Pays: Singapour
Langue: anglais
Source: HSA (Health Sciences Authority)
Cladribine
MERCK PTE. LTD.
L04AA40
TABLET
Cladribine 10mg
ORAL
Prescription Only
NerPharMa S.R.L.
ACTIVE
2019-05-24
Page 1 of 20 1 PRODUCT NAME MAVENCLAD® 10 mg tablets 2 QUALITATIVE AND QUANTITATIVE COMPOSITION Each tablet of MAVENCLAD contains 10 mg cladribine. The tablets also contain hydroxypropylbetadex, sorbitol and magnesium stearate. 3 PHARMACEUTICAL FORM MAVENCLAD tablets are uncoated, white, round and biconvex, and engraved with 'C' on one side and '10' on the other side. 4 CLINICAL PARTICULARS 4.1 Therapeutic indications MAVENCLAD is indicated for the treatment of relapsing-remitting multiple sclerosis (RRMS) to reduce the frequency of clinical relapses and to delay the progression of physical disability. 4.2 Dose and method of administration GENERAL TREATMENT SCHEDULE The recommended cumulative dose of MAVENCLAD is 3.5 mg/kg body weight over 2 years, administered as 1 treatment course of 1.75 mg/kg per year. Each treatment course consists of 2 treatment weeks, one at the beginning of the first month and one at the beginning of the second month of the respective year. Each treatment week consists of 4 or 5 days on which a patient receives 10 mg or 20 mg (one or two tablets) as a single daily dose, depending on body weight. Patients should receive no more than 2 treatment courses over two consecutive years. The recommended dose should not be exceeded. Following completion of the 2 treatment courses, no further cladribine treatment is required in year 3 and year 4 (refer to 5.1 Pharmacodynamic properties, Clinical efficacy and safety). Re-initiation of therapy after year 4 has not been studied. CRITERIA FOR STARTING AND CONTINUING THERAPY Lymphocyte monitoring Lymphocyte counts must be • normal before initiating MAVENCLAD therapy, • at least 800 cells/mm³ before the second treatment course in year 2. If necessary, the treatment course in year 2 can be delayed for up to 6 months to allow for recovery of lymphocytes. If this recovery takes more than 6 months, the patient should not receive MAVENCLAD anymore. Page 2 of 20 DOSE DISTRIBUTION OF DOSE The distribution of the total dose over the 2 years of treatment is Lire le document complet