Difference between revisions of "Daunorubicin liposomal (DaunoXome)"

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==General information==
 
==General information==
Class/mechanism: Anthracycline enclosed in a liposomal preparation, which protects it from chemical and enzymatic degradation, reduces protein binding, and decreases uptake by normal (non-reticuloendothelial system) tissues. Liposomal preparation may increase accumulation in tumors. Daunorubicin binds and intercalates between DNA base pairs. Inhibits topoisomerase II activity by stabilizing the DNA-topoisomerase II complex, resulting in single and double strand DNA breaks. May also inhibit polymerase activity and trigger free radical damage to DNA.<ref name="insert">[http://daunoxome.com/downloads/DaunoXome%20PI.pdf Daunorubicin liposomal (DaunoXome) package insert]</ref><ref>[[Media:Daunorubicinliposomal.pdf | Daunorubicin liposomal (DaunoXome) package insert (locally hosted backup)]]</ref><ref>[http://daunoxome.com DaunoXome manufacturer's website]</ref>
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Class/mechanism: Anthracycline enclosed in a liposomal preparation, which protects it from chemical and enzymatic degradation, reduces protein binding, and decreases uptake by normal (non-reticuloendothelial system) tissues. Liposomal preparation may increase accumulation in tumors. Daunorubicin binds and intercalates between DNA base pairs. Inhibits topoisomerase II activity by stabilizing the DNA-topoisomerase II complex, resulting in single and double strand DNA breaks. May also inhibit polymerase activity and trigger free radical damage to DNA.<ref name="insert">[http://daunoxome.com/downloads/DaunoXome%20PI.pdf Daunorubicin liposomal (DaunoXome) package insert]</ref><ref>[[:File:Daunorubicinliposomal.pdf | Daunorubicin liposomal (DaunoXome) package insert (locally hosted backup)]]</ref><ref>[http://daunoxome.com DaunoXome manufacturer's website]</ref>
 
<br>Route: IV
 
<br>Route: IV
 
<br>Extravasation: [[irritant]]
 
<br>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 [http://www.thomsonhc.com/home/dispatch Micromedex], [http://online.lexi.com/ Lexicomp], [http://www.utdol.com/online/content/search.do UpToDate (courtesy of Lexicomp)], or the prescribing information.<ref name="insert"></ref>  
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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 or the prescribing information.<ref name="insert"></ref>  
  
==Diseases for which it is used==
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==Diseases for which it was used==
*[[Acute myeloid leukemia]]
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*[[Acute myeloid leukemia - historical|Acute myeloid leukemia]]
*[[Vascular sarcoma]]
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*[[Kaposi sarcoma - historical|Kaposi sarcoma]]
  
 
==Patient drug information==
 
==Patient drug information==
*[http://chemocare.com/chemotherapy/drug-info/daunorubicin-liposomal.aspx Daunorubicin liposomal (DaunoXome) patient drug information (Chemocare)]<ref>[http://chemocare.com/chemotherapy/drug-info/daunorubicin-liposomal.aspx Daunorubicin liposomal (DaunoXome) patient drug information (Chemocare)]</ref>
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*[https://chemocare.com/druginfo/daunorubicin-liposomal.aspx Daunorubicin liposomal (DaunoXome) patient drug information (Chemocare)]<ref>[https://chemocare.com/druginfo/daunorubicin-liposomal.aspx Daunorubicin liposomal (DaunoXome) patient drug information (Chemocare)]</ref>
 
*[http://www.uptodate.com/contents/daunorubicin-citrate-liposomal-patient-drug-information Daunorubicin liposomal (DaunoXome) patient drug information (UpToDate)]<ref>[http://www.uptodate.com/contents/daunorubicin-citrate-liposomal-patient-drug-information Daunorubicin liposomal (DaunoXome) patient drug information (UpToDate)]</ref>
 
*[http://www.uptodate.com/contents/daunorubicin-citrate-liposomal-patient-drug-information Daunorubicin liposomal (DaunoXome) patient drug information (UpToDate)]<ref>[http://www.uptodate.com/contents/daunorubicin-citrate-liposomal-patient-drug-information Daunorubicin liposomal (DaunoXome) patient drug information (UpToDate)]</ref>
  
 
==History of changes in FDA indication==
 
==History of changes in FDA indication==
* 4/8/1996: Initial FDA approval as a first-line cytotoxic therapy for the treatment of advanced, HIV-associated [[Vascular sarcoma|Kaposi's sarcoma (KS)]]
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* 1996-04-08: Initial FDA approval as a first-line cytotoxic therapy for the treatment of advanced, HIV-associated [[Kaposi sarcoma|Kaposi's sarcoma (KS)]]. ''(Based on Gill et al. 1996)''
  
 
==Also known as==
 
==Also known as==
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[[Category:Intravenous medications]]
 
[[Category:Intravenous medications]]
[[Category:Irritant chemotherapy]]
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[[Category:Irritant]]
 
[[Category:Liposomal chemotherapy]]
 
[[Category:Liposomal chemotherapy]]
  
 
[[Category:Anthracyclines]]
 
[[Category:Anthracyclines]]
[[Category:Topoisomerase inhibitors]]
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[[Category:Topoisomerase II inhibitors]]
  
[[Category:Acute myeloid leukemia medications]]
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[[Category:Acute myeloid leukemia medications (historic)]]
[[Category:Vascular sarcoma medications]]  
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[[Category:Kaposi sarcoma medications (historic)]]  
  
[[Category:Drugs FDA approved in 1996]]
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[[Category:FDA approved in 1996]]
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[[Category:Discontinued drugs]]

Latest revision as of 01:06, 29 June 2024

General information

Class/mechanism: Anthracycline enclosed in a liposomal preparation, which protects it from chemical and enzymatic degradation, reduces protein binding, and decreases uptake by normal (non-reticuloendothelial system) tissues. Liposomal preparation may increase accumulation in tumors. Daunorubicin binds and intercalates between DNA base pairs. Inhibits topoisomerase II activity by stabilizing the DNA-topoisomerase II complex, resulting in single and double strand DNA breaks. May also inhibit polymerase activity and trigger free radical damage to DNA.[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 or the prescribing information.[1]

Diseases for which it was used

Patient drug information

History of changes in FDA indication

  • 1996-04-08: Initial FDA approval as a first-line cytotoxic therapy for the treatment of advanced, HIV-associated Kaposi's sarcoma (KS). (Based on Gill et al. 1996)

Also known as

  • Generic name: daunorubicin citrate liposome injection
  • Brand name: DaunoXome

References