Kraj: Stany Zjednoczone
Język: angielski
Źródło: NLM (National Library of Medicine)
BOSUTINIB MONOHYDRATE (UNII: 844ZJE6I55) (BOSUTINIB - UNII:5018V4AEZ0)
U.S. Pharmaceuticals
BOSUTINIB MONOHYDRATE
BOSUTINIB MONOHYDRATE 100 mg
ORAL
PRESCRIPTION DRUG
BOSULIF is indicated for the treatment of adult patients with: - Newly-diagnosed chronic phase (CP) Philadelphia chromosome-positive chronic myelogenous leukemia (Ph+ CML). - Chronic phase, accelerated phase (AP), or blast phase (BP) Ph+ CML with resistance or intolerance to prior therapy. BOSULIF is contraindicated in patients with a history of hypersensitivity to BOSULIF. Reactions have included anaphylaxis [see Adverse Reactions (6.1)] . Risk Summary Based on findings from animal studies and its mechanism of action, BOSULIF can cause fetal harm when administered to a pregnant woman [see Clinical Pharmacology (12.1)] . There are no available data in pregnant women to inform the drug-associated risk. In animal reproduction studies conducted in rats and rabbits, oral administration of bosutinib during organogenesis caused adverse developmental outcomes, including structural abnormalities, embryo-fetal mortality, and alterations to growth at maternal exposures (AUC) as low as 1.2 times the human exposure at t
How Supplied BOSULIF (bosutinib) tablets are supplied for oral administration in 3 strengths: a 100 mg yellow, oval, biconvex, film-coated tablet debossed with "Pfizer" on one side and "100" on the other; a 400 mg orange, oval, biconvex, film coated tablet debossed with "Pfizer" on one side and "400" on the other; and a 500 mg red, oval, biconvex, film-coated tablet debossed with "Pfizer" on one side and "500" on the other. BOSULIF (bosutinib) tablets are available in the following packaging configurations (Table 11): Storage Store at 20°C to 25°C (68°F to 77°F); excursions permitted to 15°C to 30°C (59°F to 86°F) [see USP Controlled Room Temperature]. Handling and Disposal Procedures for proper disposal of anticancer drugs should be considered. Touching or handling crushed or broken tablets is to be avoided. Any unused product or waste material should be disposed of in accordance with local requirements, or drug take back programs.
New Drug Application
BOSULIF- BOSUTINIB TABLET, FILM COATED U.S. PHARMACEUTICALS ---------- HIGHLIGHTS OF PRESCRIBING INFORMATION THESE HIGHLIGHTS DO NOT INCLUDE ALL THE INFORMATION NEEDED TO USE BOSULIF SAFELY AND EFFECTIVELY. SEE FULL PRESCRIBING INFORMATION FOR BOSULIF. BOSULIF (BOSUTINIB) TABLETS, FOR ORAL USE INITIAL U.S. APPROVAL: 2012 RECENT MAJOR CHANGES Indications and Usage (1) 5/2021 Warnings and Precautions, Gastrointestinal Toxicity (5.1) 5/2021 Warnings and Precautions, Hepatic Toxicity (5.3) 5/2021 Warnings and Precautions, Cardiovascular Toxicity (5.4) 5/2021 Warnings and Precautions, Fluid Retention (5.5) 5/2021 Warnings and Precautions, Renal Toxicity (5.6) 5/2021 INDICATIONS AND USAGE BOSULIF is a kinase inhibitor indicated for the treatment of adult patients with Newly-diagnosed chronic phase Ph+ chronic myelogenous leukemia (CML). (1) Chronic, accelerated, or blast phase Ph+ CML with resistance or intolerance to prior therapy. (1) DOSAGE AND ADMINISTRATION Newly-diagnosed chronic phase Ph+ CML: 400 mg orally once daily with food. (2.1) Chronic, accelerated, or blast phase Ph+ CML with resistance or intolerance to prior therapy: 500 mg orally once daily with food. (2.1) Consider dose escalation by increments of 100 mg once daily to a maximum of 600 mg daily in patients who do not reach complete hematologic, cytogenetic, or molecular response and do not have Grade 3 or greater adverse reactions. (2.2) Adjust dosage for toxicity and organ impairment (2) DOSAGE FORMS AND STRENGTHS Tablets: 100 mg, 400 mg, and 500 mg. (3) CONTRAINDICATIONS Hypersensitivity to BOSULIF. (4) WARNINGS AND PRECAUTIONS Gastrointestinal Toxicity: Monitor and manage as necessary. Withhold, dose reduce, or discontinue BOSULIF. (2.3, 5.1) Myelosuppression: Monitor blood counts and manage as necessary. (2.4, 5.2) Hepatic Toxicity: Monitor liver enzymes at least monthly for the first 3 months and as needed. Withhold, dose reduce, or discontinue BOSULIF. (2.3, 5.3) Cardiovascular Toxicity: Monitor and manage as necessary. (5.4) Fluid Retention: Mo Przeczytaj cały dokument