Land: Singapore
Sprog: engelsk
Kilde: HSA (Health Sciences Authority)
Bendamustine Hydrochloride
NATCO PHARMA ASIA PTE. LTD.
L01AA09
INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION
Bendamustine Hydrochloride 100.00 mg
INTRAVENOUS
Prescription Only
Natco Pharma Ltd. - Pharma Division
ACTIVE
2017-06-05
1 INDICATIONS AND USAGE 1.1 CHRONIC LYMPHOCYTIC LEUKEMIA (CLL) Bendamustine hydrochloride for infusion is indicated for the treatment of patients with chronic lymphocytic leukemia. Efficacy relative to first line therapies other than chlorambucil has not been established. 1.2 NON-HODGKIN’S LYMPHOMA (NHL) Bendamustine hydrochloride for infusion is indicated for the treatment of patients with indolent B-cell non-Hodgkin’s lymphoma that has progressed during or within six months of treatment with rituximab or a rituximab-containing regimen. 2 DOSAGE AND ADMINISTRATION 2.1 DOSING INSTRUCTIONS FOR CLL Recommended Dosages The recommended dose is 100 mg/m 2 administered intravenously over 30 minutes on Days 1 and 2 of a 28-day cycle, up to 6 cycles. Dose Delays. Dose Modifications and Reinitiation of Therapy for CLL: Bendamustine hydrochloride for infusion administration should be delayed in the event of Grade 4 hematologic toxicity or clinically significant ≥ Grade 2 non-hematologic toxicity. Once non -hematologic toxicity has recovered to ≤ Grade 1 and/or the blood counts have improved (Absolute Neutrophil Count (ANC) ≥ 1 x 10 9 /L, platelets ≥ 75 x 10 9 /L), Bendamustine hydrochloride for infusion can be reinitiated at the discretion of the treating physician. In addition, dose reduction may be warranted. _[See Warnings and Precautions (5.1)] _ Dose modifications for hematologic toxicity: for Grade 3 or greater toxicity, reduce the dose to 50 mg/m 2 on Days 1 and 2 of each cycle; if Grade 3 or greater toxicity recurs, reduce the dose to 25 mg/m 2 on Days 1 and 2 of each cycle. Dose modifications for non- hematologic toxicity: for clinically significant Grade 3 or greater toxicity, reduce the dose to 50 mg/m 2 on Days 1 and 2 of each cycle. Dose re-escalation in subsequent cycles may be considered at the discretion of the treating physician. 2.2 DOSING INSTRUCTIONS FOR NHL Recommended Dosages The recommended dose is 120 mg/m 2 administered intravenously over 60 minutes on Days 1 and 2 of a 21-day cycle, up Læs hele dokumentet