Description
MG Medicals, Quality Assurance
CompositionAtezolizumab
SimilarityAtezolizumab 1200mg 1s
StorageCold chain shipment
MG Medicals, Briefing of Tecentriq 1200mg 1 Injection
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TECENTRIQ is indicated for the treatment of patients with metastatic non-small cell lung cancer (NSCLC) who have disease progression during or following platinum-containing chemotherapy.
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Immune-Mediated Pneumonitis, Immune-Mediated Hepatitis, Immune-Mediated Colitis, Immune-Mediated Endocrinopathies, Other Immune-Mediated Adverse Reactions, Infections, Infusion-Related Reactions
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The recommended dosage of TECENTRIQ is 1200 mg as an intravenous infusion over 60 minutes every 3 weeks until disease progression or unacceptable toxicity. If the first infusion is tolerated, all subsequent infusions may be delivered over 30 minutes.
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Monoclonal antibody to programmed cell death ligand-1 protein (PDL1); binding PDL1 blocks the interaction between PDL-1 and its ligands. PDL1 is expressed on the surface of activated T cells under normal conditions; binding PDL1 inhibits immune activation and reduces T-cell cytotoxic activity when bound. This negative feedback loop is essential for maintaining normal immune responses and limits T-cell activity to protect normal cells during chronic inflammation. Tumor cells may circumvent T-cell–mediated cytotoxicity by expressing PDL1 on the tumor itself or on tumor-infiltrating immune cells, resulting in the inhibition of immune-mediated killing of tumor cells.
MG Medicals, More Suggestion
Suggestion for Tecentriq 1200mg 1 Injection
- Immune-related myasthenic syndrome/myasthenia gravis, Guillain Barré, or meningoencephalitis reported; permanently discontinue for any grade.
- Monitor for clinical signs and symptoms of meningitis or encephalitis; permanently discontinue treatment for any grade of meningitis or encephalitis; treat with IV steroids (1-2 mg/kg/day methylprednisolone or equivalent) and convert to oral steroids (prednisone 60 mg/day or equivalent) once patient improves; when symptoms improve to Grade ≤1, taper steroids over ≥1 month.
- Monitor for symptoms of motor and sensory neuropathy; permanently discontinue treatment for any grade of myasthenic syndrome/myasthenia gravis or Guillain-Barré syndrome; consider initiation of systemic corticosteroids at a dose of 1-2 mg/kg/day prednisone.
- Symptomatic pancreatitis without an alternative etiology occurred in 0.1% of patients across clinical trials; monitor for signs and symptoms of acute pancreatitis.
- Monitor for signs and symptoms of myocarditis.
- Thyroid disorders may occur; monitor thyroid function prior to and periodically during treatment; initiate hormone replacement therapy or medical management of hyperthyroidism as clinically indicated; continue therapy for hypothyroidism and interrupt for hyperthyroidism based on severity.
- Adrenal insufficiency may occur; monitor patients for clinical signs and symptoms of adrenal insufficiency; for Grade 2 or higher adrenal insufficiency, initiate prednisone 1-2 mg/kg/day or equivalents, followed by a taper and hormone replacement as clinically indicated; interrupt treatment based on severity.
- Type 1 diabetes mellitus reported; monitor patients for hyperglycemia or other signs and symptoms of diabetes; initiate treatment with insulin as clinically indicated; interrupt treatment based on severity.
- Hypophysitis/hypopituitarism may occur; for Grade 2 or higher hypophysitis, initiate prednisone 1-2 mg/kg/day or equivalents, followed by a taper and hormone replacement therapy as clinically indicated
MG Medicals, Tips & Warnings
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Alcohol
There is no significant data. Please consult your doctor.
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Pregnancy
caution
Based on its mechanism of action, TECENTRIQ can cause fetal harm when administered to a pregnant woman. There are no available data on the use of TECENTRIQ in pregnant women.
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Lactation
There is no information regarding the presence of atezolizumab in human milk, the effects on the breastfed infant, or the effects on milk production.
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Driving
There is no significant data. Please consult your doctor.
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Kidney
Monitor the renal values.
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Liver
May cause liver test abnormalities and immune-mediated hepatitis; fatal cases reported; monitor for signs and symptoms of hepatitis, during and after discontinuation of therapy, including clinical chemistry monitoring; administer corticosteroids, prednisone 1–2 mg/kg/day or equivalents, followed by a taper for Grade 2 or higher elevations of ALT, AST and/or total bilirubin.
MG Medicals, If miss a dose
For the best possible benefit, it is important to receive each scheduled dose of this medication as directed. If you miss a dose, contact your doctor or pharmacist right away to establish a new dosing schedule.
Disclaimer
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