País: Canadá
Idioma: inglés
Fuente: Health Canada
ASPARAGINASE
JAZZ PHARMACEUTICALS FRANCE SAS
L01XX02
ASPARAGINASE
10000UNIT
POWDER FOR SOLUTION
ASPARAGINASE 10000UNIT
INTRAMUSCULAR
100
Prescription
ANTINEOPLASTIC AGENTS
Active ingredient group (AIG) number: 0109328001; AHFS:
CANCELLED POST MARKET
2021-04-09
PRODUCT MONOGRAPH ERWINASE ® (ERWINIA L-ASPARAGINASE) FREEZE-DRIED POWDER FOR INJECTION FOR IM, SC, OR BOLUS IV USE THERAPEUTIC CLASSIFICATION: CYTOSTATIC (LOI XX02) Jazz Pharmaceuticals France SAS 69006 Lyon France Control No. 196585 Canadian Distributor: CGF Pharmatec 3516 Griffith Montreal, Québec H4T 1A7 Date of Revision: July 20, 2016 Date of Approval: August 30, 2016 PRODUCT MONOGRAPH ERWINASE ® (ERWINIA L-ASPARAGINASE) FREEZE-DRIED POWDER FOR INJECTION FOR IM, SC, OR BOLUS IV USE 10,000 U/VIAL THERAPEUTIC CLASSIFICATION: CYTOSTATIC WARNING IT IS RECOMMENDED THAT ERWINASE (ERWINIA L-ASPARAGINASE) FOR INJECTION BE ADMINISTERED TO PATIENTS ONLY IN A HOSPITAL SETTING UNDER THE SUPERVISION OF A PHYSICIAN WHO IS QUALIFIED BY TRAINING AND EXPERIENCE TO ADMINISTER CANCER CHEMOTHERAPEUTIC AGENTS BECAUSE OF THE POSSIBILITY OF SEVERE REACTIONS, INCLUDING ANAPHYLAXIS AND SUDDEN DEATH. THE PHYSICIAN MUST BE PREPARED TO TREAT ANAPHYLAXIS AT EACH ADMINISTRATION OF THE DRUG. IN THE TREATMENT OF EACH PATIENT THE PHYSICIAN MUST WEIGH CAREFULLY THE POSSIBILITY OF ACHIEVING THERAPEUTIC BENEFIT VERSUS THE RISK OF TOXICITY. THE FOLLOWING INFORMATION SHOULD BE THOROUGHLY REVIEWED BEFORE ADMINISTERING THE RECONSTITUTED PRODUCT. CLINICAL PHARMACOLOGY Action Erwinia L-asparaginase is effective in inducing remission in patients with acute lymphocytic leukemia (ALL). Its oncolytic mode of action is based on a metabolic defect in asparagine synthesis of the malignant cells. The leukemic cells have a poorly active asparagine synthetase (1, 2). They depend on an exogenous source of the amino acid asparagine for their protein metabolism and survival (3). Asparaginase hydrolyzes circulating asparagine resulting in the starvation and death of the malignant cells (4). Normal cells that can synthesize asparagine de novo are not affected. Wade et al. (5) first discovered certain Erwinia species to be a commercial source of the oncolytic enzyme. And, MacLennan et al. (6) showed Erwinia L-asparaginase to be serologically (antigenically) dist Leer el documento completo