Yonsa

— THERAPEUTIC CATEGORIES —
  • Prostate and other male cancers

Yonsa Generic Name & Formulations

General Description

Abiraterone acetate 125mg; tabs.

Pharmacological Class

CYP17 inhibitor.

How Supplied

Tabs—120

Generic Availability

NO

Yonsa Indications

Indications

In combination with methylprednisolone for the treatment of metastatic castration-resistant prostate cancer (CRPC).

Yonsa Dosage and Administration

Adult

Swallow whole with water. 500mg once daily (in combination with methylprednisolone 4mg twice daily). Also give concurrent GnRH analog or patient should have had bilateral orchiectomy. Baseline moderate hepatic impairment (Child-Pugh Class B): 125mg once daily; monitor closely; discontinue if ALT/AST >5×ULN or total bilirubin >3×ULN and do not re-treat. Hepatotoxicity: see full labeling. If concomitant a strong CYP3A4 inducer necessary, increase abiraterone dosing frequency to twice daily during co-administration period; reduce back to previous dose/frequency when CYP3A4 inducer is discontinued.

Children

Not established.

Yonsa Contraindications

Not Applicable

Yonsa Boxed Warnings

Not Applicable

Yonsa Warnings/Precautions

Warnings/Precautions

Not interchangeable with other abiraterone acetate products. Risk of mineralocorticoid excess; monitor BP, serum potassium, fluid retention at least monthly. Control hypertension and correct hypokalemia before and during treatment. Underlying conditions (eg, heart failure, recent MI, cardiovascular disease, ventricular arrhythmia); monitor closely. Monitor for adrenocortical insufficiency. Stress (may need higher corticosteroid dose). Monitor LFTs prior to starting treatment, every 2 weeks for the first 3 months, and monthly thereafter. Baseline moderate hepatic impairment (Child-Pugh Class B): monitor LFTs prior to initiation, weekly for the first month, every 2 weeks for the next 2 months, and monthly thereafter. Interrupt and reduce dose if hepatotoxicity (ALT/AST >5×ULN or total bilirubin >3×ULN) occurs; see full labeling. Permanently discontinue if concurrent ALT elevation >3×ULN and total bilirubin >2×ULN develops without biliary obstruction or other causes of elevation. Baseline severe hepatic impairment (Child-Pugh Class C): not recommended. Advise males with female partners of reproductive potential to use effective contraception during and for 3 weeks after the last dose. Pregnancy, nursing mothers: not established in females.

Yonsa Pharmacokinetics

See Literature

Yonsa Interactions

Interactions

Increased fractures and mortality with radium 223 dichloride; avoid concomitant use. Antagonized by strong CYP3A4 inducers (eg, phenytoin, carbamazepine, rifampin, rifabutin, rifapentin, phenobarbital); avoid (or see Adult dose). Potentiates CYP2D6 substrates (eg, dextromethorphan) or CYP2C8 substrates (eg, pioglitazone). Avoid concomitant CYP2D6 substrates with a narrow therapeutic index (eg, thioridazine); if no alternatives, consider dose reduction of substrate. Concomitant CYP2C8 substrates with a narrow therapeutic index: monitor closely for toxicity.

Yonsa Adverse Reactions

Adverse Reactions

Fatigue, joint swelling/discomfort, edema, hot flush, diarrhea, vomiting, cough, hypertension, dyspnea, urinary tract infection, contusion, anemia, elevated LFTs, dyslipidemia, lymphopenia, hyperglycemia, hypophosphatemia, hypokalemia; hepatotoxicity (may be severe).

Yonsa Clinical Trials

See Literature

Yonsa Note

Not Applicable

Yonsa Patient Counseling

See Literature