Country: Canada
Language: English
Source: Health Canada
VALRUBICIN
ENDO PHARMACEUTICALS SOLUTIONS INC
L01DB09
VALRUBICIN
40MG
SOLUTION
VALRUBICIN 40MG
INTRAVESICAL
5 ML
Prescription
ANTINEOPLASTIC AGENTS
Active ingredient group (AIG) number: 0141241001; AHFS:
CANCELLED POST MARKET
2017-08-01
PRODUCT MONOGRAPH VALTAXIN ® (VALRUBICIN) STERILE SOLUTION FOR INTRAVESICAL INSTILLATION 200 MG/5ML CYTOTOXIC ANTINEOPLASTIC ANTI-CANCER AGENT ENDO PHARMACEUTICALS SOLUTIONS INC. 100 CHADDS FORD, PENNYSLVANIA 19317 DISTRIBUTED BY: PALADIN LABS, INC. 100 BLVD ALEXIS NIHON, SUITE 600 ST. LAURENT, QUÉBEC, CANADA H4M 2P2 DATE OF PREPARATION: OCTOBER 26, 2009 CONTROL #: 132619 PRODUCT MONOGRAPH VALTAXIN (VALRUBICIN) STERILE SOLUTION FOR INTRAVESICAL INSTILLATION CYTOTOXIC ANTINEOPLASTIC ANTI-CANCER AGENT DOSAGE FORM SUMMARY TABLE VIAL SIZE VIAL CONTENTS DOSAGE STRENGTH DOSAGE FORM AVAILABILITY OF DOSAGE FORMS NONMEDICINAL INGREDIENTS 5 mL Each vial of Valtaxin contains valrubicin at a concentration of 40 mg/mL in 50% ® EL (Polyoxyl 35 castor oil, NF) without preservatives or other additives. The solution is sterile and nonpyrogenic. 40 mg/mL Sterile Solution Carton of 4, 5 mL single-use vials (200 mg/5 mL) Carton of 24, 5 mL single-use vials (200 mg/5 mL) Cremophor® EL (Polyoxyl 35 castor oil, NF) Dehydrated alcohol, USP ACTION AND CLINICAL PHARMACOLOGY PHARMACOLOGY MECHANISM OF ACTION: Valrubicin is an anthracycline that affects a variety of inter- related biological functions, most of which involve nucleic acid metabolism. It readily penetrates into cells, where it inhibits the incorporation of nucleosides into nucleic acids, causes extensive chromosomal damage, and arrests cell cycle in G2. Although valrubicin does not bind strongly to DNA, a principal mechanism of its action, mediated by valrubicin metabolites, is interference with the normal DNA breaking-resealing action of DNA topoisomerase II. PHARMACOKINETICS AFTER INTRAVESICAL ADMINISTRATION OF VALTAXIN : When an 800 mg dose of VALTAXIN was administered intravesically to patients with carcinoma in situ, VALTAXIN penetrated into the bladder wall. The mean total anthracycline concentration measured in bladder tissue exceeded the levels causing 90% cytotoxicity to human bladder cells cultured _in vitro_ . During the two-hour dose retention period, the metabo Read the complete document