Difference between revisions of "Arsenic trioxide (Trisenox)"

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==Patient drug information==
 
==Patient drug information==
 
*[https://www.trisenox.com/globalassets/trisenoxhcp/trisenox-prescribing-information.pdf Arsenic trioxide (Trisenox) package insert]<ref name="insert"></ref>
 
*[https://www.trisenox.com/globalassets/trisenoxhcp/trisenox-prescribing-information.pdf Arsenic trioxide (Trisenox) package insert]<ref name="insert"></ref>
*[http://chemocare.com/chemotherapy/drug-info/arsenic-trioxide.aspx Arsenic trioxide (Trisenox) patient drug information (Chemocare)]<ref>[http://chemocare.com/chemotherapy/drug-info/arsenic-trioxide.aspx Arsenic trioxide (Trisenox) patient drug information (Chemocare)]</ref>
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*[https://chemocare.com/druginfo/arsenic-trioxide.aspx Arsenic trioxide (Trisenox) patient drug information (Chemocare)]<ref>[https://chemocare.com/druginfo/arsenic-trioxide.aspx Arsenic trioxide (Trisenox) patient drug information (Chemocare)]</ref>
 
*[http://www.uptodate.com/contents/arsenic-trioxide-patient-drug-information Arsenic trioxide (Trisenox) patient drug information (UpToDate)]<ref>[http://www.uptodate.com/contents/arsenic-trioxide-patient-drug-information Arsenic trioxide (Trisenox) patient drug information (UpToDate)]</ref>
 
*[http://www.uptodate.com/contents/arsenic-trioxide-patient-drug-information Arsenic trioxide (Trisenox) patient drug information (UpToDate)]<ref>[http://www.uptodate.com/contents/arsenic-trioxide-patient-drug-information Arsenic trioxide (Trisenox) patient drug information (UpToDate)]</ref>
  
 
==History of changes in FDA indication==
 
==History of changes in FDA indication==
*9/25/2000: Initial FDA approval for induction of remission and consolidation in patients with [[Acute promyelocytic leukemia | acute promyelocytic leukemia (APL)]] who are refractory to, or have relapsed from, [[:Category:Retinoids|retinoid]] and [[:Category:Anthracyclines|anthracycline]] chemotherapy, and whose APL is characterized by the presence of the [[Biomarkers#t.2815.3B17.29|t(15;17) translocation]] or [[Biomarkers#PML-RARA|PML/RAR-alpha gene expression]]. ''(Based on PLRXAS01)''
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*2000-09-25: Initial FDA approval for induction of remission and consolidation in patients with [[Acute promyelocytic leukemia | acute promyelocytic leukemia (APL)]] who are refractory to, or have relapsed from, [[:Category:Retinoids|retinoid]] and [[:Category:Anthracyclines|anthracycline]] chemotherapy, and whose APL is characterized by the presence of the [[Biomarkers#t.2815.3B17.29|t(15;17) translocation]] or [[Biomarkers#PML-RARA|PML/RAR-alpha gene expression]]. ''(Based on PLRXAS01)''
*1/12/2018: Approved in combination with tretinoin for treatment of adults with newly-diagnosed low-risk [[Acute promyelocytic leukemia |acute promyelocytic leukemia (APL)]] whose APL is characterized by the presence of the [[Biomarkers#t.2815.3B17.29|t(15;17) translocation]] or [[Biomarkers#PML-RARA|PML/RAR-alpha gene expression]]. ''(Based on GIMEMA/DSIL APL0406)''
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*2018-01-12: Approved in combination with tretinoin for treatment of adults with newly-diagnosed low-risk [[Acute promyelocytic leukemia |acute promyelocytic leukemia (APL)]] whose APL is characterized by the presence of the [[Biomarkers#t.2815.3B17.29|t(15;17) translocation]] or [[Biomarkers#PML-RARA|PML/RAR-alpha gene expression]]. ''(Based on GIMEMA/DSIL APL0406)''
 
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==History of changes in EMA indication==
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*2002-03-05: Initial authorization ''(Based on PLRXAS01 & 97-66)''
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*2016-11-14: Extension of Indication to include induction of remission, and consolidation in adult patients with newly diagnosed low-to-intermediate risk [[Acute promyelocytic leukemia|acute promyelocytic leukaemia (APL)]] (white blood cell count, ≤ 10 x 103/μl) in combination with all trans retinoic acid (ATRA), characterised by the presence of the t(15;17) translocation and/or the presence of the Pro-Myelocytic Leukaemia/Retinoic-AcidReceptor-alpha (PML/RAR-alpha) gene.
 
==Also known as==
 
==Also known as==
 
*'''Brand names:''' Arsenol, Arsenox, Leusenox, Trisenox
 
*'''Brand names:''' Arsenol, Arsenox, Leusenox, Trisenox
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[[Category:Mutation-specific medications]]
 
[[Category:Mutation-specific medications]]
  
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[[Category:Arsenic compound]]
 
[[Category:Targeted therapeutic]]
 
[[Category:Targeted therapeutic]]
  
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[[Category:FDA approved in 2000]]
 
[[Category:FDA approved in 2000]]
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[[Category:EMA approved in 2002]]
 
[[Category:WHO Essential Cancer Medicine]]
 
[[Category:WHO Essential Cancer Medicine]]

Latest revision as of 00:47, 9 September 2023

General information

Class/mechanism: Causes damage or degradation of PML-RAR alpha fusion protein, causes apoptosis-type changes in NB4 human promyelocytic leukemia cells in vitro.[1][2][3]
Route: IV
Extravasation: irritant

For conciseness and simplicity, HemOnc.org currently will focus on treatment regimens and not list information such as: renal/hepatic dose adjustments, metabolism (including CYP450), excretion, monitoring parameters (although this will be considered for checklists), or manufacturer. Instead, for the most current information, please refer to your preferred pharmacopeias such as Micromedex, Lexicomp, Medscape, UpToDate (courtesy of Lexicomp), or the prescribing information.[1]

Diseases for which it is used

Patient drug information

History of changes in FDA indication

History of changes in EMA indication

  • 2002-03-05: Initial authorization (Based on PLRXAS01 & 97-66)
  • 2016-11-14: Extension of Indication to include induction of remission, and consolidation in adult patients with newly diagnosed low-to-intermediate risk acute promyelocytic leukaemia (APL) (white blood cell count, ≤ 10 x 103/μl) in combination with all trans retinoic acid (ATRA), characterised by the presence of the t(15;17) translocation and/or the presence of the Pro-Myelocytic Leukaemia/Retinoic-AcidReceptor-alpha (PML/RAR-alpha) gene.

Also known as

  • Brand names: Arsenol, Arsenox, Leusenox, Trisenox

References