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CAMPATH(alemtuzumab) injection
2014-02-16 16:48:59 来源: 作者: 【 】 浏览:433次 评论:0
HIGHLIGHTS OF PRESCRIBING INFORMATION
These highlights do not include all the information needed to use Campath safely and effectively. See full prescribing information for Campath.

Campath® (alemtuzumab)
Injection for intravenous use
Initial U.S. Approval: 2001


 

 

WARNING: CYTOPENIAS, INFUSION REACTIONS, and INFECTIONS

 

See full prescribing information for complete boxed warning.

Serious, including fatal, cytopenias, infusion reactions and infections can occur (5.15.3).

  • Limit doses to 30 mg (single) and 90 mg (cumulative weekly); higher doses increase risk of pancytopenia (2.1).
  • Escalate dose gradually and monitor patients during infusion. Withhold therapy for Grade 3 or 4 infusion reactions (5.2).
  • Administer prophylaxis against Pneumocystis jiroveci pneumonia (PCP) and herpes virus infections (2.2, 5.3).
 

RECENT MAJOR CHANGES

 

Warnings and Precautions (5.3) 3/2009

 

INDICATIONS AND USAGE

 

Campath is a CD52-directed cytolytic antibody indicated as a single agent for the treatment of B-cell chronic lymphocytic leukemia (B-CLL) (1).

 

DOSAGE AND ADMINISTRATION

 
  • Administer as an IV infusion over 2 hours (2.1).
  • Escalate to recommended dose of 30 mg/day three times per week for 12 weeks (2.1).
  • Premedicate with oral antihistamine and acetaminophen prior to dosing (2.2).
 

DOSAGE FORMS AND STRENGTHS

 

30 mg/1 mL single use vial (3).

 

CONTRAINDICATIONS

 

None (4).

 

WARNINGS AND PRECAUTIONS

 

Cytopenias:

  • Obtain complete blood counts (CBC) and platelet counts at weekly intervals during therapy and CD4 counts after therapy until recovery to ≥ 200 cells/µL (5.4).
  • Discontinue for autoimmune or severe hematologic adverse reactions (5.1).

Infections:

  • Campath induces severe and prolonged lymphopenia and increases risk of infection. If a serious infection occurs, withhold treatment until infection resolves (5.3).
  • Do not administer live viral vaccines to patients who have recently received Campath (5.5).
 

ADVERSE REACTIONS

 

Most common adverse reactions (≥ 10%): cytopenias, infusion reactions, cytomegalovirus (CMV) and other infections, nausea, emesis, diarrhea, and insomnia (6).


To report SUSPECTED ADVERSE REACTIONS, contact Genzyme Corporation at 1-877-4-CAMPATH (1-877-422-6728) or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch


See 17 for PATIENT COUNSELING INFORMATION

Revised: 08/2009

Back to Highlights and Tabs
FULL PRESCRIBING INFORMATION: CONTENTS*
*Sections or subsections omitted from the full prescribing information are not listed

 

WARNING: CYTOPENIAS, INFUSION REACTIONS, and INFECTIONS

1 INDICATIONS AND USAGE

2 DOSAGE AND ADMINISTRATION

2.1 Dosing Schedule and Administration

2.2 Recommended Concomitant Medications

2.3 Dose Modification

2.4 Preparation and Administration

2.5 Incompatibilities

3 DOSAGE FORMS AND STRENGTHS

4 CONTRAINDICATIONS

5 WARNINGS AND PRECAUTIONS

5.1 Cytopenias

5.2 Infusion Reactions

5.3 Immunosuppression/Infections

5.4 Laboratory Monitoring

5.5 Immunization

6 ADVERSE REACTIONS

6.1 Clinical Trials Experience

6.2 Immunogenicity

6.3 Postmarketing Experience

7 DRUG INTERACTIONS

8 USE IN SPECIFIC
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