Země: Spojené státy
Jazyk: angličtina
Zdroj: NLM (National Library of Medicine)
lumacaftor (UNII: EGP8L81APK) (lumacaftor - UNII:EGP8L81APK), ivacaftor (UNII: 1Y740ILL1Z) (ivacaftor - UNII:1Y740ILL1Z)
Vertex Pharmaceuticals Incorporated
lumacaftor
lumacaftor 200 mg
ORAL
PRESCRIPTION DRUG
ORKAMBI is indicated for the treatment of cystic fibrosis (CF) in patients aged 1 year and older who are homozygous for the F508del mutation in the CFTR gene. If the patient's genotype is unknown, an FDA-cleared CF mutation test should be used to detect the presence of the F508del mutation on both alleles of the CFTR gene. Limitations of Use The efficacy and safety of ORKAMBI have not been established in patients with CF other than those homozygous for the F508del mutation. None. Risk Summary There are limited and incomplete human data from clinical trials and postmarketing reports on use of ORKAMBI or its individual components, lumacaftor or ivacaftor, in pregnant women to inform a drug-associated risk. In animal reproduction studies, oral administration of lumacaftor to pregnant rats and rabbits during organogenesis demonstrated no teratogenicity or adverse effects on fetal development at doses that produced maternal exposures up to approximately 8 (rats) and 5 (rabbits) times the exposure at the maxim
ORKAMBI (lumacaftor 200 mg/ivacaftor 125 mg) is supplied as pink, oval-shaped tablets; each tablet contains 200 mg of lumacaftor and 125 mg of ivacaftor, printed with "2V125" in black ink on one side and plain on the other, and is packaged as follows: ORKAMBI (lumacaftor 100 mg/ivacaftor 125 mg) is supplied as pink, oval-shaped tablets; each tablet contains 100 mg of lumacaftor and 125 mg of ivacaftor, printed with "1V125" in black ink on one side and plain on the other, and is packaged as follows: ORKAMBI (lumacaftor/ivacaftor) oral granules are supplied as small white to off-white granules and enclosed in unit-dose packets as follows: Store at 20°C - 25°C (68°F - 77°F); excursions permitted to 15°C - 30°C (59°F - 86°F) [see USP Controlled Room Temperature].
New Drug Application
ORKAMBI- LUMACAFTOR AND IVACAFTOR TABLET, FILM COATED ORKAMBI- LUMACAFTOR AND IVACAFTOR GRANULE VERTEX PHARMACEUTICALS INCORPORATED ---------- HIGHLIGHTS OF PRESCRIBING INFORMATION THESE HIGHLIGHTS DO NOT INCLUDE ALL THE INFORMATION NEEDED TO USE ORKAMBI SAFELY AND EFFECTIVELY. SEE FULL PRESCRIBING INFORMATION FOR ORKAMBI. ORKAMBI (LUMACAFTOR AND IVACAFTOR) TABLETS, FOR ORAL USE ORKAMBI (LUMACAFTOR AND IVACAFTOR) ORAL GRANULES INITIAL U.S. APPROVAL: 2015 RECENT MAJOR CHANGES Indications and Usage (1) 09/2022 Dosage and Administration (2) 09/2022 Warnings and Precautions, Hypersensitivity Reactions, Including Anaphylaxis (5.3) 08/2023 INDICATIONS AND USAGE ORKAMBI is a combination of ivacaftor, a cystic fibrosis transmembrane conductance regulator (CFTR) potentiator, and lumacaftor, indicated for the treatment of cystic fibrosis (CF) in patients aged 1 year and older who are homozygous for the _F508del_ mutation in the _CFTR_ gene. If the patient's genotype is unknown, an FDA-cleared CF mutation test should be used to detect the presence of the _F508del _mutation on both alleles of the_ CFTR_ gene. (1) Limitations of Use: The efficacy and safety of ORKAMBI have not been established in patients with CF other than those homozygous for the _F508del _mutation. (1) DOSAGE AND ADMINISTRATION AGE GROUP WEIGHT DOSE ADMINISTRATION 1 through 2 years 7 kg to < 9 kg 1 packet of lumacaftor 75 mg/ivacaftor 94 mg granules Mixed with one teaspoon (5 mL) of soft food or liquid and administered orally EVERY 12 HOURS with fat- containing food 9 kg to < 14 kg 1 packet of lumacaftor 100 mg/ivacaftor 125 mg granules ≥14 kg 1 packet of lumacaftor 150 mg/ivacaftor 188 mg granules 2 through 5 years <14 kg 1 packet of lumacaftor 100 mg/ivacaftor 125 mg granules ≥14 kg 1 packet of lumacaftor 150 mg/ivacaftor 188 mg granules 6 through 11 years - 2 tablets of lumacaftor 100 mg/ivacaftor 125 mg (lumacaftor 200 mg/ivacaftor 250 mg per dose) Taken orally EVERY 12 HOURS with fat- containing food 12 years and older - 2 tablets of lumacaftor 20 Přečtěte si celý dokument