Negara: Amerika Serikat
Bahasa: Inggris
Sumber: NLM (National Library of Medicine)
ROMIDEPSIN (UNII: CX3T89XQBK) (ROMIDEPSIN - UNII:CX3T89XQBK)
Teva Parenteral Medicines, Inc.
INTRAVENOUS
PRESCRIPTION DRUG
Romidepsin Injection is indicated for the treatment of cutaneous T-cell lymphoma (CTCL) in adult patients who have received at least one prior systemic therapy. None. Risk Summary Based on its mechanism of action and findings from animal studies, Romidepsin Injection can cause embryo-fetal harm when administered to a pregnant woman [see Clinical Pharmacology (12.1)] . There are no available data on romidepsin use in pregnant women to inform a drug associated risk of major birth defects and miscarriage. In an animal reproductive study, romidepsin was embryocidal and caused adverse developmental outcomes including embryo-fetal toxicity and malformations at exposures below those in patients at the recommended dose (see Data) . Advise pregnant women of the potential risk to a fetus and to avoid becoming pregnant while receiving romidepsin and for at least 1 month after the last dose. The background risk of major birth defects and miscarriage for the indicated population is unknown. All pregnancies have a backgrou
How Supplied Romidepsin Injection is supplied as a sterile, clear, colorless to pale yellow solution available in single-dose vials in the following carton packaged strengths. Romidepsin Injection, 10 mg/2 mL (5 mg/mL) NDC 0703-3071-01 Romidepsin Injection, 27.5 mg/5.5 mL (5 mg/mL) NDC 0703-4004-01 Storage and Handling Store at 20°C to 25°C (68°F to 77°F); excursions permitted between 15°C to 30°C (59° to 86°F) in the carton [see USP Controlled Room Temperature]. Protect from light. Romidepsin Injection is a hazardous drug. Follow applicable special handling and disposal procedures.1
New Drug Application
ROMIDEPSIN- ROMIDEPSIN INJECTION, SOLUTION, CONCENTRATE TEVA PARENTERAL MEDICINES, INC. ---------- HIGHLIGHTS OF PRESCRIBING INFORMATION THESE HIGHLIGHTS DO NOT INCLUDE ALL THE INFORMATION NEEDED TO USE ROMIDEPSIN INJECTION SAFELY AND EFFECTIVELY. SEE FULL PRESCRIBING INFORMATION FOR ROMIDEPSIN INJECTION. ROMIDEPSIN INJECTION, FOR INTRAVENOUS USE INITIAL U.S. APPROVAL: 2009 RECENT MAJOR CHANGES Indications and Usage, Peripheral T-cell Lymphoma (1.2) Removed 12/2021 INDICATIONS AND USAGE Romidepsin Injection is a histone deacetylase (HDAC) inhibitor indicated for the treatment of cutaneous T- cell lymphoma (CTCL) in adult patients who have received at least one prior systemic therapy (1). DOSAGE AND ADMINISTRATION 14 mg/m administered intravenously over a 4-hour period on days 1, 8, and 15 of a 28-day cycle. Repeat cycles every 28 days provided that the patient continues to benefit from and tolerates the drug (2.1). Discontinue or interrupt treatment (with or without dose reduction to 10 mg/m ) to manage drug toxicity (2.2). Reduce starting dose in patients with moderate and severe hepatic impairment (2.3). DOSAGE FORMS AND STRENGTHS Injection: 10 mg/2 mL (5 mg/mL) and 27.5 mg/5.5 mL (5 mg/mL) in single-dose vials (3). CONTRAINDICATIONS None (4). WARNINGS AND PRECAUTIONS Myelosuppression: Romidepsin can cause thrombocytopenia, leukopenia (neutropenia and lymphopenia), and anemia; monitor blood counts during treatment with Romidepsin Injection; interrupt and/or modify the dose as necessary (5.1). Infections: Fatal and serious infections. Reactivation of DNA viruses (Epstein Barr and hepatitis B). Consider monitoring and prophylaxis in patients with evidence of prior hepatitis B (5.2). Electrocardiographic (ECG) changes: Consider cardiovascular monitoring in patients with congenital long QT syndrome, a history of significant cardiovascular disease, and patients taking medicinal products that lead to significant QT prolongation. Ensure that potassium and magnesium are within the normal range before administration of Baca dokumen lengkapnya