Peringatan Keamanan

There are no data regarding overdose with dostarlimab. Symptoms of overdosage are likely to be consistent with the adverse effect profile of dostarlimab and may therefore involve significant immune-mediated reactions.L33320

Dostarlimab

DB15627

biotech approved investigational

Deskripsi

Dostarlimab is an IgG4 humanized monoclonal antibody targeted against the human programmed death receptor-1 (PD-1).L33320 PD-1 receptors are found on T-cells and, when activated, serve to inhibit immune responses - some cancers leverage this system by overexpressing PD-1 ligands, thereby effectively inhibiting the anti-tumor immune response that would typically attempt to destroy the cancerous cells.A234379 Agents acting on the PD-1 pathway, such as nivolumab and pembrolizumab, facilitate endogenous immune-mediated anti-tumor activity and may therefore be used to treat a wide variety of cancers, including those of the skin, lung, kidneys, and liver.

In April 2021, dostarlimab was granted accelerated approval by the FDA - as GlaxoSmithKline's dostarlimab-gxly (Jemperli) - for the treatment of adult patients with recurrent or advanced mismatch repair deficient (dMMR) endometrial cancer experiencing disease progression despite treatment with platinum-containing chemotherapy regimens.L33340 A companion diagnostic device - the VENTANA MMR RxDx Panel - was also approved alongside this indication to select appropriate patients for treatment.L33340 This indication was granted full FDA approval on February 10, 2023.L45161 Dostarlimab-gxly was granted second accelerated approval for the treatment of solid tumours in the same month.L45156

Dostarlimab is currently under investigation for the treatment of rectal cancers with mismatch repair deficiency. A prospective phase II study in patients with mismatch repair-deficient locally advanced rectal cancer resulted in all twelve patients exhibiting a complete clinical response.A248905

Struktur Molekul 2D

Struktur tidak tersedia

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

Profil Farmakokinetik

Waktu Paruh (Half-Life) The mean terminal elimination half-life of dostarlimab is 25.4 days.[L33320]
Volume Distribusi At steady-state, the mean volume of distribution of dostarlimab is 5.3L.[L33320]
Klirens (Clearance) At steady-state, the mean clearance of dostarlimab is 0.007 L/h.[L33320]

Absorpsi

During the first cycle, and administered at 500mg intravenously every 3 weeks, the mean Cmax and AUC0-tau of dostarlimab-gxly are 171 mcg/mL and 35,730 mcg.h/mL, respectively. When administered at 1000mg every 6 weeks, the mean Cmax and AUC0-tau are 309 mcg/mL and 95,820 mcg.h/mL, respectively.L33320

Metabolisme

The metabolism of dostarlimab has not been characterized, but it is expected to be degraded via catabolic pathways into smaller peptides and amino acids.L33320,A216712

Rute Eliminasi

Data eliminasi belum tersedia.

