Jemperli

— THERAPEUTIC CATEGORIES —
  • Gynecologic cancers
  • Solid tumors

Jemperli Generic Name & Formulations

General Description

Dostarlimab-gxly 50mg/mL; per vial; soln for IV infusion after dilution.

Pharmacological Class

Programmed death receptor-1 (PD-1) blocking antibody.

How Supplied

Single-dose vial (10mL)—1

Manufacturer

Generic Availability

NO

Mechanism of Action

Dostarlimab-gxly is a humanized monoclonal antibody of the IgG4 isotype that binds to the PD-1 receptor and blocks its interaction with PD-L1 and PD-L2, releasing PD-1 pathway-mediated inhibition of the immune response, including the anti-tumor immune response.

Jemperli Indications

Indications

In combination with carboplatin and paclitaxel, followed by Jemperli as a single agent in adults with primary advanced or recurrent endometrial cancer (EC) that is mismatch repair deficient (dMMR), as determined by an FDA-approved test, or microsatellite instability-high (MSI-H). As a single agent in adults with dMMR recurrent or advanced EC, as determined by an FDA-approved test, that has progressed on or following prior treatment with a platinum-containing regimen in any setting and are not candidates for curative surgery or radiation.

Jemperli Dosage and Administration

Adult

Give by IV infusion over 30mins. dMMR/MSI-H primary advanced or recurrent EC: 500mg every 3 weeks for 6 doses (give Jemperli prior to carboplatin and paclitaxel when given on the same day), then 1000mg monotherapy every 6 weeks until disease progression, unacceptable toxicity, or up to 3 years. dMMR recurrent or advanced EC: 500mg monotherapy every 3 weeks for 4 doses, then 1000mg every 6 weeks until disease progression or unacceptable toxicity. Dose modifications for adverse reactions: see full labeling.

Children

Not established.

Jemperli Contraindications

Not Applicable

Jemperli Boxed Warnings

Not Applicable

Jemperli Warnings/Precautions

Warnings/Precautions

Severe and fatal immune-mediated adverse reactions can develop. Monitor closely for immune-related pneumonitis, hepatitis (with or without liver tumor involvement), colitis, endocrinopathies (thyroid disorders, adrenal insufficiency, diabetes, hypophysitis/hypopituitarism), nephritis/renal dysfunction, dermatologic reactions, myocarditis, neurological toxicities, others. Withhold or permanently discontinue based on severity and type of adverse reaction; see full labeling for management guidelines. Obtain liver enzymes, creatinine and thyroid function at baseline and periodically during therapy. Monitor for infection. Evaluate for Vogt-Koyanagi-Harada-like syndrome if uveitis in combination with other immune-mediated reactions occur. Interrupt, slow the infusion rate, or permanently discontinue based on severity of infusion-related reactions. Monitor closely for allogeneic HSCT-related complications (eg, graft-versus-host-disease, hepatic veno-occlusive disease, steroid-requiring febrile syndrome) and manage promptly. Embryo-fetal toxicity. Advise females of reproductive potential to use effective contraception during and for 4 months after the last dose. Pregnancy: exclude status prior to initiation. Nursing mothers: not recommended (during and for 4 months after the last dose).

Jemperli Pharmacokinetics

Distribution

The mean (%CV) volume of distribution of dostarlimab-gxly at steady state is ~5.3 L (14%).

Metabolism

Catabolic pathways.

Elimination

Half-life: 23.5 days.

Jemperli Interactions

Not Applicable

Jemperli Adverse Reactions

Adverse Reactions

Fatigue/asthenia, nausea, diarrhea, anemia, constipation; sepsis, acute kidney injury, UTI, abdominal pain, pyrexia; other immune-mediated adverse reactions (eg, ocular, gastrointestinal, musculoskeletal/connective tissue, hematologic/immune), infusion-related reactions.

Jemperli Clinical Trials

See Literature

Jemperli Note

Not Applicable

Jemperli Patient Counseling

See Literature

Jemperli Generic Name & Formulations

General Description

Dostarlimab-gxly 50mg/mL; per vial; soln for IV infusion after dilution.

Pharmacological Class

Programmed death receptor-1 (PD-1) blocking antibody.

How Supplied

Single-dose vial (10mL)—1

Manufacturer

Generic Availability

NO

Mechanism of Action

Dostarlimab-gxly is a humanized monoclonal antibody of the IgG4 isotype that binds to the PD-1 receptor and blocks its interaction with PD-L1 and PD-L2, releasing PD-1 pathway-mediated inhibition of the immune response, including the anti-tumor immune response.

Jemperli Indications

Indications

As a single agent in adults with mismatch repair deficient (dMMR) recurrent or advanced solid tumors, as determined by an FDA-approved test, that have progressed on or following prior treatment and who have no satisfactory alternative treatment options.

Jemperli Dosage and Administration

Adult

Give by IV infusion over 30mins. 500mg every 3 weeks for 4 doses, then 1000mg every 6 weeks until disease progression or unacceptable toxicity. Dose modifications for adverse reactions: see full labeling.

Children

Not established.

Jemperli Contraindications

Not Applicable

Jemperli Boxed Warnings

Not Applicable

Jemperli Warnings/Precautions

Warnings/Precautions

Severe and fatal immune-mediated adverse reactions can develop. Monitor closely for immune-related pneumonitis, hepatitis (with or without liver tumor involvement), colitis, endocrinopathies (thyroid disorders, adrenal insufficiency, diabetes, hypophysitis/hypopituitarism), nephritis/renal dysfunction, dermatologic reactions, myocarditis, neurological toxicities, others. Withhold or permanently discontinue based on severity and type of adverse reaction; see full labeling for management guidelines. Obtain liver enzymes, creatinine and thyroid function at baseline and periodically during therapy. Monitor for infection. Evaluate for Vogt-Koyanagi-Harada-like syndrome if uveitis in combination with other immune-mediated reactions occur. Interrupt, slow the infusion rate, or permanently discontinue based on severity of infusion-related reactions. Monitor closely for allogeneic HSCT-related complications (eg, graft-versus-host-disease, hepatic veno-occlusive disease, steroid-requiring febrile syndrome) and manage promptly. Embryo-fetal toxicity. Advise females of reproductive potential to use effective contraception during and for 4 months after the last dose. Pregnancy: exclude status prior to initiation. Nursing mothers: not recommended (during and for 4 months after the last dose).

Jemperli Pharmacokinetics

Distribution

The mean (%CV) volume of distribution of dostarlimab-gxly at steady state is ~5.3 L (14%).

Metabolism

Catabolic pathways.

Elimination

Half-life: 23.5 days.

Jemperli Interactions

Not Applicable

Jemperli Adverse Reactions

Adverse Reactions

Fatigue/asthenia, nausea, diarrhea, anemia, constipation; sepsis, acute kidney injury, UTI, abdominal pain, pyrexia; other immune-mediated adverse reactions (eg, ocular, gastrointestinal, musculoskeletal/connective tissue, hematologic/immune), infusion-related reactions.

Jemperli Clinical Trials

See Literature

Jemperli Note

Not Applicable

Jemperli Patient Counseling

See Literature

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