Peringatan Keamanan

An overdose of eflapegrastim may result in leukocytosis and bone pain.L43135 In the event of an overdose, the patient should be monitored for adverse effects and general supportive measures should be implemented as necessary.

Eflapegrastim

DB15001

biotech approved investigational

Deskripsi

Febrile neutropenia (FN), defined as the co-occurrence of fever (temperature > 38 ?C) and severe neutropenia (ANC < 500 cells/mm3), is a potential side effect of myelosuppressive chemotherapy in which the patient develops an infection during a period of significant neutropenia.A252320 It typically develops during the first cycle of chemotherapy and is associated with an increased risk of morbidity and mortality. The primary factor associated with FN risk is the chemotherapy regimen being administered - regimens are classified as either high-, intermediate-, or low-risk for FN, and relevant guidelines recommend the use of pharmacologic prophylaxis against FN in patients receiving high-risk regimens and those receiving intermediate-risk regimens who have ?1 additional risk factor.A252320

Granulocyte-colony stimulating factors (G-CSFs) - which include filgrastim and pegfilgrastim - were first used clinically in the 1990s and are the primary means of prophylaxis against chemotherapy-induced neutropenia, including FN.A252320 They trigger signaling pathways that control the differentiation, proliferation, migration, and survival of neutrophils, thereby helping to restore depressed neutrophil counts.L43135

Eflapegrastim is a form of recombinant human G-CSF comprising a human G-CSF analog coupled to the Fc fragment of human IgG4 via a polyethylene glycol linker.L43135 In September 2022, eflapegrastim was approved by the US FDA as a prophylactic against infection, as manifested by febrile neutropenia, in patients receiving certain myelosuppressive anti-cancer drugs.L43170

Struktur Molekul 2D

Struktur tidak tersedia

Peta Jejaring Molekuler
Legenda: ObatTargetGenEnzim(Panah → menunjukkan arah efek / relasi)TransporterCarrier

Profil Farmakokinetik

Waktu Paruh (Half-Life) In patients with breast cancer, the geometric mean half-life of eflapegrastim-xnst is 36.4 hours.[L43135]
Volume Distribusi The volume of distribution of eflapegrastim-xnst is 1.44 L.[L43135]
Klirens (Clearance) The clearance of eflapegrastim-xnst decreased with increasing dose, suggesting target-mediated clearance by neutrophils.[L43135] With repeat dosing clearance appears to increase, potentially due to the subsequent increase in circulating neutrophils.[L43135]

Absorpsi

The Tmax of eflapegrastim is dose-dependent and increases with increasing dose.A252315 Following administration of the recommended dosage in patients with breast cancer, the median Tmax of eflapegrastim-xnst is 25 hours.L43135

Metabolisme

Eflapegrastim is likely metabolized via endogenous degradation following internalization by cells expressing G-CSF receptors.L43135

Rute Eliminasi

Following subcutaneous administration, eflapegrastim is not detectable in the urine.L43135,A252315

