País: Singapur
Idioma: anglès
Font: HSA (Health Sciences Authority)
Inotuzumab Ozogamicin
PFIZER PRIVATE LIMITED
L01XC26
POWDER, FOR SOLUTION
Inotuzumab Ozogamicin 1mg/vial
INTRAVENOUS
Prescription Only
Wyeth Pharmaceutical Division of Wyeth Holding LLC
ACTIVE
2019-07-17
1. NAME OF THE MEDICINAL PRODUCT BESPONSA 2. QUALITATIVE AND QUANTITATIVE COMPOSITION Each vial contains 1 mg inotuzumab ozogamicin. After reconstitution (see Section 6.6), 1 mL of solution contains 0.25 mg inotuzumab ozogamicin. For the full list of excipients, see Section 6.1. Chemical structure: Inotuzumab ozogamicin is a CD22-directed antibody-drug conjugate (ADC) consisting of 3 components: 1) the recombinant humanized immunoglobulin class G subtype 4 (IgG4) kappa antibody inotuzumab, specific for human CD22, 2) N-acetyl-gamma-calicheamicin that causes double-stranded DNA breaks, and 3) an acid-cleavable linker composed of the condensation product of 4-(4’-acetylphenoxy)-butanoic acid (AcBut) and 3-methyl-3-mercaptobutane hydrazide (known as dimethylhydrazide) that covalently attaches N-acetyl-gamma-calicheamicin to inotuzumab. 3. PHARMACEUTICAL FORM Powder for concentrate for solution for infusion. White to off-white, lyophilized cake or powder. 4. CLINICAL PARTICULARS 4.1. THERAPEUTIC INDICATIONS Inotuzumab ozogamicin is indicated for the treatment of adults with relapsed or refractory B-cell precursor acute lymphoblastic leukemia (ALL). 4.2. POSOLOGY AND METHOD OF ADMINISTRATION For patients with circulating lymphoblasts, cytoreduction with a combination of hydroxyurea, steroids, and/or vincristine to a peripheral blast count ≤10,000/mm 3 is recommended prior to the first dose. Premedication with a corticosteroid, antipyretic, and antihistamine is recommended prior to dosing (see Section 4.4). Patients should be observed during and for at least 1 hour after the end of the infusion for symptoms of infusion related reactions (see Section 4.4). Posology Administer inotuzumab ozogamicin in 3- to 4-week cycles. For patients proceeding to a hematopoietic stem cell transplant (HSCT), the recommended duration of treatment with inotuzumab ozogamicin is 2 cycles. A third cycle should be considered for those patients who do not achieve a complete remission (CR) or a complete remission with incomplete hematologic Llegiu el document complet