Interaksi Obat

411 Data
Diethylstilbestrol Diethylstilbestrol may increase the thrombogenic activities of Dostarlimab.
Chlorotrianisene Chlorotrianisene may increase the thrombogenic activities of Dostarlimab.
Conjugated estrogens Conjugated estrogens may increase the thrombogenic activities of Dostarlimab.
Estrone Estrone may increase the thrombogenic activities of Dostarlimab.
Estradiol Estradiol may increase the thrombogenic activities of Dostarlimab.
Dienestrol Dienestrol may increase the thrombogenic activities of Dostarlimab.
Ethinylestradiol Ethinylestradiol may increase the thrombogenic activities of Dostarlimab.
Mestranol Mestranol may increase the thrombogenic activities of Dostarlimab.
Estriol Estriol may increase the thrombogenic activities of Dostarlimab.
Estrone sulfate Estrone sulfate may increase the thrombogenic activities of Dostarlimab.
Quinestrol Quinestrol may increase the thrombogenic activities of Dostarlimab.
Hexestrol Hexestrol may increase the thrombogenic activities of Dostarlimab.
Tibolone Tibolone may increase the thrombogenic activities of Dostarlimab.
Synthetic Conjugated Estrogens, A Synthetic Conjugated Estrogens, A may increase the thrombogenic activities of Dostarlimab.
Synthetic Conjugated Estrogens, B Synthetic Conjugated Estrogens, B may increase the thrombogenic activities of Dostarlimab.
Polyestradiol phosphate Polyestradiol phosphate may increase the thrombogenic activities of Dostarlimab.
Esterified estrogens Esterified estrogens may increase the thrombogenic activities of Dostarlimab.
Zeranol Zeranol may increase the thrombogenic activities of Dostarlimab.
Equol Equol may increase the thrombogenic activities of Dostarlimab.
Promestriene Promestriene may increase the thrombogenic activities of Dostarlimab.
Methallenestril Methallenestril may increase the thrombogenic activities of Dostarlimab.
Epimestrol Epimestrol may increase the thrombogenic activities of Dostarlimab.
Moxestrol Moxestrol may increase the thrombogenic activities of Dostarlimab.
Estradiol acetate Estradiol acetate may increase the thrombogenic activities of Dostarlimab.
Estradiol benzoate Estradiol benzoate may increase the thrombogenic activities of Dostarlimab.
Estradiol cypionate Estradiol cypionate may increase the thrombogenic activities of Dostarlimab.
Estradiol valerate Estradiol valerate may increase the thrombogenic activities of Dostarlimab.
Biochanin A Biochanin A may increase the thrombogenic activities of Dostarlimab.
Formononetin Formononetin may increase the thrombogenic activities of Dostarlimab.
Estetrol Estetrol may increase the thrombogenic activities of Dostarlimab.
Cetuximab The risk or severity of adverse effects can be increased when Cetuximab is combined with Dostarlimab.
Human immunoglobulin G The risk or severity of adverse effects can be increased when Human immunoglobulin G is combined with Dostarlimab.
Omalizumab The risk or severity of adverse effects can be increased when Omalizumab is combined with Dostarlimab.
Adalimumab The risk or severity of adverse effects can be increased when Adalimumab is combined with Dostarlimab.
Abciximab The risk or severity of adverse effects can be increased when Abciximab is combined with Dostarlimab.
Gemtuzumab ozogamicin The risk or severity of adverse effects can be increased when Gemtuzumab ozogamicin is combined with Dostarlimab.
Indium In-111 satumomab pendetide The risk or severity of adverse effects can be increased when Indium In-111 satumomab pendetide is combined with Dostarlimab.
Infliximab The risk or severity of adverse effects can be increased when Infliximab is combined with Dostarlimab.
Trastuzumab The risk or severity of adverse effects can be increased when Trastuzumab is combined with Dostarlimab.
Rituximab The risk or severity of adverse effects can be increased when Rituximab is combined with Dostarlimab.
Basiliximab The risk or severity of adverse effects can be increased when Basiliximab is combined with Dostarlimab.
Muromonab The risk or severity of adverse effects can be increased when Muromonab is combined with Dostarlimab.
Digoxin Immune Fab (Ovine) The risk or severity of adverse effects can be increased when Digoxin Immune Fab (Ovine) is combined with Dostarlimab.
Ibritumomab tiuxetan The risk or severity of adverse effects can be increased when Ibritumomab tiuxetan is combined with Dostarlimab.
Tositumomab The risk or severity of adverse effects can be increased when Tositumomab is combined with Dostarlimab.
Alemtuzumab The risk or severity of adverse effects can be increased when Alemtuzumab is combined with Dostarlimab.
Capromab pendetide The risk or severity of adverse effects can be increased when Capromab pendetide is combined with Dostarlimab.
Efalizumab The risk or severity of adverse effects can be increased when Efalizumab is combined with Dostarlimab.
Antithymocyte immunoglobulin (rabbit) The risk or severity of adverse effects can be increased when Antithymocyte immunoglobulin (rabbit) is combined with Dostarlimab.
Natalizumab The risk or severity of adverse effects can be increased when Natalizumab is combined with Dostarlimab.
Palivizumab The risk or severity of adverse effects can be increased when Palivizumab is combined with Dostarlimab.
Daclizumab The risk or severity of adverse effects can be increased when Daclizumab is combined with Dostarlimab.
Bevacizumab The risk or severity of adverse effects can be increased when Bevacizumab is combined with Dostarlimab.
