Final List of R-DNA Based Drugs Approved in the Country.Xlsx
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Lenograstim in the Treatment of Severe Neutropenia in Patients Treated with Peg-IFN and Ribavirin
Le Infezioni in Medicina, n. 1, 21-23, 2009 Lavori originali Lenograstim in the treatment of severe neutropenia in Original articles patients treated with Peg-IFN and ribavirin: the experience of a single hepatology unit Trattamento mediante lenograstim della neutropenia grave in corso di terapia con Peg-IFN e ribavirina: esperienza di una singola unità di epatologia Luciano Tarantino1, Annunziata De Rosa2, Orsola Tambaro1, Carmine Ripa1, Marta Celiento3, Antonio Schiano1 1Unità di Epatologia ed Ecointerventistica, Ospedale San Giovanni di Dio, Frattamaggiore, Napoli, Italy; 2AOU “Federico II”, Dipartimento di Malattie Infettive, ASL NA 2, Napoli, Italy; 3AOU “Federico II”, Dipartimento di Chirurgia Generale e Geriatria, ASL NA 2, Napoli, Italy n INTRODUCTION doses of 80 mcg s.c./week of Peg-IFN 2b and 1200 mg/die of ribavirin. We checked quanti- he standard treatment of chronic hepatitis C tative HCV- RNA at 12 and 48 weeks of treat- (ECA C) is pegylated interferon-alpha (Peg- ment. Every two weeks, two days before ad- TIFN ) combined with ribavirin [1]. One of the ministration of the weekly dose of Peg-IFN 2b most frequent causes of suspension of therapy or all patients had blood count and liver enzyme reduction of the doses of Peg-IFN is haemato- tests. Patients with absolute neutrophil counts toxicity, which includes anaemia and/or neu- <900 cells/mmc started on lenograstim (263 tropenia and/or thrombocytopenia [2]. The use µg) 24 hours before administration of Peg- of growth factors (G-CSF) in responder patients IFNα 2b (Figure 1). Indication for administer- allows effective doses of Peg-IFN and RIBA to be ing lenograstim was early viral response kept stable [3]. -
Myelodysplastic Syndromes
MYELODYSPLASTIC SYNDROMES TREATMENT REGIMENS (Part 1 of 3) Clinical Trials: The National Comprehensive Cancer Network recommends cancer patient participation in clinical trials as the gold standard for treatment. Cancer therapy selection, dosing, administration, and the management of related adverse events can be a complex process that should be handled by an experienced healthcare team. Clinicians must choose and verify treatment options based on the individual patient; drug dose modifications and supportive care interventions should be administered accordingly. The cancer treatment regimens below may include both U.S. Food and Drug Administration-approved and unapproved indications/regimens. These regimens are only provided to supplement the latest treatment strategies. These Guidelines are a work in progress that may be refined as often as new significant data becomes available. The NCCN Guidelines® are a consensus statement of its authors regarding their views of currently accepted approaches to treatment. Any clinician seeking to apply or consult any NCCN Guidelines® is expected to use independent medical judgment in the context of individual clinical circumstances to determine any patient’s care or treatment. The NCCN makes no warranties of any kind whatsoever regarding their content, use, or application and disclaims any responsibility for their application or use in any way. First-Line Treatment1 Note: All recommendations are Category 2A unless otherwise indicated. Relatively Lower-Risk Patientsa,b Symptomatic Anemia With del(5q) ± One Other Cytogenetic Abnormality (except those involving chromosome 7) REGIMEN DOSING Lenalidomide2-5,c Days 1–21: Lenalidomide 10mg orally once daily. Repeat cycle every 28 days (or 28 days monthly). Assess response 2–4 months after initiation of treatment. -
Pegasys, INN-Peginterferon Alfa-2A
