Difference between revisions of "Azacitidine (Vidaza)"

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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 [http://www.thomsonhc.com/home/dispatch Micromedex], [http://online.lexi.com/ Lexicomp], [http://reference.medscape.com/drug/vidaza-azacitidine-342263 Medscape],  [http://www.utdol.com/online/content/search.do UpToDate (courtesy of Lexicomp)], or the prescribing information.<ref name="insert"></ref>
 
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://reference.medscape.com/drug/vidaza-azacitidine-342263 Medscape],  [http://www.utdol.com/online/content/search.do UpToDate (courtesy of Lexicomp)], or the prescribing information.<ref name="insert"></ref>
  
==History of changes in FDA indication==
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==Diseases for which it is used==
* 5/19/2004: Initial approval for treatment of patients with the following [[Myelodysplastic syndrome | myelodysplastic syndrome]] subtypes: refractory anemia or refractory anemia with ringed sideroblasts (if accompanied by neutropenia or thrombocytopenia or requiring transfusions), refractory anemia with excess blasts, refractory anemia with excess blasts in transformation, and [[Chronic myelomonocytic leukemia | chronic myelomonocytic leukemia]].
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[[Acute myeloid leukemia]]
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[[Chronic myelomonocytic leukemia]]
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[[Myelodysplastic syndrome]]
  
 
==Patient drug information==
 
==Patient drug information==
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*Brief patient counseling information can be found on [http://www.vidaza.com/pdf/PI_FINAL.pdf#page=7 page 7 of the package insert]<ref name="insert"></ref>
 
*Brief patient counseling information can be found on [http://www.vidaza.com/pdf/PI_FINAL.pdf#page=7 page 7 of the package insert]<ref name="insert"></ref>
 
*[http://www.uptodate.com/contents/azacitidine-patient-drug-information Azacitidine (Vidaza) patient drug information (UpToDate)]<ref>[http://www.uptodate.com/contents/arsenic-trioxide-patient-drug-information Azacitidine (Vidaza) patient drug information (UpToDate)]</ref>
 
*[http://www.uptodate.com/contents/azacitidine-patient-drug-information Azacitidine (Vidaza) patient drug information (UpToDate)]<ref>[http://www.uptodate.com/contents/arsenic-trioxide-patient-drug-information Azacitidine (Vidaza) patient drug information (UpToDate)]</ref>
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==History of changes in FDA indication==
 +
* 5/19/2004: Initial approval for treatment of patients with the following [[Myelodysplastic syndrome | myelodysplastic syndrome]] subtypes: refractory anemia or refractory anemia with ringed sideroblasts (if accompanied by neutropenia or thrombocytopenia or requiring transfusions), refractory anemia with excess blasts, refractory anemia with excess blasts in transformation, and [[Chronic myelomonocytic leukemia | chronic myelomonocytic leukemia]].
  
 
==References==
 
==References==

Revision as of 02:24, 6 November 2014

Also known as 5-azacitidine or 5-azacytidine.

General information

Class/mechanism: Pyrimidine nucleoside analog of cytidine, causes hypomethylation of DNA and direct cytotoxicity on abnormal hematopoietic cells in the bone marrow. Hypomethylation may restore normal function to genes that are critical for differentiation and proliferation.[1][2]
Route: IV, SC
Extravasation: no information

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

Acute myeloid leukemia Chronic myelomonocytic leukemia Myelodysplastic syndrome

Patient drug information

History of changes in FDA indication

  • 5/19/2004: Initial approval for treatment of patients with the following myelodysplastic syndrome subtypes: refractory anemia or refractory anemia with ringed sideroblasts (if accompanied by neutropenia or thrombocytopenia or requiring transfusions), refractory anemia with excess blasts, refractory anemia with excess blasts in transformation, and chronic myelomonocytic leukemia.

References