Țară: Statele Unite ale Americii
Limbă: engleză
Sursă: NLM (National Library of Medicine)
Topotecan Hydrochloride (UNII: 956S425ZCY) (Topotecan - UNII:7M7YKX2N15)
Bedford Laboratories
Topotecan Hydrochloride
Topotecan 4 mg in 4 mL
INTRAVENOUS
PRESCRIPTION DRUG
Topotecan hydrochloride for injection is indicated for the treatment of: - Small cell lung cancer sensitive disease after failure of first-line chemotherapy. In clinical studies submitted to support approval, sensitive disease was defined as disease responding to chemotherapy but subsequently progressing at least 60 days (in the Phase 3 study) or at least 90 days (in the Phase 2 studies) after chemotherapy [see Clinical Studies (14) ]. - Topotecan hydrochloride for injection in combination with cisplatin is indicated for the treatment of: stage IV-B, recurrent, or persistent carcinoma of the cervix which is not amenable to curative treatment with surgery and/or radiation therapy. Topotecan hydrochloride for injection is contraindicated in patients who have a history of severe hypersensitivity reactions (e.g., anaphylactoid reactions) to topotecan or to any of its ingredients. Topotecan hydrochloride for injection should not be used in patients with severe bone marrow depression. Pregnancy Category D [see
Topotecan hydrochloride for injection is supplied in 4 mg (free base) single-dose vials packaged in a carton containing 1vial NDC 55390-370-10 Storage: Store the vials protected from light in the original cartons at 20°-25°C (68°-77°F); [See USP Controlled Room Temperature].
Abbreviated New Drug Application
TOPOTECAN HYDROCHLORIDE - TOPOTECAN HYDROCHLORIDE INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION BEDFORD LABORATORIES ---------- HIGHLIGHTS OF PRESCRIBING INFORMATION THESE HIGHLIGHTS DO NOT INCLUDE ALL THE INFORMATION NEEDED TO USE (TOPOTECAN HYDROCHLORIDE FOR INJECTION) SAFELY AND EFFECTIVELY. SEE FULL PRESCRIBING INFORMATION FOR (TOPOTECAN HYDROCHLORIDE FOR INJECTION). TOPOTECAN HYDROCHLORIDE FOR INJECTION INITIAL U.S. APPROVAL: 1996 WARNING: BONE MARROW SUPPRESSION _SEE FULL PRESCRIBING INFORMATION FOR COMPLETE BOXED WARNING._ DO NOT GIVE TOPOTECAN HYDROCHLORIDE FOR INJECTION TO PATIENTS WITH BASELINE NEUTROPHIL COUNTS LESS THAN 1,500 CELLS/MM3. IN ORDER TO MONITOR THE OCCURRENCE OF BONE MARROW SUPPRESSION, PRIMARILY NEUTROPENIA, WHICH MAY BE SEVERE AND RESULT IN INFECTION AND DEATH, MONITOR PERIPHERAL BLOOD CELL COUNTS FREQUENTLY ON ALL PATIENTS RECEIVING TOPOTECAN HYDROCHLORIDE FOR INJECTION. (5.1) RECENT MAJOR CHANGES Dosage and Administration (2) 02/2014 INDICATIONS AND USAGE Topotecan hydrochloride for injection is a topoisomerase inhibitor indicated for: Small cell lung cancer sensitive disease after failure of first-line chemotherapy. (1) Combination therapy with cisplatin for stage IV-B, recurrent, or persistent carcinoma of the cervix which is not amenable to curative treatment with surgery and/or radiation therapy. (1) DOSAGE AND ADMINISTRATION Small cell lung cancer: 1.5mg/m by intravenous infusion over 30 minutes daily for 5 consecutive days, starting on day one of a 21-day course. (2.1) Cervical cancer: 0.75mg/m by intravenous infusion over 30 minutes on days 1, 2, and 3 followed by cisplatin 50mg/m by intravenous infusion on day 1 repeated every 21 days. (2.2) See Dosage Modification Guidelines for patients with neutropenia or reduced platelets. (2.1, 2.2) See Dosage Adjustment in Renal Impairment. (2.3) DOSAGE FORMS AND STRENGTHS 4 mg (free base) single-dose vial. (3) CONTRAINDICATIONS History of severe hypersensitivity reactions (e.g., anaphylactoid reactions) to topotecan or any of its ingredie Citiți documentul complet