Braftovi Generic Name & Formulations
Legal Class
General Description
Pharmacological Class
How Supplied
Manufacturer
Generic Availability
Mechanism of Action
Braftovi Indications
Indications
Limitations of Use
Braftovi Dosage and Administration
Adult
Confirm presence of a BRAF V600E mutation prior to initiation. 300mg once daily (with cetuximab) until disease progression or unacceptable toxicity. Discontinue Braftovi if cetuximab is discontinued. Dose modifications for adverse reactions, concomitant strong or moderate CYP3A4 inhibitors: see full labeling. Also, refer to cetuximab labeling for dosing.
Children
Braftovi Contraindications
Not Applicable
Braftovi Boxed Warnings
Not Applicable
Braftovi Warnings/Precautions
Warnings/Precautions
Monitor for new primary malignancies (cutaneous, non-cutaneous). Perform dermatologic exams prior to initiating, every 2 months during, and up to 6 months following treatment discontinuation. Discontinue if RAS-mutation (+) non-cutaneous malignancies develop. Cardiomyopathy (in combination with binimetinib): assess ejection fraction by echocardiogram or MUGA scan prior to initiating, 1 month after, and every 2–3 months during treatment. Cardiovascular risk factors; monitor closely. Baseline ejection fraction <50% or below institutional LLN (in combination with binimetinib): not established. Hepatotoxicity (in combination with binimetinib): monitor LFTs before initiation, monthly during therapy, and as clinically indicated. Uveitis (in combination with binimetinib): assess for visual symptoms at each visit; perform ophthalmologic exams regularly and for new or worsening visual disturbances. Long QT syndromes, significant bradyarrhythmias, severe or uncontrolled heart failure, concomitant drugs associated with QT prolongation; monitor. Correct hypokalemia and hypomagnesemia prior to and during treatment. Withhold, reduce or permanently discontinue dose if QTc >500ms. Increased risk of certain adverse reactions with Braftovi monotherapy; reduce dose if binimetinib interrupted or discontinued; see full labeling. Moderate to severe hepatic or severe renal impairment. Embryo-fetal toxicity. Advise females of reproductive potential to use effective contraception (non-hormonal methods) during and for 2 weeks after the last dose. Pregnancy: exclude status prior to initiation. Nursing mothers: not recommended (during and for 2 weeks after the last dose).
Braftovi Pharmacokinetics
Absorption
Median Tmax: 2 hours. At least 86% of the dose is absorbed.
Distribution
Apparent volume of distribution: 164 L (70%). Plasma protein bound: 86% (in vitro).
Elimination
Fecal (47%), renal (47%). Half-life: 3.5 hours. Apparent clearance: 14 L/h (54%) at day 1, increasing to 32 L/h (59%) at steady-state.
Braftovi Interactions
Interactions
Braftovi Adverse Reactions
Adverse Reactions
Fatigue, nausea, abdominal pain, arthralgia; hemorrhage (discontinue if Grade 4 reaction reoccurs), potential male infertility. In combination with binimetinib: also vomiting, diarrhea, musculoskeletal pain, visual impairment, constipation, dyspnea, rash, cough. In combination wtih cetuximab: also dermatitis acneiform, decreased appetite.
Braftovi Clinical Trials
See Literature
Braftovi Note
Not Applicable
Braftovi Patient Counseling
See Literature
Braftovi Generic Name & Formulations
Legal Class
General Description
Pharmacological Class
How Supplied
Manufacturer
Generic Availability
Mechanism of Action
Braftovi Indications
Indications
Limitations of Use
Braftovi Dosage and Administration
Adult
Confirm presence of a BRAF V600E or V600K mutation prior to initiation. 450mg once daily (with binimetinib) until disease progression or unacceptable toxicity. Dose modifications for adverse reactions, concomitant strong or moderate CYP3A4 inhibitors: see full labeling. Also, refer to binimetinib labeling for dosing.
Children
Braftovi Contraindications
Not Applicable
Braftovi Boxed Warnings
Not Applicable
Braftovi Warnings/Precautions
Warnings/Precautions
Monitor for new primary malignancies (cutaneous, non-cutaneous). Perform dermatologic exams prior to initiating, every 2 months during, and up to 6 months following treatment discontinuation. Discontinue if RAS-mutation (+) non-cutaneous malignancies develop. Cardiomyopathy (in combination with binimetinib): assess ejection fraction by echocardiogram or MUGA scan prior to initiating, 1 month after, and every 2–3 months during treatment. Cardiovascular risk factors; monitor closely. Baseline ejection fraction <50% or below institutional LLN (in combination with binimetinib): not established. Hepatotoxicity (in combination with binimetinib): monitor LFTs before initiation, monthly during therapy, and as clinically indicated. Uveitis (in combination with binimetinib): assess for visual symptoms at each visit; perform ophthalmologic exams regularly and for new or worsening visual disturbances. Long QT syndromes, significant bradyarrhythmias, severe or uncontrolled heart failure, concomitant drugs associated with QT prolongation; monitor. Correct hypokalemia and hypomagnesemia prior to and during treatment. Withhold, reduce or permanently discontinue dose if QTc >500ms. Increased risk of certain adverse reactions with Braftovi monotherapy; reduce dose if binimetinib interrupted or discontinued; see full labeling. Moderate to severe hepatic or severe renal impairment. Embryo-fetal toxicity. Advise females of reproductive potential to use effective contraception (non-hormonal methods) during and for 2 weeks after the last dose. Pregnancy: exclude status prior to initiation. Nursing mothers: not recommended (during and for 2 weeks after the last dose).
