Pays: Canada
Langue: anglais
Source: Health Canada
CYTARABINE
AGILA JAMP CANADA INC
L01BC01
CYTARABINE
100MG
SOLUTION
CYTARABINE 100MG
INTRATHECAL
20ML
Prescription
ANTINEOPLASTIC AGENTS
Active ingredient group (AIG) number: 0108854005; AHFS:
CANCELLED PRE MARKET
2015-11-03
1 PRODUCT MONOGRAPH PR AJ-CYTARABINE (cytarabine) 100 mg/mL (2 g/ 20 mL) HOUSE STANDARD ANTILEUKEMIC AGENT AGILA-JAMP CANADA INC. 1380-203 Newton Boucherville, Québec Canada J4B 5H2 DATE OF PREPARATION: April 4, 2013 CONTROL NO.: 163253 2 PRODUCT MONOGRAPH PR AJ-CYTARABINE HOUSE STANDARD ANTILEUKEMIC AGENT CAUTION: AJ-CYTARABINE SHOULD BE USED ONLY BY PHYSICIANS EXPERIENCED WITH CANCER THERAPY DRUGS (SEE WARNINGS AND PRECAUTIONS). HEMATOLOGIC, RENAL, AND HEPATIC EVALUATIONS MUST BE DONE AT REGULAR INTERVALS. ACTION AND CLINICAL PHARMACOLOGY Cytarabine is metabolized by deoxycytidine kinase and other nucleotide kinases to the nucleotide triphosphate, an effective inhibitor of DNA polymerase; it is inactivated by pyrimidine nucleoside deaminase which converts it to the non-toxic uracil derivative. It appears that the balance of kinase and deaminase levels may be an important factor in determining sensitivity or resistance of the cell to cytarabine. Cytarabine is rapidly metabolized and is not effective orally; less than 20% of the orally administered dose is absorbed from the gastrointestinal tract. Following rapid intravenous injection of cytarabine, the disappearance from plasma is biphasic. There is an initial distributive phase with a half-life of about 10 minutes, followed by a second elimination phase with a half-life of about 1 to 3 hours. After the distributive phase, over 80% of plasma radioactivity can be accounted for by the inactive metabolite 1-β-Darabinofuranosyluraci (ara-U). Within 24 hours about 80% of the administered radioactivity can be recovered in the urine, approximately 90% of which is excreted as ara-U. After subcutaneous or intramuscular administration of cytarabine, peak plasma levels of radioactivity are achieved about 20 to 60 minutes after injection and are considerably lower than those after intravenous administration. Cerebrospinal fluid levels of cytarabine are low in comparison to plasma levels after single intravenous injection. However, in one patient in whom cerebrospinal leve Lire le document complet