Herceptin

Pays: Union européenne

Langue: anglais

Source: EMA (European Medicines Agency)

Ingrédients actifs:

trastuzumab

Disponible depuis:

Roche Registration GmbH

Code ATC:

L01XC03

DCI (Dénomination commune internationale):

trastuzumab

Groupe thérapeutique:

Antineoplastic agents

Domaine thérapeutique:

Stomach Neoplasms; Breast Neoplasms

indications thérapeutiques:

Breast cancerMetastatic breast cancerHerceptin is indicated for the treatment of patients with HER2-positive metastatic breast cancer:as monotherapy for the treatment of those patients who have received at least two chemotherapy regimens for their metastatic disease. Prior chemotherapy must have included at least an anthracycline and a taxane unless patients are unsuitable for these treatments. Hormone-receptor-positive patients must also have failed hormonal therapy, unless patients are unsuitable for these treatments;in combination with paclitaxel for the treatment of those patients who have not received chemotherapy for their metastatic disease and for whom an anthracycline is not suitable;in combination with docetaxel for the treatment of those patients who have not received chemotherapy for their metastatic disease;in combination with an aromatase inhibitor for the treatment of postmenopausal patients with hormone-receptor-positive metastatic breast cancer, not previously treated with trastuzumab.Early breast cancerHerceptin is indicated for the treatment of patients with HER2-positive early breast cancer:following surgery, chemotherapy (neoadjuvant or adjuvant) and radiotherapy (if applicable);following adjuvant chemotherapy with doxorubicin and cyclophosphamide, in combination with paclitaxel or docetaxel;in combination with adjuvant chemotherapy consisting of docetaxel and carboplatin;in combination with neoadjuvant chemotherapy followed by adjuvant Herceptin therapy, for locally advanced (including inflammatory) disease or tumours >2 cm in diameter.Herceptin should only be used in patients with metastatic or early breast cancer whose tumours have either HER2 overexpression or HER2 gene amplification as determined by an accurate and validated assay.Metastatic gastric cancerHerceptin in combination with capecitabine or 5-fluorouracil and cisplatin is indicated for the treatment of patients with HER2-positive metastatic adenocarcinoma of the stomach or gastroesophageal junction who have not received prior anticancer treatment for their metastatic disease.Herceptin should only be used in patients with metastatic gastric cancer whose tumours have HER2 overexpression as defined by IHC2+ and a confirmatory SISH or FISH result, or by an IHC3+ result. Accurate and validated assay methods should be used.

Descriptif du produit:

Revision: 42

Statut de autorisation:

Authorised

Date de l'autorisation:

2000-08-28

Notice patient

74
B. PACKAGE LEAFLET
75
PACKAGE LEAFLET: INFORMATION FOR THE USER
HERCEPTIN 150 MG POWDER FOR CONCENTRATE FOR SOLUTION FOR INFUSION
trastuzumab
READ ALL OF THIS LEAFLET CAREFULLY BEFORE YOU START USING THIS
MEDICINE BECAUSE IT CONTAINS
IMPORTANT INFORMATION FOR YOU.
•
Keep this leaflet. You may need to read it again.
•
If you have any further questions, ask your doctor or pharmacist.
•
If you get any side effects, talk to your doctor, pharmacist or nurse.
This includes any possible
side effects not listed in this leaflet. See section 4.
IN THIS LEAFLET:
1.
What Herceptin is and what it is used for
2.
What you need to know before you are given Herceptin
3.
How Herceptin is given
4.
Possible side effects
5.
How to store Herceptin
6.
Contents of the pack and other information
1.
WHAT HERCEPTIN IS AND WHAT IT IS USED FOR
Herceptin contains the active substance trastuzumab, which is a
monoclonal antibody. Monoclonal
antibodies attach to specific proteins or antigens. Trastuzumab is
designed to bind selectively to an
antigen called human epidermal growth factor receptor 2 (HER2). HER2
is found in large amounts on
the surface of some cancer cells where it stimulates their growth.
When Herceptin binds to HER2 it
stops the growth of such cells and causes them to die.
_ _
Your doctor may prescribe Herceptin for the treatment of breast and
gastric cancer when:
•
You have early breast cancer, with high levels of a protein called
HER2.
•
You have metastatic breast cancer (breast cancer that has spread
beyond the original tumour)
with high levels of HER2. Herceptin may be prescribed in combination
with the chemotherapy
medicine paclitaxel or docetaxel as first treatment for metastatic
breast cancer or it may be
prescribed alone if other treatments have proved unsuccessful. It is
also used in combination
with medicines called aromatase inhibitors with patients with high
levels of HER2 and hormone
receptor-positive metastatic breast cancer (cancer that is sensitive
to the presence of female sex
hormones).
•
You have

Résumé des caractéristiques du produit

1
ANNEX I
SUMMARY OF PRODUCT CHARACTERISTICS
2
1.
NAME OF THE MEDICINAL PRODUCT
Herceptin 150 mg powder for concentrate for solution for infusion
2.
QUALITATIVE AND QUANTITATIVE COMPOSITION
One vial contains 150 mg of trastuzumab, a humanised IgG1 monoclonal
antibody produced by
mammalian (Chinese hamster ovary) cell suspension culture and purified
by affinity and ion exchange
chromatography including specific viral inactivation and removal
procedures.
The reconstituted Herceptin solution contains 21 mg/mL of trastuzumab.
For the full list of excipients, see section 6.1.
3.
PHARMACEUTICAL FORM
Powder for concentrate for solution for infusion.
White to pale yellow lyophilised powder.
4.
CLINICAL PARTICULARS
4.1
THERAPEUTIC INDICATIONS
Breast cancer
_Metastatic breast cancer_
Herceptin is indicated for the treatment of adult patients with HER2
positive metastatic breast cancer:
(MBC):
-
as monotherapy for the treatment of those patients who have received
at least two chemotherapy
regimens for their metastatic disease. Prior chemotherapy must have
included at least an
anthracycline and a taxane unless patients are unsuitable for these
treatments. Hormone receptor
positive patients must also have failed hormonal therapy, unless
patients are unsuitable for these
treatments.
-
in combination with paclitaxel for the treatment of those patients who
have not received
chemotherapy for their metastatic disease and for whom an
anthracycline is not suitable.
-
in combination with docetaxel for the treatment of those patients who
have not received
chemotherapy for their metastatic disease.
-
in combination with an aromatase inhibitor for the treatment of
postmenopausal patients with
hormone-receptor positive MBC, not previously treated with
trastuzumab.
_Early breast cancer _
Herceptin is indicated for the treatment of adult patients with HER2
positive early breast cancer.
(EBC).
-
following surgery, chemotherapy (neoadjuvant or adjuvant) and
radiotherapy (if applicable) (see
section 5.1).
3
-
following adjuvant chemotherapy w