Difference between revisions of "Telotristat (Xermelo)"

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==General information==
 
==General information==
Class/mechanism: Tryptophan hydroxylase inhibitor. Tryptophan hydroxylase controls the rate limiting step of the biosynthesis of serotonin, which plays a role in regulating the secretion, motility, inflammation, and sensation of the gastrointestinal tract, and is over-produced in patients with carcinoid syndrome. Telotristat reduces the frequency of carcinoid syndrome diarrhea by decreasing the production of serotonin.<ref name="insert">[http://xermelo.com/Media/Default/pdfs/Product_Info_telotristat_etiprate.pdf Telotristat (Xermelo) package insert]</ref><ref>[[File:Telotristat.pdf | Telotristat (Xermelo) package insert (locally hosted backup)]]</ref><ref>[http://xermelo.com/ Xermelo manufacturer's website]</ref>
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Class/mechanism: Tryptophan hydroxylase inhibitor. Tryptophan hydroxylase controls the rate limiting step of the biosynthesis of serotonin, which plays a role in regulating the secretion, motility, inflammation, and sensation of the gastrointestinal tract, and is over-produced in patients with carcinoid syndrome. Telotristat reduces the frequency of carcinoid syndrome diarrhea by decreasing the production of serotonin.<ref name="insert">[http://xermelo.com/Media/Default/pdfs/Product_Info_telotristat_etiprate.pdf Telotristat (Xermelo) package insert]</ref><ref>[[:File:Telotristat.pdf | Telotristat (Xermelo) package insert (locally hosted backup)]]</ref><ref>[http://xermelo.com/ Xermelo manufacturer's website]</ref>
 
<br>Route: PO
 
<br>Route: PO
 
<br>Extravasation: n/a
 
<br>Extravasation: n/a
  
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.
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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 such as Micromedex, Lexicomp, or the prescribing information.
 
 
==Diseases for which it is used==
 
*[[Neuroendocrine tumor|Carcinoid tumors]]
 
  
 
==Patient drug information==
 
==Patient drug information==
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==History of changes in FDA indication==
 
==History of changes in FDA indication==
*2/28/2017: [https://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm544035.htm Initial FDA approval] to be used in combination with [[:Category:Somatostatin analogs|somatostatin analog (SSA) therapy]] for the treatment of adults with [[Neuroendocrine tumor|carcinoid]] syndrome diarrhea that SSA therapy alone has inadequately controlled.
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*2017-02-28: [https://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm544035.htm Initial FDA approval] to be used in combination with [[:Category:Somatostatin analogs|somatostatin analog (SSA) therapy]] for the treatment of adults with [[Neuroendocrine tumor|carcinoid]] syndrome diarrhea that SSA therapy alone has inadequately controlled.
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==History of changes in EMA ndication==
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*2017-09-17: Initial authorization
  
 
==Also known as==
 
==Also known as==
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[[Category:Tryptophan hydroxylase inhibitors]]
 
[[Category:Tryptophan hydroxylase inhibitors]]
  
[[Category:Neuroendocrine tumor medications]]
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[[Category:EMA approved in 2017]]
 
[[Category:FDA approved in 2017]]
 
[[Category:FDA approved in 2017]]

Latest revision as of 00:10, 6 July 2024

General information

Class/mechanism: Tryptophan hydroxylase inhibitor. Tryptophan hydroxylase controls the rate limiting step of the biosynthesis of serotonin, which plays a role in regulating the secretion, motility, inflammation, and sensation of the gastrointestinal tract, and is over-produced in patients with carcinoid syndrome. Telotristat reduces the frequency of carcinoid syndrome diarrhea by decreasing the production of serotonin.[1][2][3]
Route: PO
Extravasation: n/a

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, or the prescribing information.

Patient drug information

History of changes in FDA indication

History of changes in EMA ndication

  • 2017-09-17: Initial authorization

Also known as

  • Generic name: telotristat ethyl as telotristat etiprate
  • Brand name: Xermelo

References