Country: Unjoni Ewropea
Lingwa: Ingliż
Sors: EMA (European Medicines Agency)
ibritumomab tiuxetan
Ceft Biopharma s.r.o.
V10XX02
ibritumomab tiuxetan
Therapeutic radiopharmaceuticals
Lymphoma, Follicular
Zevalin is indicated in adults.[90Y]-radiolabelled Zevalin is indicated as consolidation therapy after remission induction in previously untreated patients with follicular lymphoma. The benefit of Zevalin following rituximab in combination with chemotherapy has not been established.[90Y]-radiolabelled Zevalin is indicated for the treatment of adult patients with rituximab relapsedorrefractory CD20+ follicular B-cell non-Hodgkin's lymphoma (NHL).
Revision: 23
Authorised
2004-01-16
32 B. PACKAGE LEAFLET _ _ 33 PACKAGE LEAFLET: INFORMATION FOR THE USER ZEVALIN 1.6 MG/ML KIT FOR RADIOPHARMACEUTICAL PREPARATIONS FOR INFUSION IBRITUMOMAB TIUXETAN [ 90 Y] READ ALL OF THIS LEAFLET CAREFULLY BEFORE YOU ARE GIVEN 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 or pharmacist. This includes any possible side effects not listed in this leaflet. See section 4. WHAT IS IN THIS LEAFLET: 1. What Zevalin is and what it is used for 2. What you need to know before you are given Zevalin 3. How to use Zevalin 4. Possible side effects 5. How to store Zevalin 6. Contents of the pack and other information 1. WHAT ZEVALIN IS AND WHAT IT IS USED FOR This medicine is a radiopharmaceutical product for therapy only. Zevalin is a kit for the preparation of the active substance ibritumomab tiuxetan [ 90 Y], a monoclonal antibody labelled with the radioactive substance yttrium-90 ( 90 Y). Zevalin attaches to a protein (CD20) on the surface of certain white blood cells (B-cells) and kills them by irradiation. Zevalin is used to treat patients suffering from specific subgroups of B-cell non-Hodgkin’s lymphoma (CD20+ indolent or transformed B-cell NHL) if an earlier rituximab, another monoclonal antibody, treatment has not worked, or has stopped working (refractory or relapsed disease). Zevalin is also used in previously untreated patients with follicular lymphoma. It is used as a CONSOLIDATION therapy to improve the reduction in the number of lymphoma cells (remission) achieved with the initial chemotherapy regimen. The use of Zevalin does involve exposure to small amounts of radioactivity. Your doctor and the nuclear medicine doctor have considered that the clinical benefit that you will obtain from the procedure with the radiopharmaceutical outweighs the risk due to radiation. 2. WHAT YOU NEED TO KNOW BEFORE YOU ARE GIVEN ZEVALIN YOU Aqra d-dokument sħiħ
1 ANNEX I SUMMARY OF PRODUCT CHARACTERISTICS 2 1. NAME OF THE MEDICINAL PRODUCT Zevalin 1.6 mg/ml kit for radiopharmaceutical preparations for infusion 2. QUALITATIVE AND QUANTITATIVE COMPOSITION _ _ Zevalin is supplied as a kit for the preparation of yttrium-90 radiolabelled ibritumomab tiuxetan. The kit contains one ibritumomab tiuxetan vial, one sodium acetate vial, one formulation buffer vial, and one empty reaction vial. The radionuclide is not part of the kit. One ibritumomab tiuxetan vial contains 3.2 mg ibritumomab tiuxetan* in 2 ml solution (1.6 mg per ml). *murine IgG 1 monoclonal antibody produced by recombinant DNA technology in a Chinese hamster ovary (CHO) cell line and conjugated to the chelating agent MX-DTPA. The final formulation after radiolabelling contains 2.08 mg ibritumomab tiuxetan [ 90 Y] in a total volume of 10 ml. _Excipients _ _ _ This medicinal product can contain up to 28 mg sodium per dose, depending on the radioactivity concentration. To be taken into consideration by patients on a controlled sodium diet. For the full list of excipients, see section 6.1. 3. PHARMACEUTICAL FORM Kit for radiopharmaceutical preparations for infusion. Ibritumomab tiuxetan vial: Clear colourless solution. Sodium acetate vial: Clear colourless solution. Formulation buffer vial: Clear yellow to amber coloured solution. 4. CLINICAL PARTICULARS 4.1 THERAPEUTIC INDICATIONS Zevalin is indicated in adults. [ 90 Y]-radiolabelled Zevalin is indicated as consolidation therapy after remission induction in previously untreated patients with follicular lymphoma. The benefit of Zevalin following rituximab in combination with chemotherapy has not been established. [ 90 Y]-radiolabelled Zevalin is indicated for the treatment of adult patients with rituximab relapsed or refractory CD20+ follicular B-cell non-Hodgkin's lymphoma (NHL). 3 4.2 POSOLOGY AND METHOD OF ADMINISTRATION [ 90 Y]-radiolabelled Zevalin must only be received, handled and administered by qualified personnel and must be prepared in accordance with both Aqra d-dokument sħiħ