Država: Kanada
Jezik: angleščina
Source: Health Canada
BICALUTAMIDE
RATIOPHARM INC DIVISION OF TEVA CANADA LIMITED
L02BB03
BICALUTAMIDE
50MG
TABLET
BICALUTAMIDE 50MG
ORAL
30
Prescription
ANTINEOPLASTIC AGENTS
Active ingredient group (AIG) number: 0127996001; AHFS:
CANCELLED POST MARKET
2014-09-19
PRODUCT MONOGRAPH Pr ratio-BICALUTAMIDE (Bicalutamide Tablets) 50 mg Non-Steroidal Antiandrogen ratiopharm inc. Date of Preparation: 17,800 rue Lapointe March 1, 2006 Mirabel, PQ J7J 1P3 Control #: 104203 -2- Product Monograph Pr ratio-BICALUTAMIDE (Bicalutamide Tablets) 50 mg Non-Steroidal Antiandrogen ACTION AND CLINICAL PHARMACOLOGY Bicalutamide is a non-steroidal antiandrogen, devoid of other endocrine activity. Bicalutamide competitively inhibits the action of androgens by binding to cytosol androgen receptors in target tissue. This inhibition results in regression of prostatic tumours. Bicalutamide is a racemate and the (R)-enantiomer is primarily responsible for the antiandrogenic activity of bicalutamide. Pharmacokinetics and Metabolism The absorption, distribution, metabolism and excretion of bicalutamide has been investigated after administration of a single 50 mg oral dose to volunteers. The results indicated that the dose was extensively absorbed and was excreted almost equally in urine (36%) and faeces (43%) over a 9 day collection period. There is no evidence of any clinically significant effect of food on bioavailability. Steady state plasma concentrations of the (R)-enantiomer of approximately 9 µg/ml are observed during daily administration of 50 mg doses of bicalutamide. At steady state, the active (R)-enantiomer accounts for 99% of the circulating plasma bicalutamide concentration. Bicalutamide is highly protein bound (racemate 96%, R-enantiomer 99.6%). On daily administration, the (R)-enantiomer accumulates about 10-fold in plasma, consistent with an elimination half-life of approximately one week. The (S)-enantiomer is very rapidly cleared relative to the (R)-enantiomer. The pharmacokinetics of the (R)-enantiomer are unaffected by age, renal impairment or mild to moderate hepatic impairment. Patients with severe hepatic impairment eliminate the (R)-enantiomer from plasma more slowly. Bicalutamide is extensively metabolized via both oxidation and glucuronidation with approximately equal renal Preberite celoten dokument