 or higher ILD/pneumonitis. Advise patients of the risk and the need to immediately report symptoms _[see _ _Dosage and Administration (_ 3 _), Warnings and Precautions (6.1)]_. • Embryo-Fetal Toxicity: Exposure to ENHERTU during pregnancy can cause embryo-fetal harm. Advise patients of these risks and the need for effective contraception _[see Warnings and Precautions ( اقرأ الوثيقة كاملة