Ország: Egyesült Államok
Nyelv: angol
Forrás: NLM (National Library of Medicine)
FLUDARABINE PHOSPHATE (UNII: 1X9VK9O1SC) (FLUDARABINE - UNII:P2K93U8740)
Fresenius Kabi USA, LLC
FLUDARABINE PHOSPHATE
FLUDARABINE PHOSPHATE 25 mg in 1 mL
INTRAVENOUS
PRESCRIPTION DRUG
Fludarabine Phosphate Injection, USP is indicated for the treatment of patients with B-cell chronic lymphocytic leukemia (CLL) who have not responded to or whose disease has progressed during treatment with at least one standard alkylating-agent containing regimen. The safety and effectiveness of Fludarabine Phosphate Injection, USP in previously untreated or non-refractory patients with CLL have not been established. Fludarabine Phosphate Injection, USP is contraindicated in those patients who are hypersensitive to this drug or its components.
Fludarabine Phosphate Injection, USP is supplied as a clear, sterile solution. Each mL contains 25 mg of fludarabine phosphate, 25 mg of mannitol, water for injection, q.s.; and sodium hydroxide to adjust pH to 6.8. The pH range for the final product is 6.0 to 7.1. REFRIGERATE AT: 2° to 8°C (36° to 46°F). The container closure is not made with natural rubber latex.
Abbreviated New Drug Application
FLUDARABINE - FLUDARABINE PHOSPHATE INJECTION, SOLUTION FRESENIUS KABI USA, LLC ---------- FLUDARABINE PHOSPHATE INJECTION, USP Rx only FOR INTRAVENOUS USE ONLY WARNING Fludarabine should be administered under the supervision of a qualified physician experienced in the use of antineoplastic therapy. Fludarabine can severely suppress bone marrow function. When used at high doses in dose-ranging studies in patients with acute leukemia, fludarabine was associated with severe neurologic effects, including blindness, coma, and death. This severe central nervous system toxicity occurred in 36% of patients treated with doses approximately four times greater (96 mg/m /day for 5 to 7 days) than the recommended dose. Similar severe central nervous system toxicity has been rarely (0.2%) reported in patients treated at doses in the range of the dose recommended for chronic lymphocytic leukemia. Instances of life-threatening and sometimes fatal autoimmune hemolytic anemia have been reported to occur after one or more cycles of treatment with fludarabine. Patients undergoing treatment with fludarabine should be evaluated and closely monitored for hemolysis. In a clinical investigation using fludarabine in combination with pentostatin (deoxycoformycin) for the treatment of refractory chronic lymphocytic leukemia (CLL), there was an unacceptably high incidence of fatal pulmonary toxicity. Therefore, the use of fludarabine in combination with pentostatin is not recommended. DESCRIPTION Fludarabine Phosphate Injection, USP contains fludarabine phosphate, a fluorinated nucleotide analog of the antiviral agent vidarabine, 9-ß-D-arabinofuranosyladenine (ara-A) that is relatively resistant to deamination by adenosine deaminase. Each mL contains 25 mg of the active ingredient fludarabine phosphate, 25 mg of mannitol, water for injection, q.s., and sodium hydroxide to adjust pH to 6.8. The pH range for the final product is 6.0 to 7.1. Fludarabine Phosphate Injection, USP is a sterile solution intended for intravenous administration. Th Olvassa el a teljes dokumentumot