מדינה: ארצות הברית
שפה: אנגלית
מקור: NLM (National Library of Medicine)
BENDAMUSTINE HYDROCHLORIDE (UNII: 981Y8SX18M) (BENDAMUSTINE - UNII:9266D9P3PQ)
Apotex Corp
INTRAVENOUS
PRESCRIPTION DRUG
Bendamustine hydrochloride for injection is indicated for the treatment of patients with chronic lymphocytic leukemia. Efficacy relative to first line therapies other than chlorambucil has not been established. Bendamustine hydrochloride for injection is indicated for the treatment of patients with indolent B-cell non-Hodgkin lymphoma that has progressed during or within six months of treatment with rituximab or a rituximab-containing regimen. Bendamustine hydrochloride is contraindicated in patients with a known hypersensitivity (e.g., anaphylactic and anaphylactoid reactions) to bendamustine. [see Warnings and Precautions (5.4)] Risk Summary In animal reproduction studies, intraperitoneal administration of bendamustine to pregnant mice and rats during organogenesis at doses 0.6 to 1.8 times the maximum recommended human dose (MRHD) resulted in embryo-fetal and/or infant mortality, structural abnormalities, and alterations to growth (see Data ). There are no available data on bendamustine hydrochloride use
Safe Handling and Disposal Bendamustine hydrochloride for injection, USP is a hazardous drug. Follow applicable special handling and disposal procedures1. Care should be exercised in the handling and preparation of solutions prepared from bendamustine hydrochloride for injection. The use of gloves and safety glasses is recommended to avoid exposure in case of breakage of the vial or other accidental spillage. If gloves come in contact with bendamustine hydrochloride for injection prior to dilution, remove gloves and follow disposal procedures1 . If a solution of bendamustine hydrochloride for injection contacts the skin, wash the skin immediately and thoroughly with soap and water. If bendamustine hydrochloride for injection contacts the mucous membranes, flush thoroughly with water. How Supplied Bendamustine hydrochloride for injection, USP is supplied in individual cartons as follows: Storage Bendamustine hydrochloride for injection, USP (25 mg/vial or 100 mg/vial lyophilized powder) Bendamustine hydrochloride for injection, USP should be stored at 20°C to 25°C (68°F to 77°F) with excursions permitted up to 30°C (86°F) [see USP Controlled Room Temperature]. Retain in original package until time of use to protect from light.
Abbreviated New Drug Application
BENDAMUSTINE HYDROCHLORIDE- BENDAMUSTINE HYDROCHLORIDE INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION APOTEX CORP ---------- HIGHLIGHTS OF PRESCRIBING INFORMATION THESE HIGHLIGHTS DO NOT INCLUDE ALL THE INFORMATION NEEDED TO USE BENDAMUSTINE HYDROCHLORIDE FOR INJECTION SAFELY AND EFFECTIVELY. SEE FULL PRESCRIBING INFORMATION FOR BENDAMUSTINE HYDROCHLORIDE FOR INJECTION. BENDAMUSTINE HYDROCHLORIDE FOR INJECTION, FOR INTRAVENOUS USE INITIAL U.S. APPROVAL: 2008 INDICATIONS AND USAGE Bendamustine hydrochloride for injection is an alkylating drug indicated for treatment of patients with: • • DOSAGE AND ADMINISTRATION Bendamustine hydrochloride for injection is available in two formulations, a solution (bendamustine hydrochloride injection) and a lyophilized powder (bendamustine hydrochloride for injection). (2.1) For CLL: • For NHL: • 120 mg/m infused intravenously over 60 minutes on Days 1 and 2 of a 21-day cycle, up to 8 cycles (2.3) DOSAGE FORMS AND STRENGTHS For Injection: 25 mg or 100 mg lyophilized powder in a single-dose vial for reconstitution. (3) CONTRAINDICATIONS Bendamustine hydrochloride for injection is contraindicated in patients with a history of a hypersensitivity reaction to bendamustine. Reactions have included anaphylaxis and anaphylactoid reactions. (4, 5.4) WARNINGS AND PRECAUTIONS Myelosuppression: Delay or reduce and dose restart treatment based on ANC and platelet count recovery. (5.1) Infections: Monitor for fever and other signs of infection or reactivation of infections and treat promptly. (5.2) Progressive multifocal leukoencephalopathy (PML): Monitor for new or worsening neurological, cognitive or behavioral signs or symptoms suggestive of PML. (5.3) Anaphylaxis and Infusion Reactions: Severe and anaphylactic reactions have occurred; monitor clinically and discontinue drug for severe reactions. Pre-medicate in subsequent cycles for milder reactions. (5.4) Tumor Lysis Syndrome: May lead to acute renal failure and death; anticipate and use supportive measures in patients at high risk. קרא את המסמך השלם