Technetium Tc-99m arcitumomab The risk or severity of adverse effects can be increased when Technetium Tc-99m arcitumomab is combined with Dostarlimab.
Eculizumab The risk or severity of adverse effects can be increased when Eculizumab is combined with Dostarlimab.
Panitumumab The risk or severity of adverse effects can be increased when Panitumumab is combined with Dostarlimab.
Ranibizumab The risk or severity of adverse effects can be increased when Ranibizumab is combined with Dostarlimab.
Galiximab The risk or severity of adverse effects can be increased when Galiximab is combined with Dostarlimab.
Pexelizumab The risk or severity of adverse effects can be increased when Pexelizumab is combined with Dostarlimab.
Afelimomab The risk or severity of adverse effects can be increased when Afelimomab is combined with Dostarlimab.
Epratuzumab The risk or severity of adverse effects can be increased when Epratuzumab is combined with Dostarlimab.
Bectumomab The risk or severity of adverse effects can be increased when Bectumomab is combined with Dostarlimab.
Oregovomab The risk or severity of adverse effects can be increased when Oregovomab is combined with Dostarlimab.
IGN311 The risk or severity of adverse effects can be increased when IGN311 is combined with Dostarlimab.
Adecatumumab The risk or severity of adverse effects can be increased when Adecatumumab is combined with Dostarlimab.
Labetuzumab The risk or severity of adverse effects can be increased when Labetuzumab is combined with Dostarlimab.
Matuzumab The risk or severity of adverse effects can be increased when Matuzumab is combined with Dostarlimab.
Fontolizumab The risk or severity of adverse effects can be increased when Fontolizumab is combined with Dostarlimab.
Bavituximab The risk or severity of adverse effects can be increased when Bavituximab is combined with Dostarlimab.
CR002 The risk or severity of adverse effects can be increased when CR002 is combined with Dostarlimab.
Rozrolimupab The risk or severity of adverse effects can be increased when Rozrolimupab is combined with Dostarlimab.
Hepatitis B immune globulin The risk or severity of adverse effects can be increased when Hepatitis B immune globulin is combined with Dostarlimab.
Girentuximab The risk or severity of adverse effects can be increased when Girentuximab is combined with Dostarlimab.
Obiltoxaximab The risk or severity of adverse effects can be increased when Obiltoxaximab is combined with Dostarlimab.
XTL-001 The risk or severity of adverse effects can be increased when XTL-001 is combined with Dostarlimab.
NAV 1800 The risk or severity of adverse effects can be increased when NAV 1800 is combined with Dostarlimab.
Briakinumab The risk or severity of adverse effects can be increased when Briakinumab is combined with Dostarlimab.
Otelixizumab The risk or severity of adverse effects can be increased when Otelixizumab is combined with Dostarlimab.
AMG 108 The risk or severity of adverse effects can be increased when AMG 108 is combined with Dostarlimab.
Iratumumab The risk or severity of adverse effects can be increased when Iratumumab is combined with Dostarlimab.
Enokizumab The risk or severity of adverse effects can be increased when Enokizumab is combined with Dostarlimab.
Ramucirumab The risk or severity of adverse effects can be increased when Ramucirumab is combined with Dostarlimab.
Farletuzumab The risk or severity of adverse effects can be increased when Farletuzumab is combined with Dostarlimab.
Veltuzumab The risk or severity of adverse effects can be increased when Veltuzumab is combined with Dostarlimab.
Ustekinumab The risk or severity of adverse effects can be increased when Ustekinumab is combined with Dostarlimab.
Trastuzumab emtansine The risk or severity of adverse effects can be increased when Trastuzumab emtansine is combined with Dostarlimab.
PRO-542 The risk or severity of adverse effects can be increased when PRO-542 is combined with Dostarlimab.
TNX-901 The risk or severity of adverse effects can be increased when TNX-901 is combined with Dostarlimab.
Inotuzumab ozogamicin The risk or severity of adverse effects can be increased when Inotuzumab ozogamicin is combined with Dostarlimab.
RI 624 The risk or severity of adverse effects can be increased when RI 624 is combined with Dostarlimab.
Stamulumab The risk or severity of adverse effects can be increased when MYO-029 is combined with Dostarlimab.
CT-011 The risk or severity of adverse effects can be increased when CT-011 is combined with Dostarlimab.
Leronlimab The risk or severity of adverse effects can be increased when Leronlimab is combined with Dostarlimab.
Glembatumumab vedotin The risk or severity of adverse effects can be increased when Glembatumumab vedotin is combined with Dostarlimab.
Olaratumab The risk or severity of adverse effects can be increased when Olaratumab is combined with Dostarlimab.
IPH 2101 The risk or severity of adverse effects can be increased when IPH 2101 is combined with Dostarlimab.
TB-402 The risk or severity of adverse effects can be increased when TB-402 is combined with Dostarlimab.
Caplacizumab The risk or severity of adverse effects can be increased when Caplacizumab is combined with Dostarlimab.
IMC-1C11 The risk or severity of adverse effects can be increased when IMC-1C11 is combined with Dostarlimab.
Eldelumab The risk or severity of adverse effects can be increased when Eldelumab is combined with Dostarlimab.

