Страна: САЩ
Език: английски
Източник: NLM (National Library of Medicine)
ARSENIC TRIOXIDE (UNII: S7V92P67HO) (ARSENIC CATION (3+) - UNII:C96613F5AV)
STI Pharma LLC
INTRAVENOUS
PRESCRIPTION DRUG
Arsenic trioxide injection is indicated for induction of remission and consolidation in patients with APL who are refractory to, or have relapsed from, retinoid and anthracycline chemotherapy, and whose APL is characterized by the presence of the t(15;17) translocation or PML/RAR-alpha gene expression. Arsenic Trioxide for Injection is contraindicated in patients who are hypersensitive to arsenic. Risk Summary Based on the mechanism of action [see Clinical Pharmacology ( 12.1) ] and findings in animal studies, arsenic trioxide injection can cause fetal harm when administered to a pregnant woman. Arsenic trioxide was embryolethal and teratogenic in rats when administered on gestation day 9 at a dose approximately 10 times the recommended human daily dose on a mg/m 2 basis ( see Data ). A related trivalent arsenic, sodium arsenite, produced teratogenicity when
Arsenic Trioxide for injection is supplied as a sterile, clear, odorless solution in 10mL glass, single-dose vials. NDC 54879-027-10 10 mg/10 mL (1 mg/mL) vials in a bundle of ten vials. Store at 25ºC (77ºF); excursions permitted to 15 - 30ºC (59 - 86ºF). See USP Controlled Room Temperature. Do not freeze. Arsenic Trioxide for Injection is a cytotoxic drug. Follow applicable special handling and disposal procedures. 1
Abbreviated New Drug Application
ARSENIC TRIOXIDE- ARSENIC TRIOXIDE INJECTION, SOLUTION STI PHARMA LLC ---------- HIGHLIGHTS OF PRESCRIBING INFORMATION ARSENIC TRIOXIDE INJECTION, FOR INTRAVENOUS ADMINISTRATION THESE HIGHLIGHTS DO NOT INCLUDE ALL THE INFORMATION NEEDED TO USE ARSENIC TRIOXIDE SAFELY AND EFFECTIVELY. SEE FULL PRESCRIBING INFORMATION FOR ARSENIC TRIOXIDE. INITIAL U.S. APPROVAL: 2000 WARNING: DIFFERENTIATION SYNDROME AND CARDIAC CONDUCTION ABNORMALITIES _SEE FULL PRESCRIBING INFORMATION FOR COMPLETE BOXED WARNING._ PATIENTS TREATED WITH ARSENIC TRIOXIDE INJECTION MAY DEVELOP DIFFERENTIATION SYNDROME, WHICH CAN BE FATAL. IF SYMPTOMS OCCUR, INITIATE HIGH-DOSE STEROIDS IMMEDIATELY AND MONITOR HEMODYNAMICS. ( 5.1) ARSENIC TRIOXIDE INJECTION CAN CAUSE QT INTERVAL PROLONGATION AND VENTRICULAR ARRHYTHMIA, WHICH CAN BE FATAL. BEFORE ADMINISTERING ARSENIC TRIOXIDE INJECTION, ASSESS THE QT INTERVAL, CORRECT ELECTROLYTE ABNORMALITIES, AND CONSIDER DISCONTINUING DRUGS KNOWN TO PROLONG QT INTERVAL. DO NOT ADMINISTER ARSENIC TRIOXIDE INJECTION TO PATIENTS WITH VENTRICULAR ARRHYTHMIA OR PROLONGED QTCF. ( 2.3, 5.2) RECENT MAJOR CHANGES Dosage and Administration ( 2.1) ………….…01/2018 Warnings and Precautions ( 5.1, 5.2, 5.3) …….01/2018 INDICATIONS AND USAGE Arsenic trioxide injection is an arsenical indicated: For induction of remission and consolidation in patients with APL who are refractory to, or have relapsed from, retinoid and anthracycline chemotherapy, and whose APL is characterized by the presence of the t(15;17) translocation or PML/RAR-alpha gene expression. ( 1.2) DOSAGE AND ADMINISTRATION Relapsed or refractory APL: Induction : 0.15 mg/kg intravenously daily until bone marrow remission. Do not exceed 60 doses for total induction. ( 2.2) Consolidation: 0.15 mg/kg intravenously daily for 25 doses over a period up to 5 weeks. ( 2.2) DOSAGE FORMS AND STRENGTHS Injectable solution for intravenous administration supplied as 10 mg/10 ml of arsenic trioxide in single-dose vials. ( 3) CONTRAINDICATIONS Hypersensitivity to arsenic. Прочетете целия документ