देश: संयुक्त राज्य
भाषा: अंग्रेज़ी
स्रोत: NLM (National Library of Medicine)
PROTHROMBIN (UNII: 8FB1K07F16) (PROTHROMBIN - UNII:8FB1K07F16), COAGULATION FACTOR VII HUMAN (UNII: 4156XVB4QD) (COAGULATION FACTOR VII HUMAN - UNII:4156XVB4QD), COAGULATION FACTOR IX HUMAN (UNII: 6U90Y1795T) (COAGULATION FACTOR IX HUMAN - UNII:6U90Y1795T), COAGULATION FACTOR X HUMAN (UNII: 0P94UQE6SY) (COAGULATION FACTOR X HUMAN - UNII:0P94UQE6SY), Protein C (UNII: 3Z6S89TXPW) (Protein C - UNII:3Z6S89TXPW), Protein S Human (UNII: 90J3F6N5FN) (Protein S Human - UNII:90J3F6N5FN)
CSL Behring GmbH
PROTHROMBIN
PROTHROMBIN 590 U in 20 mL
KCENTRA, (Prothrombin Complex Concentrate (Human)), is a blood coagulation factor replacement product indicated for the urgent reversal of acquired coagulation factor deficiency induced by Vitamin K antagonist (VKA, e.g., warfarin) therapy in adult patients with: - acute major bleeding or - need for an urgent surgery/invasive procedure. KCENTRA is contraindicated in: - Patients with known anaphylactic or severe systemic reactions to KCENTRA or any components in KCENTRA including heparin, Factors II, VII, IX, X, Proteins C and S, Antithrombin III and human albumin. - Patients with disseminated intravascular coagulation (DIC). - Patients with known heparin-induced thrombocytopenia (HIT). KCENTRA contains heparin [see Description (11)] . Risk Summary There are no data with KCENTRA use in pregnancy to inform on drug-associated risk. Animal reproduction studies have not been conducted with KCENTRA. It is not known whether KCENTRA can cause fetal harm when administered to a pregnant woman or can affect reproduction
Table 17. How Supplied Each kit consists of the following: Storage and Handling Prior to Reconstitution After Reconstitution KCENTRA must be used within 4 hours following reconstitution. Reconstituted KCENTRA can be stored at 2–25°C. If cooled, the solution should be warmed to 20–25°C prior to administration. Do not freeze. Discard partially used vials.
Biologic Licensing Application
KCENTRA- PROTHROMBIN, COAGULATION FACTOR VII HUMAN, COAGULATION FACTOR IX HUMAN, COAGULATION FACTOR X HUMAN, PROTEIN C, PROTEIN S HUMAN, AND WATER CSL BEHRING GMBH ---------- HIGHLIGHTS OF PRESCRIBING INFORMATION THESE HIGHLIGHTS DO NOT INCLUDE ALL THE INFORMATION NEEDED TO USE KCENTRA SAFELY AND EFFECTIVELY. SEE FULL PRESCRIBING INFORMATION FOR KCENTRA. KCENTRA (PROTHROMBIN COMPLEX CONCENTRATE (HUMAN)) FOR INTRAVENOUS USE, LYOPHILIZED POWDER FOR RECONSTITUTION INITIAL U.S. APPROVAL: 2013 WARNING: ARTERIAL AND VENOUS THROMBOEMBOLIC COMPLICATIONS PATIENTS BEING TREATED WITH VITAMIN K ANTAGONISTS (VKA) THERAPY HAVE UNDERLYING DISEASE STATES THAT PREDISPOSE THEM TO THROMBOEMBOLIC EVENTS. POTENTIAL BENEFITS OF REVERSING VKA SHOULD BE WEIGHED AGAINST THE POTENTIAL RISKS OF THROMBOEMBOLIC EVENTS, ESPECIALLY IN PATIENTS WITH THE HISTORY OF A THROMBOEMBOLIC EVENT. RESUMPTION OF ANTICOAGULATION SHOULD BE CAREFULLY CONSIDERED AS SOON AS THE RISK OF THROMBOEMBOLIC EVENTS OUTWEIGHS THE RISK OF ACUTE BLEEDING. BOTH FATAL AND NON-FATAL ARTERIAL AND VENOUS THROMBOEMBOLIC COMPLICATIONS HAVE BEEN REPORTED WITH KCENTRA IN CLINICAL TRIALS AND POST MARKETING SURVEILLANCE. MONITOR PATIENTS RECEIVING KCENTRA FOR SIGNS AND SYMPTOMS OF THROMBOEMBOLIC EVENTS. KCENTRA WAS NOT STUDIED IN SUBJECTS WHO HAD A THROMBOEMBOLIC EVENT, MYOCARDIAL INFARCTION, DISSEMINATED INTRAVASCULAR COAGULATION, CEREBRAL VASCULAR ACCIDENT, TRANSIENT ISCHEMIC ATTACK, UNSTABLE ANGINA PECTORIS, OR SEVERE PERIPHERAL VASCULAR DISEASE WITHIN THE PRIOR 3 MONTHS. KCENTRA MAY NOT BE SUITABLE IN PATIENTS WITH THROMBOEMBOLIC EVENTS IN THE PRIOR 3 MONTHS. (5.2) RECENT MAJOR CHANGES Warnings and Precautions (5.2) 05/2023 INDICATIONS AND USAGE KCENTRA, Prothrombin Complex Concentrate (Human), is a blood coagulation factor replacement product indicated for the urgent reversal of acquired coagulation factor deficiency induced by Vitamin K antagonist (VKA, e.g., warfarin) therapy in adult patients with: acute major bleeding or need for an urgent surgery/invasive procedure. (1) D पूरा दस्तावेज़ पढ़ें