Braftovi Pharmacokinetics
Absorption
Median Tmax: 2 hours. At least 86% of the dose is absorbed.
Distribution
Apparent volume of distribution: 164 L (70%). Plasma protein bound: 86% (in vitro).
Elimination
Fecal (47%), renal (47%). Half-life: 3.5 hours. Apparent clearance: 14 L/h (54%) at day 1, increasing to 32 L/h (59%) at steady-state.
Braftovi Interactions
Interactions
Braftovi Adverse Reactions
Adverse Reactions
Fatigue, nausea, abdominal pain, arthralgia; hemorrhage (discontinue if Grade 4 reaction reoccurs), potential male infertility. In combination with binimetinib: also vomiting, diarrhea, musculoskeletal pain, visual impairment, constipation, dyspnea, rash, cough. In combination wtih cetuximab: also dermatitis acneiform, decreased appetite.
Braftovi Clinical Trials
See Literature
Braftovi Note
Not Applicable
Braftovi Patient Counseling
See Literature
Braftovi Generic Name & Formulations
Legal Class
General Description
Pharmacological Class
How Supplied
Manufacturer
Generic Availability
Mechanism of Action
Braftovi Indications
Indications
In combination with binimetinib for the treatment of metastatic non-small cell lung cancer (NSCLC) with a BRAF V600E mutation, as detected by an FDA-approved test.
Limitations of Use
Not for treatment of wild-type BRAF NSCLC.
Braftovi Dosage and Administration
Adult
Confirm presence of a BRAF V600E mutation prior to initiation. 450mg once daily (with binimetinib) until disease progression or unacceptable toxicity. Dose modifications for adverse reactions, concomitant strong or moderate CYP3A4 inhibitors: see full labeling. Also, refer to binimetinib labeling for dosing.
Children
Braftovi Contraindications
Not Applicable
Braftovi Boxed Warnings
Not Applicable
Braftovi Warnings/Precautions
Warnings/Precautions
Monitor for new primary malignancies (cutaneous, non-cutaneous). Perform dermatologic exams prior to initiating, every 2 months during, and up to 6 months following treatment discontinuation. Discontinue if RAS-mutation (+) non-cutaneous malignancies develop. Cardiomyopathy (in combination with binimetinib): assess ejection fraction by echocardiogram or MUGA scan prior to initiating, 1 month after, and every 2–3 months during treatment. Cardiovascular risk factors; monitor closely. Baseline ejection fraction <50% or below institutional LLN (in combination with binimetinib): not established. Hepatotoxicity (in combination with binimetinib): monitor LFTs before initiation, monthly during therapy, and as clinically indicated. Uveitis (in combination with binimetinib): assess for visual symptoms at each visit; perform ophthalmologic exams regularly and for new or worsening visual disturbances. Long QT syndromes, significant bradyarrhythmias, severe or uncontrolled heart failure, concomitant drugs associated with QT prolongation; monitor. Correct hypokalemia and hypomagnesemia prior to and during treatment. Withhold, reduce or permanently discontinue dose if QTc >500ms. Increased risk of certain adverse reactions with Braftovi monotherapy; reduce dose if binimetinib interrupted or discontinued; see full labeling. Moderate to severe hepatic or severe renal impairment. Embryo-fetal toxicity. Advise females of reproductive potential to use effective contraception (non-hormonal methods) during and for 2 weeks after the last dose. Pregnancy: exclude status prior to initiation. Nursing mothers: not recommended (during and for 2 weeks after the last dose).
Braftovi Pharmacokinetics
Absorption
Median Tmax: 2 hours. At least 86% of the dose is absorbed.
Distribution
Apparent volume of distribution: 164 L (70%). Plasma protein bound: 86% (in vitro).
Elimination
Fecal (47%), renal (47%). Half-life: 3.5 hours. Apparent clearance: 14 L/h (54%) at day 1, increasing to 32 L/h (59%) at steady-state.
Braftovi Interactions
Interactions
Braftovi Adverse Reactions
Adverse Reactions
Fatigue, nausea, abdominal pain, arthralgia; hemorrhage (discontinue if Grade 4 reaction reoccurs), potential male infertility. In combination with binimetinib: also vomiting, diarrhea, musculoskeletal pain, visual impairment, constipation, dyspnea, rash, cough. In combination wtih cetuximab: also dermatitis acneiform, decreased appetite.
Braftovi Clinical Trials
See Literature
Braftovi Note
Not Applicable
Braftovi Patient Counseling
See Literature
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