Difference between revisions of "Fostamatinib (Tavalisse)"

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m (PeterYang moved page Fostamatinib (R788) to Fostamatinib (Tavalisse): FDA approval)
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=Mechanism of action=
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==General information==
From the [http://www.cancer.gov/publications/dictionaries/cancer-drug?CdrID=540197 NCI Drug Dictionary]: An orally available disodium salt of the Syk kinase inhibitor fostamatinib with potential anti-inflammatory and immunomodulating activities. Fostamatinib inhibits Syk kinase-mediated IgG Fc gamma receptor signaling, resulting in inhibition of the activation of mast cells, macrophages, and B-cells and related inflammatory responses and tissue damage.
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Class/mechanism: Spleen tyrosine kinase (SYK) inhibitor.  The main metabolite of fostamatinib is R406, which reduces antibody-mediated destruction of platelets.  R406 also inhibits signal transduction of Fc-activating receptors and B-cell receptor.<ref name=insert>[http://tavalisse.com/downloads/pdf/Full-Prescribing-Information.pdf Fostamatinib (Tavalisse) package insert]</ref><ref>[[Media:Fostamatinib.pdf | Fostamatinib (Tavalisse) package insert (locally hosted backup)]]</ref><ref>[http://tavalisse.com/ Tavalisse manufacturer's website]</ref>
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<br>Route: PO
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<br>Extravasation: n/a
  
=Preliminary data=
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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://www.utdol.com/online/content/search.do UpToDate (courtesy of Lexicomp)], or the prescribing information.<ref name="insert"></ref>
  
==[[Diffuse large B-cell lymphoma]];[[Follicular lymphoma]]==
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==Diseases for which it is used==
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*[[Autoimmune thrombocytopenic purpura (ITP)]]
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*[[Diffuse large B-cell lymphoma]]
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*[[Follicular lymphoma]]
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==Preliminary data==
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===[[Diffuse large B-cell lymphoma]]; [[Follicular lymphoma]]===
 
# Friedberg JW, Sharman J, Sweetenham J, Johnston PB, Vose JM, Lacasce A, Schaefer-Cutillo J, De Vos S, Sinha R, Leonard JP, Cripe LD, Gregory SA, Sterba MP, Lowe AM, Levy R, Shipp MA. Inhibition of Syk with fostamatinib disodium has significant clinical activity in non-Hodgkin lymphoma and chronic lymphocytic leukemia. Blood. 2010 Apr 1;115(13):2578-85. Epub 2009 Nov 17. [http://www.bloodjournal.org/content/115/13/2578.long link to original article] [https://www.ncbi.nlm.nih.gov/pubmed/19965662 PubMed]
 
# Friedberg JW, Sharman J, Sweetenham J, Johnston PB, Vose JM, Lacasce A, Schaefer-Cutillo J, De Vos S, Sinha R, Leonard JP, Cripe LD, Gregory SA, Sterba MP, Lowe AM, Levy R, Shipp MA. Inhibition of Syk with fostamatinib disodium has significant clinical activity in non-Hodgkin lymphoma and chronic lymphocytic leukemia. Blood. 2010 Apr 1;115(13):2578-85. Epub 2009 Nov 17. [http://www.bloodjournal.org/content/115/13/2578.long link to original article] [https://www.ncbi.nlm.nih.gov/pubmed/19965662 PubMed]
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==Patient drug information==
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*[http://tavalisse.com/downloads/pdf/Full-Prescribing-Information.pdf Fostamatinib (Tavalisse) package insert]<ref name="insert"></ref>
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==History of changes in FDA indication==
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*4/17/2018: [https://www.fda.gov/Drugs/InformationOnDrugs/ApprovedDrugs/ucm604956.htm Granted FDA regular approval] "for the treatment of thrombocytopenia in adult patients with chronic immune thrombocytopenia (ITP) who have had an insufficient response to a previous treatment."
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==Also known as==
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*'''Code names:''' R788
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==References==
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<references/>
  
 
[[Category:Drug index]]
 
[[Category:Drug index]]
 
[[Category:Chemotherapy]]
 
[[Category:Chemotherapy]]
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[[Category:Hematology medications]]
  
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[[Category:Immune thrombocytopenic purpura (ITP) medications]]
 
[[Category:Kinase inhibitors]]
 
[[Category:Kinase inhibitors]]
 
[[Category:SYK inhibitors]]
 
[[Category:SYK inhibitors]]
 
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[[Category:Drugs FDA approved in 2018]]
[[Category:Investigational]]
 

Revision as of 11:34, 19 April 2018

General information

Class/mechanism: Spleen tyrosine kinase (SYK) inhibitor. The main metabolite of fostamatinib is R406, which reduces antibody-mediated destruction of platelets. R406 also inhibits signal transduction of Fc-activating receptors and B-cell receptor.[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, UpToDate (courtesy of Lexicomp), or the prescribing information.[1]

Diseases for which it is used

Preliminary data

Diffuse large B-cell lymphoma; Follicular lymphoma

  1. Friedberg JW, Sharman J, Sweetenham J, Johnston PB, Vose JM, Lacasce A, Schaefer-Cutillo J, De Vos S, Sinha R, Leonard JP, Cripe LD, Gregory SA, Sterba MP, Lowe AM, Levy R, Shipp MA. Inhibition of Syk with fostamatinib disodium has significant clinical activity in non-Hodgkin lymphoma and chronic lymphocytic leukemia. Blood. 2010 Apr 1;115(13):2578-85. Epub 2009 Nov 17. link to original article PubMed

Patient drug information

History of changes in FDA indication

  • 4/17/2018: Granted FDA regular approval "for the treatment of thrombocytopenia in adult patients with chronic immune thrombocytopenia (ITP) who have had an insufficient response to a previous treatment."

Also known as

  • Code names: R788

References