Cosela Generic Name & Formulations
Legal Class
General Description
Pharmacological Class
How Supplied
Manufacturer
Generic Availability
Mechanism of Action
Cosela Indications
Indications
Cosela Dosage and Administration
Adult
Give by IV infusion over 30mins within 4hrs prior to initiating chemotherapy on each day chemotherapy is administered. 240mg/m2 per dose. Dosing interval on sequential days should not exceed 28hrs. If Cosela is discontinued, wait 96hrs from the last dose of Cosela before resuming chemotherapy only. Moderate or severe hepatic impairment: reduce dose to 170mg/m2. Dose modification for adverse reactions: see full labeling.
Children
Cosela Contraindications
Not Applicable
Cosela Boxed Warnings
Not Applicable
Cosela Warnings/Precautions
Warnings/Precautions
Monitor for inj-site reactions (eg, pain, erythema), including phlebitis, thrombophlebitis; permanently discontinue if Grade 3 or 4 reactions occur. Monitor for hypersensitivity reactions (eg, edema, urticaria, pruritus, anaphylactic reactions); withhold therapy if Grade 2 reactions occur until recovery to Grade ≤1; permanently discontinue if Grade 3 or 4 reactions occur. Monitor for interstitial lung disease (ILD)/pneumonitis (eg, cough, dyspnea, hypoxia); permanently discontinue if Grade 3 or 4, or recurrent Grade 2 occurs. Moderate or severe hepatic impairment: reduce dose (see Adult). Embryo-fetal toxicity. Advise females of reproductive potential to use effective contraceptive during and for ≥3 weeks after the last dose. Pregnancy: exclude status prior to initiation. Nursing mothers: not recommended (during and for ≥3 weeks after the last dose).
Cosela Pharmacokinetics
Absorption
Maximum concentration increased proportionally whereas the total plasma exposure (AUC0-last) increased slightly greater than proportional over a dosage range of trilaciclib 200–700 mg/m2 (0.83–2.9 times the approved recommended dose).
Distribution
Volume of distribution at steady state: 1130 L. Plasma protein bound: 69%.
Elimination
Fecal (79.1%), renal (14%). Half-life: ~14 hours. Clearance: ~158 L/hr.
Cosela Interactions
Interactions
Cosela Adverse Reactions
Adverse Reactions
Cosela Clinical Trials
See Literature
Cosela Note
Not Applicable
Cosela Patient Counseling
See Literature
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