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New Drug Indications - January 2024


abatacept

Orencia

Pharmaceutical company: Bristol-Myers Squibb
 

NEW INDICATION & DOSAGE

Active psoriatic arthritis

Children age 2 and older weighing 50 kg or more: 125 mg subcut once weekly without an IV loading dose.
Children age 2 and older weighing 25 to less than 50 kg: 87.5 mg subcut once weekly without an IV loading dose.
Children age 2 and older weighing 10 to less than 25 kg: 50 mg subcut once weekly without an IV loading dose.

Released: January 2024

Nursing Drug Handbook

© 2024 Wolters Kluwer


enzalutamide

Xtandi

Pharmaceutical company: Astellas Pharma
 

NEW INDICATION & DOSAGE

Nonmetastatic castration-sensitive prostate cancer with biochemical recurrence at high risk for metastasis

Adults: 160 mg PO once daily until disease progression or unacceptable toxicity occurs, with or without a gonadotropin-releasing hormone analog.

Adjust-a-dose: Suspend treatment after 36 weeks of therapy if prostate-specific antigen (PSA) is undetectable (less than 2 ng/mL). Restart treatment when PSA has increased to 2 ng/ML or more for patients who had prior radical prostatectomy, or 5 ng/mL or more for patients who had prior primary radiation therapy.

Released: January 2024

Nursing Drug Handbook

© 2024 Wolters Kluwer


infliximab-dyyb

Zymfentra

Pharmaceutical company: Celltrion, Inc.

NEW FORMULATION
Subcut injection: 120 mg/mL prefilled syringe or pen.

NEW INDICATION & DOSAGE

Maintenance of moderately to severely active ulcerative colitis after initial treatment with IV infliximab product

Adults: Patients responding to maintenance therapy with IV infliximab product, give first subcut dose in place of the next scheduled IV infusion. Week 10 and thereafter, give 120 mg subcut once every two weeks.

Maintenance of moderately to severely active Crohn disease after initial treatment with IV infliximab product

Adults: Patients responding to maintenance therapy with IV infliximab product, give first subcut dose in place of the next scheduled IV infusion. Week 10 and thereafter, give 120 mg subcut once every two weeks.

Released: January 2024

Nursing Drug Handbook

© 2024 Wolters Kluwer


ivosidenib

Tibsovo

Pharmaceutical company: Servier Pharmaceuticals

NEW INDICATION & DOSAGE

Relapsed or refractory myelodysplastic syndromes

Adults: 500 mg PO once daily. Treat for a minimum of 6 months to allow time for clinical response or until disease progression or unacceptable toxicity occurs.

Released: January 2024

Nursing Drug Handbook

© 2024 Wolters Kluwer

 


pembrolizumab

Keytruda

Pharmaceutical company: Merck

NEW INDICATION & DOSAGE

Advanced or metastatic biliary tract cancer in combination with gemcitabine and cisplatin

Adults 200-mg IV infusion every 3 weeks or 400-mg IV infusion every 6 weeks until disease progression, unacceptable toxicity occurs, or up to 24 months. Give before chemotherapy when given the same day.

First-line treatment of adults with locally advanced unresectable or metastatic HER2-negative gastric or gastroesophageal junction adenocarcinoma, in combination with fluoropyrimidine- and platinum-containing chemotherapy

Adults: 200-mg IV infusion every 3 weeks or 400-mg IV infusion every 6 weeks until disease progression, unacceptable toxicity occurs, or up to 24 months. Give before chemotherapy when given on the same day.

Released: January 2024

Nursing Drug Handbook

© 2024 Wolters Kluwer


secukinumab

Cosentyx

Pharmaceutical company: Novartis

NEW INDICATION & DOSAGE

Moderate to severe hidradenitis suppurativa

Adults: 300 mg subcut at weeks 0,1,2,3, and 4; then every 4 weeks thereafter. If inadequate response, may increase to 300 mg every 2 weeks.

Released: January 2024

Nursing Drug Handbook

© 2024 Wolters Kluwer


tirzepatide

Zepbound

Pharmaceutical company: Eli Lilly and Company

NEW INDICATION & DOSAGE

Adjunct to a reduced-calorie diet and increased physical activity for chronic weight management in patients with an initial body mass index (BMI) of 30 kg/m2 or greater (obesity) or 27 kg/m2 or greater (overweight) in the presence of at least one weight-related comorbid condition (for example, hypertension, dyslipidemia, type 2 diabetes mellitus, obstructive sleep apnea, or cardiovascular disease) (Zepbound only)

Adults: Initially, 2.5 mg subcut once weekly for 4 weeks, then increase to 5 mg. May increase in 2.5-mg increments after at least 4 weeks at the current dose. The recommended maintenance dosage is 5 mg, 10 mg, or 15 mg once weekly based on response and tolerability.

Released: January 2024

Nursing Drug Handbook

© 2024 Wolters Kluwer