SCIENTIFIC DISCUSSION This module reflects the initial scientific discussion and scientific discussion on procedures, which have been finalised before 1 April 2005. For scientific information on procedures after this date please refer to module 8B. 1. Introduction Peginterferon alfa-2a is a polyethylene glycol (PEG)-modified form of human recombinant interferon alfa-2a intended for the treatment of adult patients with chronic hepatitis C (CHC) or chronic hepatitis B (CHB). Chronic hepatitis C is a major public health problem: hepatitis C virus (HCV) is responsible for a large proportion of chronic liver disease, accounting for 70% of cases of chronic hepatitis in industrialised countries. Globally there are an estimated 150 million chronic carriers of the virus, including 5 million in Western Europe. Without treatment approximately 30% of those infected with HCV will develop cirrhosis over a time frame of 30 years or more. For those with HCV-related cirrhosis, the prognosis is poor – a significant proportion will develop a life-threatening complication (either decompensated liver disease or an hepatocellular carcinoma) within a few years. The only therapy for those with advanced cirrhosis is liver transplantation, which carries a high mortality. In those who survive transplantation, viral recurrence in the new liver is almost inevitable and a significant proportion of infected liver grafts develop a progressive fibrosis that leads to recurrence of cirrhosis within 5 years. Interferon alfa monotherapy has been shown to be effective for the treatment of chronic hepatitis although sustained response rates occurred in approximately 15 to 30 % of patients treated for long duration (12-18 months). The current reference therapy is interferon alpha in combination with ribavirin, which resulted in an increase in biochemical and virological sustained response rates to approximately 40 % in naïve patients. -
Alfa Interferons
Clinical Pharmacy Program Guidelines for Alfa Interferons Program Prior Authorization Medication Intron A (interferon alfa-2b), Pegasys (peginterferon alfa-2a), PegIntron and Sylatron™ (peginterferon alfa-2b) Markets in Scope California,Colorado,Hawaii, Maryland, Nevada, New Jersey, New York, New York EPP, Pennsylvania- CHIP, Rhode Island, South Carolina Issue Date 9/2009 Pharmacy and 11/2020 Therapeutics Approval Date Effective Date 12/2020 1. Background: Indications Intron A (interferon alfa-2b) is indicated for the treatment of chronic hepatitis C in patients 18 years of age or older with compensated liver disease who have a history of blood or blood- product exposure and/or are HCV antibody positive. Intron A has additional FDA labeling for the treatment of chronic hepatitis C in patients 3 years of age and older with compensated liver disease previously untreated with alpha interferon therapy and in patients 18 years of age and older who have relapsed following alpha interferon therapy. Intron A is also indicated for the treatment of chronic hepatitis B in patients 1 year of age or older with compensated liver disease. Patients who have been serum HBsAg positive for at least 6 months and have evidence of HBV replication (serum HBeAg positive) with elevated serum ALT are candidates for treatment. Intron A is indicated for the treatment of patients 18 years of age or older with hairy cell leukemia. Intron A is indicated as adjuvant to surgical treatment in patients 18 years of age or older with malignant melanoma who are free of disease but a high risk for systemic recurrence, within 56 days of surgery. -
OMONTYS® Safely and Effectively
HIGHLIGHTS OF PRESCRIBING INFORMATION ---------------------DOSAGE FORMS AND STRENGTHS---------------------- These highlights do not include all the information needed to use Dosage Form Strengths OMONTYS® safely and effectively. See full prescribing information for OMONTYS. Single use vials 2 mg/0.5 mL, 3 mg/0.5 mL, (preservative-free) 4 mg/0.5 mL, 5 mg/0.5 mL, and OMONTYS® (peginesatide) Injection, 6 mg/0.5 mL for intravenous or subcutaneous use Single use pre-filled syringes 1 mg/0.5 mL, 2 mg/0.5 mL, Initial U.S. Approval: 2012 (preservative-free) 3 mg/0.5 mL, 4 mg/0.5 mL, 5 mg/0.5 mL, and 6 mg/0.5 mL WARNING: ESAs INCREASE THE RISK OF DEATH, MYOCARDIAL Multiple use vials 10 mg/mL and 20 mg/2 mL INFARCTION, STROKE, VENOUS THROMBOEMBOLISM, (with preservative) THROMBOSIS OF VASCULAR ACCESS AND TUMOR PROGRESSION OR RECURRENCE -------------------------------CONTRAINDICATIONS------------------------------ See full prescribing information for complete boxed warning. Uncontrolled hypertension (4). Chronic Kidney Disease: In controlled trials, patients experienced greater risks for -----------------------WARNINGS AND PRECAUTIONS------------------------ death, serious adverse cardiovascular reactions, and stroke Increased Mortality, Myocardial Infarction, Stroke, and when administered erythropoiesis-stimulating agents (ESAs) Thromboembolism: Using ESAs to target a hemoglobin level of to target a hemoglobin level of greater than 11 g/dL (5.1). greater than 11 g/dL increases the risk of serious adverse No trial has identified a hemoglobin target level, ESA dose, or cardiovascular reactions and has not been shown to provide dosing strategy that does not increase these risks (5.1). additional benefits (5.1). -
