لورلاتينيب

Lorbrexen (Lorlatinib) 100 MG – 30 Tablets

Price: $400.00

Lorbrexen 100 mg (Lorlatinib) is a potent, brain-penetrant, third-generation inhibitor of ALK and ROS1 tyrosine kinases with broad coverage of ALK mutations. In a phase 1 study, activity was seen in patients with ALK-positive non-small-cell lung cancer, most of whom had CNS metastases and progression after ALK-directed therapy.

100 mg PO qDay with or without food

Continue until disease progression or unacceptable toxicity.

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Description

Product Features:

Product Name : Lorbrexen
Generic Name : Lorlatinib
Manufacturer : Everest Pharma Ltd
Indication : Non small cell lung cancer
Formulation : Tablet
Strength : 100 mg
Quantity : 30 Tablets
Storage :  Below 25°C
Registrations : Export Only

 

Lorbrexen 100 mg (Lorlatinib), generic Lorbrena is a prescription medicine. It is used to treat metastatic non-small cell lung cancer in patients who have a certain type of abnormal anaplastic lymphoma kinase (ALK) gene. These uses in patients who have already received alectinib, ceritinib or both crizotinib. At least 1 other medicine to treat NSCLC that is caused by the ALK gene.

Recommended Dosage

The recommended dosage of LORBRENA is 100 mg orally once daily, with or without food, until disease progression or unacceptable toxicity.

Swallow tablets whole and chew, crush or split tablets. Do not ingest broken tablets, cracked, or otherwise not intact.

Take Lorbrexen at the same time each day. One dose is missed, then take the missed dose. Unless the next dose is due within 4 hours. Please not take 2 doses at the same time to make up for a missed dose.

Do not take an additional dose if vomiting occurs after Lorbrexen but continue with the next scheduled dose.

Lorlatinib Dosage Modifications for Adverse Reactions

The recommended dose reductions are:

First dose reduction: Lorbrexen 100 mg orally once daily. Second dose reduction: LORBRENA 50 mg orally once daily 

Disease interactions Lorlatinib 100 mg

There are 8 disease interactions with Lorbrexen which include:

  • Interstitial lung disease
  • Atrioventricular block
  • CNS effects
  • Hepatotoxicity/hepatic impairment
  • Hyperglycemia
  • Hyperlipidemia
  • Hypertension
  • Severe renal impairment

For Healthcare Professionals

Applies to lorlatinib: Oral tablet

Hematologic

Very common (10% or more): Anemia (52%), thrombocytopenia (23%), lymphopenia (22%).

Musculoskeletal

Very common (10% or more): Arthralgia (23%), myalgia/musculoskeletal pain (17%), back pain (13%), pain in extremity (13%).

Ocular

Very common (10% or more): Vision disorder (e.g., diplopia, photophobia, photopsia, vision blurred, visual acuity reduced, visual impairment, vitreous floaters) (15%).

Metabolic

Most common (10% or more): Hypercholesterolemia (96%), hypertriglyceridemia (90%), edema (edema peripheral, eyelid edema, face edema, generalized edema, localized edema, periorbital edema, peripheral swelling, swelling) (57%), hyperglycemia (52%), hypoalbuminemia (33%), weight gain (24%), increased lipase (24%), increased alkaline phosphatase (24%), increased amylase (22%), hypophosphatemia (21%), hyperkalemia (21%), hypomagnesemia (21%), Grade 3 or 4 elevations in total cholesterol 17%), Grade 3 or 4 elevations in triglycerides (17%).

Psychiatric

Common (10% or more): Cognitive effects (e.g., amnesia, cognitive disorder, dementia, disturbance in attention, memory impairment, mental impairment, attention deficit/hyperactivity disorder, confusional state, delirium, disorientation, reading disorder) (29%), changes in mood (24%), changes in sleep (e.g., abnormal dreams, insomnia, nightmare, sleep disorder, sleep talking, somnambulism) (10%).

Common (1% to 10%): Hallucinations, mental status changes, (10%).

Hepatic

Very common (10% or more): Grade 4 ALT/AST elevation when taken concomitantly with a strong CYP450 3A inducer (50%), Grade 3 ALT/AST elevation when taken concomitantly with a strong CYP450 3A inducer (33%)

Common (1% to 10%): Grade 2 ALT/AST elevation when taken concomitantly with a strong CYP450 3A inducer

Respiratory

Very common (10% or more): Dyspnea (27%), cough (18%), upper respiratory tract infection (e.g., fungal upper respiratory infection, viral upper respiratory infection) (12%).

Common (1% to 10%): Interstitial lung disease (ILD), pneumonitis.

 

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