Leniolisib
Jeneng merek: Joenja
Kelas obat:
Agen Antineoplastik
Panganggone Leniolisib
Leniolisib fosfat nduweni kegunaan ing ngisor iki:
Leniolisib fosfat dituduhake kanggo perawatan sindrom fosfoinositide 3-kinase delta (PI3Kδ) aktif (APDS) ing pasien diwasa lan bocah-bocah umur 12 taun utawa luwih.
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Carane nggunakake Leniolisib
Umum
Leniolisib fosfat kasedhiya ing wangun dosis lan kekuatan:
Tablet: 70 mg (saka leniolisib)
Dosis
Iku penting panyedhiya label pabrikan kudu takon kanggo informasi sing luwih rinci babagan dosis lan administrasi obat iki. Ringkesan dosis:
Verifikasi status meteng ing wanita saka potensial reproduksi sadurunge miwiti perawatan.
Pasien Anak
Dosis lan AdministrasiDewasa
Dosis lan AdministrasiPènget
Kontraindikasi
Pènget/PanandhapKeracunan embrio-janin
Adhedhasar temuan ing kewan, leniolisib bisa nyebabake cilaka janin nalika diwenehake marang wanita ngandhut. Administrasi leniolisib kanggo tikus lan terwelu sajrone periode organogenesis nyebabake keracunan embrio-janin kalebu malformasi ing eksposur sing 2-6 kaping luwih dhuwur tinimbang dosis manungsa maksimum sing disaranake (MRHD) ing pasien karo sindrom phosphoinositide 3-kinase delta (PI3Kδ) ( APDS) adhedhasar perbandingan AUC.
Verifikasi status meteng pasien potensial reproduksi sadurunge miwiti perawatan. Marang wanita ngandhut babagan risiko potensial kanggo janin. Rekomendasi wanita sing duwe potensi reproduksi kanggo nggunakake metode kontrasepsi sing efektif banget sajrone perawatan lan 1 minggu sawise dosis pungkasan.
Vaksinasi
Vaksinasi urip sing dilemahkan bisa uga kurang efektif yen ditindakake sajrone perawatan leniolisib.
Populasi Tertentu
KandhutanLeniolisib bisa nyebabake cilaka janin adhedhasar temuan saka studi kewan. Ora ana data sing kasedhiya babagan panggunaan leniolisib ing wanita ngandhut kanggo ngandhani risiko sing gegandhengan karo obat saka cacat lair utama, keguguran, utawa asil ibu utawa janin liyane sing ora becik.
Ing studi reproduksi kewan, administrasi oral leniolisib kanggo tikus lan terwelu ngandhut sajrone periode organogenesis ing pajanan kira-kira 2-6 kaping MRHD ing basis AUC, ngasilake keracunan embriofetal kalebu malformasi. Pitutur marang wanita ngandhut babagan risiko potensial kanggo janin.
Estimasi latar mburi risiko cacat lair utama lan keguguran kanggo populasi sing dituduhake ora dingerteni. Kabeh meteng duwe risiko latar mburi cacat lair, mundhut, utawa asil salabetipun liyane. Ing populasi umum AS, kira-kira risiko latar mburi cacat lair utama lan keguguran saka meteng sing diakoni sacara klinis yaiku 2% nganti 4% lan 15% nganti 20%.
LaktasiOra ana data babagan ngarsane leniolisib utawa metabolit ing susu manungsa utawa efek ing bayi sing nyusoni utawa produksi susu. Amarga ana potensial reaksi salabetipun serius saka leniolisib ing bocah sing nyusoni, menehi saran supaya wanita ora nyusoni sajrone perawatan karo obat kasebut lan 1 minggu sawise dosis pungkasan.
Wanita lan Lanang Potensi ReproduksiAdhedhasar temuan saka studi kewan, leniolisib bisa nyebabake cilaka janin nalika diwenehake marang wanita ngandhut.
Verifikasi status meteng ing wanita sing potensial reproduksi sadurunge miwiti leniolisib fosfat.
Anjurake pasien wanita sing duwe potensi reproduksi supaya nggunakake kontrasepsi sing efektif banget sajrone perawatan karo leniolisib lan nerusake kontrasepsi sajrone 1 minggu sawise dosis pungkasan.
Panggunaan PediatrikKeamanan lan efektifitas leniolisib kanggo perawatan sindrom delta phosphoinositide 3-kinase aktif wis ditetepake ing pasien pediatrik umur 12 taun lan luwih lawas. Panganggone leniolisib kanggo indikasi iki didhukung dening bukti saka panaliten sing cukup lan dikontrol kanthi apik ing pasien diwasa lan bocah umur 12 taun lan luwih. Ora ana dosis sing disaranake kanggo pasien pediatrik sing umure 12 taun lan luwih sing bobote kurang saka 45 kg.
Aman lan efektifitas leniolisib fosfat durung ditetepake ing pasien bocah sing umure kurang saka 12 taun.
Panggunaan GeriatrikAmarga studi klinis leniolisib ora kalebu pasien sing umure luwih saka 65 taun, mula ora bisa ditemtokake manawa respone beda karo pasien diwasa sing luwih enom.
Gangguan HepatikLeniolisib akeh banget. (60%) dimetabolisme dening ati. Efek gangguan hepatik ing farmakokinetik leniolisib durung diteliti. Panganggone leniolisib ing pasien kanthi gangguan ati sing moderat nganti abot ora dianjurake.
Efek Sabar sing Umum
Reaksi saru sing paling umum (kedadeyan>10%) yaiku ngelu, sinusitis, lan dermatitis atopik.
Apa obatan liyane bakal mengaruhi Leniolisib
Obat Spesifik
Iku penting panyedhiya label pabrikan dikonsultasi kanggo informasi sing luwih rinci babagan interaksi karo obat iki, kalebu kemungkinan pangaturan dosis. Sorotan interaksi:
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