Presentation Title
The COMMANDS trial: a phase 3 study of the efficacy and safety of luspatercept versus epoetin alfa for the treatment of anemia due to Revised International Prognostic Scoring System Very Low-, Low-, or Intermediate-risk myelodysplastic syndromes in erythropoiesis stimulating agent-naive patients who require red blood cell transfusions Matteo Della Porta,1,2 Uwe Platzbecker,3 Valeria Santini,4 Guillermo Garcia-Manero,5 Rami S. Komrokji,6 Rodrigo Ito,7 Pierre Fenaux8 1Cancer Center IRCCS Humanitas Research Hospital, Milan, Italy; 2Department of Biomedical Sciences, Humanitas University, Milan, Italy; 3Medical Clinic and Policlinic 1, Hematology and Cellular Therapy, University Hospital Leipzig, Leipzig, Germany; 4Azienda Ospedaliero-Universitaria Careggi, University of Florence, Florence, Italy; 5Department of Leukemia, University of Texas MD Anderson Cancer Center, Houston, TX; 6Moffitt Cancer Center, Tampa, FL; 7Bristol Myers Squibb, Princeton, NJ; 8Service d'Hématologie Séniors, Hôpital Saint-Louis, Université Paris 7, Paris, France Presentation 2198 Presenting author disclosures M.D.P.: no conflicts of interest to disclose. 2 Introduction and objectives Introduction • Studies of epoetin alfa and darbepoetin alfa have demonstrated efficacy among patients with LR-MDS, but the patient population in which a clinically significant effect is observed may be limited1,2 • Luspatercept, a first-in-class erythroid maturation agent with a mechanism of action distinct from ESAs,3 is approved by the US FDA for the treatment of anemia failing an -
Therapeutic Class Overview Erythropoiesis-Stimulating Agents
Therapeutic Class Overview Erythropoiesis-Stimulating Agents Therapeutic Class · Overview/Summary: The erythropoiesis-stimulating agents (ESAs) currently available are darbepoetin alfa (Aranesp®), epoetin alfa (Epogen®, Procrit®) and peginesatide (Omontys®).1-4 There is no generic ESA is currently available in the United States. All ESAs are approved by the Food and Drug Administration (FDA) for the treatment of anemia in patients with chronic kidney disease; however, peginesatide is only approved for use in patients on dialysis. Darbepoetin alfa and epoetin alfa are also indicated for the treatment of anemia in cancer patients receiving chemotherapy. Moreover, epoetin alfa products are also FDA-approved for the treatment of anemia due to zidovudine therapy in patients with human immunodeficiency virus infection as well as to reduce the need for allogeneic blood transfusion in anemic patients who are at high risk for perioperative blood loss from elective, noncardiac, nonvascular surgery.1-5 Both epoetin alfa and darbepoetin alfa are manufactured via recombinant deoxyribonucleic acid technology and have similar biological effects as endogenous erythropoietin.6 Although darbepoetin alfa has identical pharmacological actions, the additional carbohydrate chains prolong its elimination half-life by two- to three-fold compared to epoetin alfa. Because of this, darbepoetin alfa is dosed less frequently compared to epoetin alfa. Peginesatide is structurally distinct from epoetin alfa and darbepoetin alfa in that it is a synthetic dimeric peptide -
Use of Interferon Alfa in the Treatment of Myeloproliferative Neoplasms: Perspectives and Review of the Literature
cancers Review Use of Interferon Alfa in the Treatment of Myeloproliferative Neoplasms: Perspectives and Review of the Literature Joan How 1,2,3 and Gabriela Hobbs 1,* 1 Department of Medical Oncology, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA; [email protected] 2 Division of Hematology, Department of Medicine, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA 02115, USA 3 Department of Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA 02115, USA * Correspondence: [email protected]; Tel.: +1-617-724-1124 Received: 26 June 2020; Accepted: 10 July 2020; Published: 18 July 2020 Abstract: Interferon alfa was first used in the treatment of myeloproliferative neoplasms (MPNs) over 30 years ago. However, its initial use was hampered by