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Lonsurf
2016-08-17 06:05:00 来源: 作者: 【 】 浏览:590次 评论:0
1. Name of the medicinal product

Lonsurf 15 mg/6.14 mg film-coated tablets

Lonsurf 20 mg/8.19 mg film-coated tablets

2. Qualitative and quantitative composition

Lonsurf 15 mg/6.14 mg film-coated tablets

Each film-coated tablet contains 15 mg trifluridine and 6.14 mg tipiracil (as hydrochloride).

Excipient with known effect

Each film-coated tablet contains 90.735 mg of lactose monohydrate.

Lonsurf 20 mg/8.19 mg film-coated tablets

Each film-coated tablet contains 20 mg trifluridine and 8.19 mg tipiracil (as hydrochloride).

Excipient with known effect

Each film-coated tablet contains 120.980 mg of lactose monohydrate.

For the full list of excipients, see section 6.1.

3. Pharmaceutical form

Film-coated tablet (tablet).

Lonsurf 15 mg/6.14 mg film-coated tablets

The tablet is a white, biconvex, round, film-coated tablet, with a diameter of 7.1 mm and a thickness of 2.7 mm, imprinted with '15' on one side, and '102' and '15 mg' on the other side, in grey ink.

Lonsurf 20 mg/8.19 mg film-coated tablets

The tablet is a pale red, biconvex, round, film-coated tablet, with a diameter of 7.6 mm and a thickness of 3.2 mm, imprinted with '20' on one side, and '102' and '20 mg' on the other side, in grey ink.

4. Clinical particulars
 
4.1 Therapeutic indications

Lonsurf is indicated for the treatment of adult patients with metastatic colorectal cancer (CRC) who have been previously treated with, or are not considered candidates for, available therapies including fluoropyrimidine-, oxaliplatin- and irinotecan-based chemotherapies, anti-VEGF agents, and anti-EGFR agents.

4.2 Posology and method of administration

Lonsurf should be prescribed by physicians experienced in the administration of anticancer therapy.

Posology

The recommended starting dose of Lonsurf in adults is 35 mg/m2/dose administered orally twice daily on Days 1 to 5 and Days 8 to 12 of each 28-day cycle as long as benefit is observed or until unacceptable toxicity occurs (see section 4.4).

The dosage is calculated according to body surface area (BSA) (see Table 1). The dosage must be rounded to the nearest 5 mg increment. The dosage must not exceed 80 mg/dose.

If doses were missed or held, the patient must not make up for missed doses.

Table 1 - Starting dose calculation according to body surface area (BSA)

Starting dose

BSA

(m2)

Dose in mg

(2x daily)

Tablets per dose

Total daily

dose (mg)

15 mg

20 mg

35 mg/m2

< 1.07

35

1

1

70

1.07 - 1.22

40

0

2

80

1.23 - 1.37

45

3

0

90

1.38 - 1.52

50

2

1

100

1.53 - 1.68

55

1

2

110

1.69 - 1.83

60

0

3

120

1.84 - 1.98

65

3

1

130

1.99 - 2.14

70

2

2

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