批准。
此次获批是基于称为“RAISE”的III期试验，该试验比较了CYRAMZA 联合FOLFIRI与安慰剂联合FOLFIRI用于既往贝伐单抗、奥沙利铂和氟嘧啶治疗期间或治疗后出现疾病进展的mCRC患者。该试验的疗效终点包括主要有效性结果评估，即总生存期（OS），以及支持性有效性结果评估，即无疾病进展生存期（PFS）。
CYRAMZA的产品标签包含下列黑框警示：出血，包括可能导致严重的、甚至危及生命的出血事件；胃肠道（GI）穿孔，一种可能导致死亡的事件以及伤口愈合受损。如果患者出现严重出血或GI穿孔，就应当永久性地停止使用CYRAMZA。CYRAMZA应在手术前暂停，如果患者出现伤口愈合并发症，就应终止用药。
请见处方资料。
https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=c6080942-dee6-423e-b688-1272c2ae90d4
Indications for CYRAMZA:
In combination with docetaxel, for treatment of metastatic non-small cell lung cancer (NSCLC) with disease progression on or after platinum-based chemotherapy; patients with EGFR or ALK genomic tumor aberrations should have disease progression on FDA-approved therapy for these aberrations prior to initiation.
Adult:
Give by IV infusion over 60 mins. Premedicate with IV histamine H1-antagonist (eg, diphenhydramine) prior to each infusion; or with dexamethasone and acetaminophen in those who have experienced Grade 1 or 2 infusion reaction. 10mg/kg on Day 1 of a 21-day cycle prior to docetaxel; continue until disease progression or unacceptable toxicity. Dose modifications: see full labeling.
Children:
Not established.
Warnings/Precautions:
Increased risk of hemorrhage; permanently discontinue if severe bleeding occurs. Control hypertension prior to initiating. Monitor blood pressure every 2 weeks or more frequently as indicated; if severe hypertension develops, temporarily suspend until medically controlled. Monitor for infusion-related reactions during therapy. Have emergency resuscitative equipment available. Permanently discontinue if severe arterial thromboembolic events, severe uncontrolled hypertension (despite antihypertensives), hypertensive crisis or encephalopathy, Grade 3 or 4 infusion-related reactions, urine protein >3g/24hrs, nephrotic syndrome, or GI perforation occurs. Impaired wound healing: withhold Cyramza prior to surgery. Clinical deterioration in patients with Child-Pugh B or C cirrhosis (eg, new or worsening encephalopathy, ascites, hepatorenal syndrome). Discontinue if reversible posterior leukoencephalopathy syndrome develops. Monitor proteinuria by urine dipstick and/or urinary protein creatinine ratio. Monitor thyroid function. Pregnancy: avoid. Use effective contraception during therapy and for ≥3 months after last ramucirumab dose. Nursing mothers: not recommended.
Pharmacological Class:
Human IgG1 monoclonal antibody.
Adverse Reactions:
Hypertension, diarrhea, headache, fatigue, asthenia, hyponatremia, anemia, intestinal obstruction, neutropenia, epistaxis, stomatitis/mucosal inflammation, rash, decreased appetite; arterial thromboembolic events, proteinuria, GI perforation, infusion-related reactions.
How Supplied:
Single-dose vial (10mL, 50mL)—1
