Country: United States
Language: English
Source: NLM (National Library of Medicine)
Temozolomide (UNII: YF1K15M17Y) (Temozolomide - UNII:YF1K15M17Y)
Mayne Pharma Inc.
Temozolomide
Temozolomide 5 mg
ORAL
PRESCRIPTION DRUG
Temozolomide capsules are indicated for the treatment of adult patients with newly diagnosed glioblastoma multiforme concomitantly with radiotherapy and then as maintenance treatment. Temozolomide capsules are indicated for the treatment of adult patients with refractory anaplastic astrocytoma, i.e., patients who have experienced disease progression on a drug regimen containing nitrosourea and procarbazine. Temozolomide is contraindicated in patients who have a history of hypersensitivity reaction (such as urticaria, allergic reaction including anaphylaxis, toxic epidermal necrolysis, and Stevens-Johnson syndrome) to any of its components. Temozolomide is also contraindicated in patients who have a history of hypersensitivity to dacarbazine (DTIC), since both drugs are metabolized to 5-(3- methyltriazen-1-yl)-imidazole-4-carboxamide (MTIC). Pregnancy Category D. See Warnings and Precautions section. Temozolomide can cause fetal harm when administered to a pregnant woman. Five consecutive days of oral Temozolo
Care should be exercised in the handling and preparation of Temozolomide capsules. Capsules should not be opened. If capsules are accidentally opened or damaged, rigorous precautions should be taken with the contents to avoid inhalation or contact with the skin or mucous membranes. The use of gloves and safety glasses is recommended to avoid exposure in case of breakage of the capsules. Procedures for proper handling and disposal of anticancer drugs should be considered1 to 4 . Several guidelines on this subject have been published. Temozolomide capsules: Temozolomide capsules are supplied in amber glass bottles, with a white CRC induction lined closure (not supplied in sachets) containing the following capsule strengths: Store Temozolomide capsules at 25°C (77°F); excursions permitted to 15°–30°C (59°–86°F) [see USP Controlled Room Temperature].
Abbreviated New Drug Application
TEMOZOLOMIDE- TEMOZOLOMIDE CAPSULE MAYNE PHARMA INC. ---------- HIGHLIGHTS OF PRESCRIBING INFORMATION THESE HIGHLIGHTS DO NOT INCLUDE ALL THE INFORMATION NEEDED TO USE TEMOZOLOMIDE CAPSULES SAFELY AND EFFECTIVELY. SEE FULL PRESCRIBING INFORMATION FOR TEMOZOLOMIDE CAPSULES. TEMOZOLOMIDE CAPSULES FOR ORAL USE INITIAL U.S. APPROVAL: 1999 RECENT MAJOR CHANGES Warnings and Precautions, He patotoxicity (5.5) 05/2015 INDICATIONS AND USAGE Temozolomide capsules are an alkylating drug indicated for the treatment of adult patients with: Newly diagnosed glioblastoma multiforme (GBM) concomitantly with radiotherapy and then as maintenance treatment. (1.1) Refractory anaplastic astrocytoma patients who have experienced disease progression on a drug regimen containing nitrosourea and procarbazine. (1.2) DOSAGE AND ADMINISTRATION Newly Diagnosed GBM: 75 mg/m for 42-days concomitant with focal radiotherapy followed by initial maintenance dose of 150 mg/m once daily for Days 1-5 of a 28-day cycle of Temozolomide for 6 cycles. (2.1) Refractory Anaplastic Astrocytoma: Initial dose 150 mg/m once daily for 5 consecutive days per 28-day treatment cycle. (2.1) DOSAGE FORMS AND STRENGTHS 5 mg, 20 mg, 100 mg, 140 mg, 180 mg, and 250 mg capsules. (3) CONTRAINDICATIONS Known hypersensitivity to any Temozolomide capsules component or to dacarbazine (DTIC). (4.1) WARNINGS AND PRECAUTIONS Myelosuppression - monitor Absolute Neutrophil Count (ANC) and platelet count prior to dosing and throughout treatment. Geriatric patients and women have a higher risk of developing myelosuppression. (5.1) Cases of myelodysplastic syndrome and secondary malignancies, including myeloid leukemia, have been observed. (5.2) _Pneumocystis carinii_ pneumonia (PCP) - prophylaxis required for all patients receiving concomitant Temozolomide and radiotherapy for the 42-day regimen for the treatment of newly diagnosed glioblastoma multiforme. (5.3) All patients, particularly those receiving steroids, should be observed closely for the development of lymphopenia and PCP Read the complete document