Nchi: Australia
Lugha: Kiingereza
Chanzo: Department of Health (Therapeutic Goods Administration)
Filgrastim, Quantity: 120 microgram
Pfizer Australia Pty Ltd
Filgrastim
Injection, solution
Excipient Ingredients: sorbitol; polysorbate 80; acetate; water for injections; sodium
Intravenous, Subcutaneous
5 pack, 10 pack, single pack
(S4) Prescription Only Medicine
a) to decrease the incidence of infection, as manifested by febrile neutropenia, in patients with non-myeloid malignancies receiving myelosuppressive anti-cancer drugs in doses not usually requiring bone marrow transplantation, b) for reducing the duration of neutropenia and clinical sequelae in patients undergoing induction and consolidation chemotherapy for acute myeloid leukaemia, c) for the mobilisation of autologous peripheral blood progenitor cells alone, or following myelosuppressive chemotherapy, in order to accelerate neutrophil and platelet recovery by infusion of such cells after myeloablative or myelosuppressive therapy in patients with non-myeloid malignancies, d) for the mobilisation of peripheral blood progenitor cells, in normal volunteers, for use in allogeneic peripheral blood progenitor cell transplantation, e) In patients receiving myeloablative chemotherapy, for reducing the duration of neutropenia and clinical sequelae following autologous or allogeneic bone marrow transplantation, f) for chronic administration to increase neutrophil counts and to reduce the incidence and duration of infections in patients with severe chronic neutropenia, g) in patients with HIV infection, for reversal of clinically significant neutropenia and subsequent maintenance of adequate neutrophil counts during treatment with antiviral and/or other myelosuppressive medications.
Visual Identification: Clear, colourless solution; Container Type: Syringe; Container Material: Glass Type I Clear; Container Life Time: 30 Months; Container Temperature: Store at 2 to 8 degrees Celsius; Container Closure: Neither child resistant closure nor restricted flow insert
Registered
2010-09-16
NIVESTIM ® _Filgrastim [rbe] (fil-GRAS-tim)_ CONSUMER MEDICINE INFORMATION WHAT IS IN THIS LEAFLET This leaflet answers some common questions about Nivestim. It does not contain all the available information. It does not take the place of talking to your doctor or pharmacist. All medicines have risks and benefits. Your doctor has weighed the risks of you taking Nivestim against the benefits they expect it will have for you. IF YOU HAVE ANY CONCERNS ABOUT TAKING THIS MEDICINE, ASK YOUR DOCTOR OR PHARMACIST. KEEP THIS LEAFLET WITH THE MEDICINE. You may need to read it again. WHAT NIVESTIM IS USED FOR Nivestim – also known as Filgrastim (rbe) – is a copy of a substance normally present in your body, called Granulocyte Colony Stimulating Factor or G-CSF. Using gene technology, Nivestim is produced in a specific type of bacteria, called E. coli. G-CSF is produced in the bone marrow and assists in the production of neutrophils, which are a type of white blood cell. Neutrophils help the body fight infections by surrounding and destroying the bacteria that cause them. G-CSF also helps neutrophils to do this work better. This medicine may have been prescribed for you for one of the following reasons: • YOU ARE RECEIVING CHEMOTHERAPY FOR CANCER Some chemotherapy will reduce the number of white blood cells in your body. Although Nivestim is not a treatment for cancer, it does help the body to make new neutrophils and this will reduce your chance of developing infections that might require antibiotics and/or hospital stays. It may even increase your chance of receiving your chemotherapy on time and at the right dose. • YOU ARE RECEIVING A BONE MARROW TRANSPLANT OR A STEM CELL TRANSPLANT Blood cells are produced in the bone marrow and arise from special ‘parent’ cells, called stem cells. Some chemotherapy has toxic effects on bone marrow, so your doctor may choose to collect stem cells from your bone marrow or blood – or from a donor’s bone marrow or blood – before you receive your chemotherapy. These colle Soma hati kamili
Version: pfpnivei10621 Supersedes: pfpnivei10420 Page 1 of 31 AUSTRALIAN PRODUCT INFORMATION – [NIVESTIM ® (FILGRASTIM)] 1. NAME OF THE MEDICINE Filgrastim (rbe). A Recombinant Human Granulocyte Colony Stimulating Factor (r-metHuG-CSF) derived from _E. coli_ . 2. QUALITATIVE AND QUANTITATIVE COMPOSITION Each 0.2 mL pre-filled syringe contains 120 micrograms filgrastim. Each 0.5 mL pre-filled syringe contains 300 micrograms or 480 micrograms filgrastim. Nivestim is a 175 amino acid protein manufactured by recombinant DNA technology. Nivestim is produced by _Escherichia coli _ bacteria into which has been inserted the human granulocyte colony stimulating factor gene. It has a molecular weight of 18,800 daltons. Nivestim is unglycosylated and contains an N-terminal methionine necessary for expression in _E. coli_ . The specific activity of filgrastim by in vitro proliferative cell assay is 1 x 10 8 IU/mg when assayed against the WHO international standard for granulocyte colony stimulating factor, 88/502. The clinical significance of this in vitro potency assignment is unknown. For the full list of excipients, see Section 6.1 List of excipients. 3. PHARMACEUTICAL FORM Nivestim is a sterile, clear, colourless, preservative-free liquid for parenteral administration, formulated in a 10 mM sodium acetate buffer at pH 4.0. The product is available in single use pre-filled syringes. The single use pre-filled syringes contain either 120 µg filgrastim at a fill volume of 0.2 mL or 300 µg or 480 µg filgrastim at a fill volume of 0.5 mL. 4. CLINICAL PARTICULARS 4.1 THERAPEUTIC INDICATIONS Nivestim is indicated to decrease the incidence of infection, as manifested by febrile neutropenia, in patients with non-myeloid malignancies receiving myelosuppressive anti- cancer drugs in doses not usually requiring bone marrow transplantation. Nivestim is indicated for reducing the duration of neutropenia and clinical sequelae in patients undergoing induction and consolidation chemotherapy for acute myeloid leukaemia (AML). Nivesti Soma hati kamili