its side effect profile and lack of official regulatory approval for MPN treatment. Recently, there has been renewed interest in the use of interferon in MPNs, given its potential disease-modifying effects, with associated molecular and histopathological responses. The development of pegylated formulations and, more recently, ropeginterferon alfa-2b has resulted in improved tolerability and further expansion of interferon’s use. We review the evolving clinical use of interferon in essential thrombocythemia (ET), polycythemia vera (PV), and myelofibrosis (MF). We discuss interferon’s place in MPN treatment in the context of the most recent clinical trial results evaluating interferon and its pegylated formulations, and its role in special populations such as young and pregnant MPN patients. Interferon has re-emerged as an important option in MPN patients, with future studies seeking to re-establish its place in the existing treatment algorithm for MPN, and potentially expanding its use for novel indications and combination therapies. -
Conversion Dosing Guide: from Epoetin Alfa to Aranesp® in Patients with Anemia Due to CKD on Dialysis
Conversion Dosing Guide: From epoetin alfa to Aranesp® in patients with anemia due to CKD on dialysis Indication Aranesp® (darbepoetin alfa) is indicated for the treatment of anemia due to chronic kidney disease (CKD), including patients on dialysis and patients not on dialysis. Limitations of Use • Aranesp® has not been shown to improve quality of life, fatigue, or patient well-being. • Aranesp® is not indicated for use as a substitute for red blood cell transfusions in patients who require immediate correction of anemia. Please see Important Safety Information, including Boxed WARNINGS about INCREASED RISK OF DEATH, MYOCARDIAL INFARCTION, STROKE, VENOUS THROMBOEMBOLISM, THROMBOSIS OF VASCULAR ACCESS AND TUMOR PROGRESSION OR RECURRENCE, on pages 2 and 3. Important Safety Information including Boxed WARNINGS • Aranesp® is contraindicated in patients with: WARNING: ESAs INCREASE THE RISK OF DEATH, – Uncontrolled hypertension MYOCARDIAL INFARCTION, STROKE, VENOUS – Pure red cell aplasia (PRCA) that begins after treatment with Aranesp® or other THROMBOEMBOLISM, THROMBOSIS OF VASCULAR erythropoietin protein drugs ACCESS AND TUMOR PROGRESSION OR RECURRENCE – Serious allergic reactions to Aranesp® Chronic Kidney Disease: • Use caution in patients with coexistent cardiovascular disease and stroke. • Patients with CKD and an insufficient hemoglobin response to ESA therapy may be • In controlled trials, patients experienced greater risks for death, serious adverse cardiovascular reactions, and at even greater risk for cardiovascular reactions and mortality than other patients. stroke when administered erythropoiesis-stimulating agents A rate of hemoglobin rise of > 1 g/dL over 2 weeks may contribute to these risks. (ESAs) to target a hemoglobin level of greater than 11 g/dL. • In controlled clinical trials, ESAs increased the risk of death in patients undergoing ® coronary artery bypass graft surgery (CABG) and the risk of deep venous • No trial has identified a hemoglobin target level, Aranesp thrombosis (DVT) in patients undergoing orthopedic procedures. -
Epoetin Alfa-Epbx
HIGHLIGHTS OF PRESCRIBING INFORMATION maintenance dose. Intravenous route recommended for patients on These highlights do not include all the information needed to use hemodialysis (2.2). RETACRIT safely and effectively. See full prescribing information for • Patients on Zidovudine due to HIV-infection: 100 Units/kg 3 times weekly RETACRIT. (2.3). RETACRIT™ (epoetin alfa-epbx) injection, for intravenous or • Patients with Cancer on Chemotherapy: 40,000 Units weekly or 150 subcutaneous use Units/kg 3 times weekly (adults); 600 Units/kg intravenously weekly (pediatric patients > 5 years) (2.4). Initial U.S. Approval: 2018 • Surgery Patients: 300 Units/kg per day daily for 15 days or 600 Units/kg RETACRIT (epoetin alfa-epbx) is biosimilar* to EPOGEN/PROCRIT weekly (2.5). (epoetin alfa) WARNING: ESAs INCREASE THE RISK OF DEATH, -------------------- DOSAGE FORMS AND STRENGTHS -------------------- MYOCARDIAL INFARCTION, STROKE, VENOUS Injection THROMBOEMBOLISM, THROMBOSIS OF VASCULAR ACCESS 2,000 Units/mL, 3,000 Units/mL, 4,000 Units/mL, 10,000 Units/mL, and AND TUMOR PROGRESSION OR RECURRENCE 40,000 Units/mL in single-dose vials (3) See full