Interaksi Obat

381 Data
Cyclophosphamide The risk or severity of pulmonary toxicity can be increased when Eflapegrastim is combined with Cyclophosphamide.
Topotecan The risk or severity of neutropenia can be increased when Eflapegrastim is combined with Topotecan.
Diethylstilbestrol Diethylstilbestrol may increase the thrombogenic activities of Eflapegrastim.
Chlorotrianisene Chlorotrianisene may increase the thrombogenic activities of Eflapegrastim.
Conjugated estrogens Conjugated estrogens may increase the thrombogenic activities of Eflapegrastim.
Estrone Estrone may increase the thrombogenic activities of Eflapegrastim.
Estradiol Estradiol may increase the thrombogenic activities of Eflapegrastim.
Dienestrol Dienestrol may increase the thrombogenic activities of Eflapegrastim.
Ethinylestradiol Ethinylestradiol may increase the thrombogenic activities of Eflapegrastim.
Mestranol Mestranol may increase the thrombogenic activities of Eflapegrastim.
Estriol Estriol may increase the thrombogenic activities of Eflapegrastim.
Estrone sulfate Estrone sulfate may increase the thrombogenic activities of Eflapegrastim.
Quinestrol Quinestrol may increase the thrombogenic activities of Eflapegrastim.
Hexestrol Hexestrol may increase the thrombogenic activities of Eflapegrastim.
Tibolone Tibolone may increase the thrombogenic activities of Eflapegrastim.
Synthetic Conjugated Estrogens, A Synthetic Conjugated Estrogens, A may increase the thrombogenic activities of Eflapegrastim.
Synthetic Conjugated Estrogens, B Synthetic Conjugated Estrogens, B may increase the thrombogenic activities of Eflapegrastim.
Polyestradiol phosphate Polyestradiol phosphate may increase the thrombogenic activities of Eflapegrastim.
Esterified estrogens Esterified estrogens may increase the thrombogenic activities of Eflapegrastim.
Zeranol Zeranol may increase the thrombogenic activities of Eflapegrastim.
Equol Equol may increase the thrombogenic activities of Eflapegrastim.
Estetrol Estetrol may increase the thrombogenic activities of Eflapegrastim.
Promestriene Promestriene may increase the thrombogenic activities of Eflapegrastim.
Methallenestril Methallenestril may increase the thrombogenic activities of Eflapegrastim.
Epimestrol Epimestrol may increase the thrombogenic activities of Eflapegrastim.
Moxestrol Moxestrol may increase the thrombogenic activities of Eflapegrastim.
Estradiol acetate Estradiol acetate may increase the thrombogenic activities of Eflapegrastim.
Estradiol benzoate Estradiol benzoate may increase the thrombogenic activities of Eflapegrastim.
Estradiol cypionate Estradiol cypionate may increase the thrombogenic activities of Eflapegrastim.
Estradiol valerate Estradiol valerate may increase the thrombogenic activities of Eflapegrastim.
Biochanin A Biochanin A may increase the thrombogenic activities of Eflapegrastim.
Formononetin Formononetin may increase the thrombogenic activities of Eflapegrastim.
Cetuximab The risk or severity of adverse effects can be increased when Cetuximab is combined with Eflapegrastim.
Human immunoglobulin G The risk or severity of adverse effects can be increased when Human immunoglobulin G is combined with Eflapegrastim.
Omalizumab The risk or severity of adverse effects can be increased when Omalizumab is combined with Eflapegrastim.
Adalimumab The risk or severity of adverse effects can be increased when Adalimumab is combined with Eflapegrastim.
Abciximab The risk or severity of adverse effects can be increased when Abciximab is combined with Eflapegrastim.
Gemtuzumab ozogamicin The risk or severity of adverse effects can be increased when Gemtuzumab ozogamicin is combined with Eflapegrastim.
Indium In-111 satumomab pendetide The risk or severity of adverse effects can be increased when Indium In-111 satumomab pendetide is combined with Eflapegrastim.
Infliximab The risk or severity of adverse effects can be increased when Infliximab is combined with Eflapegrastim.
Trastuzumab The risk or severity of adverse effects can be increased when Trastuzumab is combined with Eflapegrastim.
Rituximab The risk or severity of adverse effects can be increased when Rituximab is combined with Eflapegrastim.
Basiliximab The risk or severity of adverse effects can be increased when Basiliximab is combined with Eflapegrastim.
Muromonab The risk or severity of adverse effects can be increased when Muromonab is combined with Eflapegrastim.
Digoxin Immune Fab (Ovine) The risk or severity of adverse effects can be increased when Digoxin Immune Fab (Ovine) is combined with Eflapegrastim.
Ibritumomab tiuxetan The risk or severity of adverse effects can be increased when Ibritumomab tiuxetan is combined with Eflapegrastim.
Tositumomab The risk or severity of adverse effects can be increased when Tositumomab is combined with Eflapegrastim.
Alemtuzumab The risk or severity of adverse effects can be increased when Alemtuzumab is combined with Eflapegrastim.
Capromab pendetide The risk or severity of adverse effects can be increased when Capromab pendetide is combined with Eflapegrastim.
Efalizumab The risk or severity of adverse effects can be increased when Efalizumab is combined with Eflapegrastim.
Antithymocyte immunoglobulin (rabbit) The risk or severity of adverse effects can be increased when Antithymocyte immunoglobulin (rabbit) is combined with Eflapegrastim.
Natalizumab The risk or severity of adverse effects can be increased when Natalizumab is combined with Eflapegrastim.
Palivizumab The risk or severity of adverse effects can be increased when Palivizumab is combined with Eflapegrastim.
Daclizumab The risk or severity of adverse effects can be increased when Daclizumab is combined with Eflapegrastim.
Bevacizumab The risk or severity of adverse effects can be increased when Bevacizumab is combined with Eflapegrastim.
Technetium Tc-99m arcitumomab The risk or severity of adverse effects can be increased when Technetium Tc-99m arcitumomab is combined with Eflapegrastim.
