New medicines
Vectibix
Composition: Panitumumab.
Presentation: Concentrate for solution for infusion.
Class: Monoclonal antibody.
Indications: EGFR-expressing metastatic colorectal carcinoma with the
non-mutated (wild-type) KRAS gene after failure of chemotherapy regimen
containing fluoropyrimidine, oxaliplatin, and irinotecan.
Dosage: 6mg/kg bodyweight once every two weeks.
Contraindications: Patients less than 18 years of age. Patients with
interstitial pneumonitis or pulmonary fibrosis.
Precautions: If a patient develops severe or intolerable
dermatologic reactions, Vectibix should be withheld until reactions improve;
patients
should be monitored for inflammatory or infectious sequelae and appropriate
treatment promptly initiated.
Patients should wear sunscreen and hats,
and limit sun exposure, if they experience rash or dermatological toxicities
while receiving Vectibix.
In the event of acute onset or worsening of
pulmonary symptoms, Vectibix treatment should be interrupted and an investigation
of symptoms undertaken.
If pneumonitis or lung infiltrates are diagnosed,
Vectibix should be discontinued and the patient treated.
Patients should
be monitored for hypomagnesaemia and accompanying hypocalcaemia every
two weeks during Vectibix treatment and eight weeks after the completion
of treatment.
Administration of Vectibix in combination with bolus
5-fluorouracil, leucovorin and irinotecan or in combination with bevacizumab-containing
chemotherapy regimens should be avoided.
Side effects:
Very common (>=1/10)
- diarrhoea
- dry
skin
- erythema
- fatigue
- paronychia
- pruritus
- rash
- skin exfoliation
- skin
fissures
Common (>=1/100, <1/10)
- alopecia
- conjunctivitis
- cough
- dehydration
- dry eye
- dry mouth
- dyspnoea
- eye pruritus
- growth
of eyelashes
- headache
- hypertrichosis
- hypocalcaemia
- hypokalaemia
- hypomagnesaemia
- increased lacrimation
- infusion reactions (pyrexia,
chills)
- mucosal inflammation
- nasal dryness
- nausea
- ocular hyperaemia
- onycholysis
- stomatitis
- vomiting
Legal category: POM.
Net price: 1 x 100mg/5ml vial, £299.
Contact details: Amgen Ltd,
240 Cambridge Science Park, Milton Road, Cambridge CB4 0WD (tel 01223
420305).
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