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NYVEPRIA Solution for injection (2021)

Αναφορές

Βιβλιογραφική αναφορά

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Περιεχόμενα

1. Name of the medicinal product

Nyvepria 6 mg solution for injection.

2. Qualitative and quantitative composition

Each pre-filled syringe contains 6 mg of pegfilgrastim* in 0.6 mL solution for injection. The concentration is 10 mg/mL based on protein only**. * Produced in Escherichia coli cells by recombinant DNA ...

3. Pharmaceutical form

Solution for injection (injection). Clear, colourless, free from visible particles, solution for injection.

4.1. Therapeutic indications

Reduction in the duration of neutropenia and the incidence of febrile neutropenia in adult patients treated with cytotoxic chemotherapy for malignancy (with the exception of chronic myeloid leukaemia and ...

4.2. Posology and method of administration

Nyvepria therapy should be initiated and supervised by physicians experienced in oncology and/or haematology. Posology One 6 mg dose (a single pre-filled syringe) of Nyvepria is recommended for each chemotherapy ...

4.3. Contraindications

Hypersensitivity to the active substance or to any of the excipients listed in section 6.1.

4.4. Special warnings and precautions for use

Traceability In order to improve the traceability of biological medicinal products, the name and the batch number of the administered product should be clearly recorded. Limited clinical data suggest a ...

4.5. Interaction with other medicinal products and other forms of interaction

Due to the potential sensitivity of rapidly dividing myeloid cells to cytotoxic chemotherapy‚ pegfilgrastim should be administered at least 24 hours after administration of cytotoxic chemotherapy. In clinical ...

4.6. Fertility, pregnancy and lactation

Pregnancy There are no or limited amount of data from the use of pegfilgrastim in pregnant women. Studies in animals have shown reproductive toxicity (see section 5.3). Pegfilgrastim is not recommended ...

4.7. Effects on ability to drive and use machines

Nyvepria has no or negligible influence on the ability to drive and use machines.

4.8. Undesirable effects

Summary of the safety profile The most frequently reported adverse reactions were bone pain (very common [≥1/10]) and musculoskeletal pain (common [≥1/100 to ˂1/10]). Bone pain was generally of mild to ...

4.9. Overdose

Single doses of 300 mcg/kg have been administered subcutaneously to a limited number of healthy volunteers and patients with non-small cell lung cancer without serious adverse reactions. The adverse events ...

5.1. Pharmacodynamic properties

<b>Pharmacotherapeutic group:</b> immunostimulants, colony stimulating factors <b>ATC Code:</b> L03AA13 Nyvepria is a biosimilar medicinal product. Detailed information is available on the website of the ...

5.2. Pharmacokinetic properties

After a single subcutaneous dose of pegfilgrastim, the peak serum concentration of pegfilgrastim occurs at 16 to 120 hours after dosing and serum concentrations of pegfilgrastim are maintained during the ...

5.3. Preclinical safety data

Preclinical data from conventional studies of repeated dose toxicity revealed the expected pharmacological effects including increases in leukocyte count, myeloid hyperplasia in bone marrow, extramedullary ...

6.1. List of excipients

Sodium acetate trihydrate Glacial acetic acid Sorbitol (E420) Polysorbate 20 Water for injections

6.2. Incompatibilities

This medicinal product must not be mixed with other medicinal products, particularly with sodium chloride solutions.

6.3. Shelf life

3 years.

6.4. Special precautions for storage

Store in a refrigerator (2°C–8°C). Nyvepria may be exposed to room temperature (not above 25°C) for a maximum single period of up to 15 days. Nyvepria left at room temperature for more than 15 days should ...

6.5. Nature and contents of container

Pre-filled syringe (type I glass), with a rubber stopper, stainless steel needle and needle cover with an automatic needle guard. The Nyvepria syringe plunger stopper and needle cover are not made with ...

6.6. Special precautions for disposal and other handling

Before use, Nyvepria solution should be inspected visually for particulate matter. Only a solution that is clear and colourless should be injected. Excessive shaking may aggregate pegfilgrastim, rendering ...

7. Marketing authorization holder

Pfizer Europe MA EEIG, Boulevard de la Plaine 17, 1050 Bruxelles, Belgium

8. Marketing authorization number(s)

EU/1/20/1486/001

9. Date of first authorization / renewal of the authorization

Date of first authorisation: 18 November 2020

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