国家: 美国
语言: 英文
来源: NLM (National Library of Medicine)
ELACESTRANT (UNII: FM6A2627A8) (ELACESTRANT - UNII:FM6A2627A8)
Stemline Therapeutics, Inc.
ORAL
PRESCRIPTION DRUG
ORSERDU is indicated for the treatment of postmenopausal women or adult men with estrogen receptor (ER)-positive, human epidermal growth factor receptor 2 (HER2)‑negative, ESR1 -mutated advanced or metastatic breast cancer with disease progression following at least one line of endocrine therapy. None. Risk Summary Based on findings in animals and its mechanism of action, ORSERDU can cause fetal harm when administered to a pregnant woman [see Clinical Pharmacology (12.1)] . There are no available human data on ORSERDU use in pregnant women to inform the drug-associated risk. In an animal reproduction study, oral administration of elacestrant to pregnant rats during organogenesis caused embryo-fetal mortality and structural abnormalities at maternal exposures below the recommended dose based on AUC (see Data) . Advise pregnant women and females of reproductive potential of the potential risk to a fetus. The background risk of major birth defects and miscarriage for the indicated population is unknown. In the U
ORSERDU (elacestrant) film-coated tablets for oral use are supplied as follows: Storage and Handling Store at 20°C to 25°C (68°F to 77°F). Excursions permitted from 15°C to 30°C (59°F to 86°F). [see USP controlled room temperature].
New Drug Application
ORSERDU- ELACESTRANT TABLET, FILM COATED STEMLINE THERAPEUTICS, INC. ---------- HIGHLIGHTS OF PRESCRIBING INFORMATION THESE HIGHLIGHTS DO NOT INCLUDE ALL THE INFORMATION NEEDED TO USE ORSERDU SAFELY AND EFFECTIVELY. SEE FULL PRESCRIBING INFORMATION FOR ORSERDU. ORSERDU™ (ELACESTRANT) TABLETS, FOR ORAL USE INITIAL U.S. APPROVAL: 2023 INDICATIONS AND USAGE ORSERDU is an estrogen receptor antagonist indicated for: treatment of postmenopausal women or adult men, with ER-positive, HER2-negative, _ESR1_-mutated advanced or metastatic breast cancer with disease progression following at least one line of endocrine therapy (1) DOSAGE AND ADMINISTRATION Select patients for treatment with ORSERDU based on the presence of _ESR1_ mutations. (2.1) The recommended dosage of ORSERDU is one 345 mg tablet taken orally, once daily, with food (2.2) Dose interruption, reduction, or permanent discontinuation may be required due to adverse reactions. (2.3) DOSAGE FORMS AND STRENGTHS Tablets: 345 mg and 86 mg (3) CONTRAINDICATIONS None (4) WARNINGS AND PRECAUTIONS Dyslipidemia: ORSERDU may cause hypercholesterolemia and hypertriglyceridemia. Monitor lipid profile prior to starting treatment and periodically thereafter. (5.1) Embryo-Fetal Toxicity: ORSERDU can cause fetal harm. Advise of the potential risk to a fetus and to use effective contraception. (5.2, 8.1, 8.3) ADVERSE REACTIONS The most common (>10%) adverse reactions, including laboratory abnormalities, of ORSERDU were musculoskeletal pain, nausea, increased cholesterol, increased AST, increased triglycerides, fatigue, decreased hemoglobin, vomiting, increased ALT, decreased sodium, increased creatinine, decreased appetite, diarrhea, headache, constipation, abdominal pain, hot flush, and dyspepsia. (6.1) TO REPORT SUSPECTED ADVERSE REACTIONS, CONTACT STEMLINE THERAPEUTICS, INC. AT 1-877- 332-7961 OR FDA AT 1-800-FDA-1088 OR WWW.FDA.GOV/MEDWATCH. DRUG INTERACTIONS Strong and Moderate CYP3A4 Inducers: Avoid concomitant use with ORSERDU (7.1) Strong and Moderate CYP3A4 Inhibitors 阅读完整的文件