prescribing information for complete boxed warning. ------------------------------CONTRAINDICATIONS----------------------------- Chronic Kidney Disease: • Uncontrolled hypertension (4) • In controlled trials, patients experienced greater risks for death, • Pure red cell aplasia (PRCA) that begins after treatment with RETACRIT serious adverse cardiovascular reactions, and stroke when or other erythropoietin protein drugs (4) administered erythropoiesis-stimulating agents (ESAs) to target a • Serious allergic reactions to RETACRIT or other epoetin alfa products (4) hemoglobin level of greater than 11 g/dL (5.1). • No trial has identified a hemoglobin target level, ESA dose, or dosing -----------------------WARNINGS AND PRECAUTIONS----------------------- strategy that does not increase these risks. -
Aranesp, INN-Darbepoetin Alfa
ANNEX I SUMMARY OF PRODUCT CHARACTERISTICS 1 1. NAME OF THE MEDICINAL PRODUCT Aranesp 10 micrograms solution for injection in pre-filled syringe. Aranesp 15 micrograms solution for injection in pre-filled syringe. Aranesp 20 micrograms solution for injection in pre-filled syringe. Aranesp 30 micrograms solution for injection in pre-filled syringe. Aranesp 40 micrograms solution for injection in pre-filled syringe. Aranesp 50 micrograms solution for injection in pre-filled syringe. Aranesp 60 micrograms solution for injection in pre-filled syringe. Aranesp 80 micrograms solution for injection in pre-filled syringe. Aranesp 100 micrograms solution for injection in pre-filled syringe. Aranesp 130 micrograms solution for injection in pre-filled syringe. Aranesp 150 micrograms solution for injection in pre-filled syringe. Aranesp 300 micrograms solution for injection in pre-filled syringe. Aranesp 500 micrograms solution for injection in pre-filled syringe. Aranesp 10 micrograms solution for injection in pre-filled pen. Aranesp 15 micrograms solution for injection in pre-filled pen. Aranesp 20 micrograms solution for injection in pre-filled pen. Aranesp 30 micrograms solution for injection in pre-filled pen. Aranesp 40 micrograms solution for injection in pre-filled pen. Aranesp 50 micrograms solution for injection in pre-filled pen. Aranesp 60 micrograms solution for injection in pre-filled pen. Aranesp 80 micrograms solution for injection in pre-filled pen. Aranesp 100 micrograms solution for injection in pre-filled pen. Aranesp 130 micrograms solution for injection in pre-filled pen. Aranesp 150 micrograms solution for injection in pre-filled pen. Aranesp 300 micrograms solution for injection in pre-filled pen. -
Coding Medical Necessity: Erythropoiesis Stimulating Agents (Esas)
Coding Medical Necessity: Erythropoiesis Stimulating Agents (ESAs) This article contains instructions for coding medical necessity in accordance with both the national coverage determination (NCD) and local coverage determination (LCD) and other CMS instructions on darbepoetin alfa (Aranesp®, DPA) and epoetin alfa (Epogen®, Procrit®, EPO). These coding guidelines are not intended to replace any found in the ICD-9-CM Official Guidelines for Coding and Reporting, nor are they intended to provide guidance on when a condition should be coded. Rather, this article should be used in conjunction with the UB-04 Data Specifications Manual and the ICD-9-CM Official Guidelines for Coding and Reporting. This article supersedes all previous articles on this subject. Providers should refer to CMS manuals and updates issued in Change Requests for additional claim form-specific billing instructions, including, but not limited to modifiers, necessary for payment. General Information for all claims for ESAs: These coding guidelines specifically address the documentation of medical necessity on the claim, i.e., the coding in this guidance must be used to indicate the conditions that convey medical necessity of the drug treatment. Providers may not code a claim with more than one drug code (J or Q) for DPA or EPO, i.e., only one of the DPA or EPO codes may appear on a claim. The administration of this class of drugs should NOT be billed using any of the chemotherapy administration codes. Providers should use the appropriate therapeutic, prophylactic, and diagnostic injections and infusions code. No payment can be made for drugs when self-administered or administered by a caregiver (except for drugs administered under the auspices of the ESRD program).