Eculizumab The risk or severity of adverse effects can be increased when Eculizumab is combined with Eflapegrastim.
Panitumumab The risk or severity of adverse effects can be increased when Panitumumab is combined with Eflapegrastim.
Ranibizumab The risk or severity of adverse effects can be increased when Ranibizumab is combined with Eflapegrastim.
Galiximab The risk or severity of adverse effects can be increased when Galiximab is combined with Eflapegrastim.
Pexelizumab The risk or severity of adverse effects can be increased when Pexelizumab is combined with Eflapegrastim.
Afelimomab The risk or severity of adverse effects can be increased when Afelimomab is combined with Eflapegrastim.
Epratuzumab The risk or severity of adverse effects can be increased when Epratuzumab is combined with Eflapegrastim.
Bectumomab The risk or severity of adverse effects can be increased when Bectumomab is combined with Eflapegrastim.
Oregovomab The risk or severity of adverse effects can be increased when Oregovomab is combined with Eflapegrastim.
IGN311 The risk or severity of adverse effects can be increased when IGN311 is combined with Eflapegrastim.
Adecatumumab The risk or severity of adverse effects can be increased when Adecatumumab is combined with Eflapegrastim.
Labetuzumab The risk or severity of adverse effects can be increased when Labetuzumab is combined with Eflapegrastim.
Matuzumab The risk or severity of adverse effects can be increased when Matuzumab is combined with Eflapegrastim.
Fontolizumab The risk or severity of adverse effects can be increased when Fontolizumab is combined with Eflapegrastim.
Bavituximab The risk or severity of adverse effects can be increased when Bavituximab is combined with Eflapegrastim.
CR002 The risk or severity of adverse effects can be increased when CR002 is combined with Eflapegrastim.
Rozrolimupab The risk or severity of adverse effects can be increased when Rozrolimupab is combined with Eflapegrastim.
Hepatitis B immune globulin The risk or severity of adverse effects can be increased when Hepatitis B immune globulin is combined with Eflapegrastim.
Girentuximab The risk or severity of adverse effects can be increased when Girentuximab is combined with Eflapegrastim.
Obiltoxaximab The risk or severity of adverse effects can be increased when Obiltoxaximab is combined with Eflapegrastim.
XTL-001 The risk or severity of adverse effects can be increased when XTL-001 is combined with Eflapegrastim.
NAV 1800 The risk or severity of adverse effects can be increased when NAV 1800 is combined with Eflapegrastim.
Briakinumab The risk or severity of adverse effects can be increased when Briakinumab is combined with Eflapegrastim.
Otelixizumab The risk or severity of adverse effects can be increased when Otelixizumab is combined with Eflapegrastim.
AMG 108 The risk or severity of adverse effects can be increased when AMG 108 is combined with Eflapegrastim.
Iratumumab The risk or severity of adverse effects can be increased when Iratumumab is combined with Eflapegrastim.
Enokizumab The risk or severity of adverse effects can be increased when Enokizumab is combined with Eflapegrastim.
Ramucirumab The risk or severity of adverse effects can be increased when Ramucirumab is combined with Eflapegrastim.
Farletuzumab The risk or severity of adverse effects can be increased when Farletuzumab is combined with Eflapegrastim.
Veltuzumab The risk or severity of adverse effects can be increased when Veltuzumab is combined with Eflapegrastim.
Ustekinumab The risk or severity of adverse effects can be increased when Ustekinumab is combined with Eflapegrastim.
Trastuzumab emtansine The risk or severity of adverse effects can be increased when Trastuzumab emtansine is combined with Eflapegrastim.
PRO-542 The risk or severity of adverse effects can be increased when PRO-542 is combined with Eflapegrastim.
TNX-901 The risk or severity of adverse effects can be increased when TNX-901 is combined with Eflapegrastim.
Inotuzumab ozogamicin The risk or severity of adverse effects can be increased when Inotuzumab ozogamicin is combined with Eflapegrastim.
RI 624 The risk or severity of adverse effects can be increased when RI 624 is combined with Eflapegrastim.
Stamulumab The risk or severity of adverse effects can be increased when MYO-029 is combined with Eflapegrastim.
CT-011 The risk or severity of adverse effects can be increased when CT-011 is combined with Eflapegrastim.
Leronlimab The risk or severity of adverse effects can be increased when Leronlimab is combined with Eflapegrastim.
Glembatumumab vedotin The risk or severity of adverse effects can be increased when Glembatumumab vedotin is combined with Eflapegrastim.
Olaratumab The risk or severity of adverse effects can be increased when Olaratumab is combined with Eflapegrastim.
IPH 2101 The risk or severity of adverse effects can be increased when IPH 2101 is combined with Eflapegrastim.
TB-402 The risk or severity of adverse effects can be increased when TB-402 is combined with Eflapegrastim.
Caplacizumab The risk or severity of adverse effects can be increased when Caplacizumab is combined with Eflapegrastim.

Target Protein

Granulocyte colony-stimulating factor receptor CSF3R

Referensi & Sumber

Artikel (PubMed)
  • PMID: 23359067
    Shin KH, Kim TE, Lim KS, Yoon SH, Cho JY, Kim SE, Park KM, Shin SG, Jang IJ, Yu KS: Pharmacokinetic and pharmacodynamic properties of a new long-acting granulocyte colony-stimulating factor (HM10460A) in healthy volunteers. BioDrugs. 2013 Apr;27(2):149-58. doi: 10.1007/s40259-013-0010-0.
  • PMID: 35785754
    Blayney DW, Schwartzberg L: Chemotherapy-induced neutropenia and emerging agents for prevention and treatment: A review. Cancer Treat Rev. 2022 Sep;109:102427. doi: 10.1016/j.ctrv.2022.102427. Epub 2022 Jun 21.

Contoh Produk & Brand

Produk: 1 • International brands: 0
Produk
  • Rolvedon
    Injection, solution • 13.2 mg/0.6mL • Subcutaneous • US • Approved

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