Target Protein

Programmed cell death protein 1 PDCD1

Referensi & Sumber

Artikel (PubMed)
  • PMID: 31847708
    Kaplon H, Muralidharan M, Schneider Z, Reichert JM: Antibodies to watch in 2020. MAbs. 2020 Jan-Dec;12(1):1703531. doi: 10.1080/19420862.2019.1703531.
  • PMID: 32052309
    Temrikar ZH, Suryawanshi S, Meibohm B: Pharmacokinetics and Clinical Pharmacology of Monoclonal Antibodies in Pediatric Patients. Paediatr Drugs. 2020 Apr;22(2):199-216. doi: 10.1007/s40272-020-00382-7.
  • PMID: 32213091
    Green AK, Feinberg J, Makker V: A Review of Immune Checkpoint Blockade Therapy in Endometrial Cancer. Am Soc Clin Oncol Educ Book. 2020 Mar;40:1-7. doi: 10.1200/EDBK_280503.
  • PMID: 33182707
    Deshpande M, Romanski PA, Rosenwaks Z, Gerhardt J: Gynecological Cancers Caused by Deficient Mismatch Repair and Microsatellite Instability. Cancers (Basel). 2020 Nov 10;12(11). pii: cancers12113319. doi: 10.3390/cancers12113319.
  • PMID: 35660797
    Cercek A, Lumish M, Sinopoli J, Weiss J, Shia J, Lamendola-Essel M, El Dika IH, Segal N, Shcherba M, Sugarman R, Stadler Z, Yaeger R, Smith JJ, Rousseau B, Argiles G, Patel M, Desai A, Saltz LB, Widmar M, Iyer K, Zhang J, Gianino N, Crane C, Romesser PB, Pappou EP, Paty P, Garcia-Aguilar J, Gonen M, Gollub M, Weiser MR, Schalper KA, Diaz LA Jr: PD-1 Blockade in Mismatch Repair-Deficient, Locally Advanced Rectal Cancer. N Engl J Med. 2022 Jun 5. doi: 10.1056/NEJMoa2201445.

Contoh Produk & Brand

Produk: 3 • International brands: 1
Produk
  • Jemperli
    Solution • 50 mg / mL • Intravenous • Canada • Approved
  • Jemperli
    Injection, solution, concentrate • 500 mg • Intravenous • EU • Approved
  • Jemperli
    Injection • 50 mg/1mL • Intravenous • US • Approved
International Brands
  • Jemperli — GlaxoSmithKline

Sekuens Gen/Protein (FASTA)

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