Thiotepa

— THERAPEUTIC CATEGORIES —
  • Bladder, kidney, and other urologic cancers
  • Breast cancer
  • Gynecologic cancers

Thiotepa Generic Name & Formulations

General Description

Thiotepa 15mg; per vial; lyophilized pwd for IV, intravesical, or intracavitary administration after reconstitution.

Pharmacological Class

Alkylating agent.

How Supplied

Contact supplier.

Thiotepa Indications

Indications

Superficial papillary carcinoma of the urinary bladder. Intracavitary effusion due to neoplasm of serosal cavities.

Thiotepa Dosage and Administration

Adult

Avoid fluids 8–12 hrs prior to treatment. 60mg once weekly for 4 weeks; may repeat up to a total of 3 courses. Retain in bladder for 2 hours. Intracavitary administration: 0.6–0.8mg/kg through same tube used to remove fluid from cavity.

Children

Not recommended.

Thiotepa Contraindications

Contraindications

Renal, hepatic, or bone marrow dysfunction; if need outweighs risk, may be used in low dosage with close monitoring.

Thiotepa Boxed Warnings

Not Applicable

Thiotepa Warnings/Precautions

Warnings/Precautions

Bone marrow suppression; monitor blood and platelets weekly during and for at least 3 weeks after therapy. Discontinue if WBC ≤3000/mm3 or platelets ≤150,000/mm3. Monitor renal and hepatic function. Use effective contraception if patient or partner is of childbearing potential. Elderly. Pregnancy (Cat.D). Nursing mothers: not recommended.

Thiotepa Pharmacokinetics

See Literature

Thiotepa Interactions

Interactions

Increased toxicity with concomitant or sequential alkylating agents (nitrogen mustards, cyclophosphamide), radiation, myelosuppressants. Prolonged apnea with succinylcholine.

Thiotepa Adverse Reactions

Adverse Reactions

Myelosuppression, fatigue, febrile or allergic reactions, inj site reactions, urinary retention, dysuria, GI disturbances, anorexia, alopecia, dizziness, headache, drowsiness, blurred vision, amenorrhea, interferes with spermatogenesis. Intravesical administration: rare: chemical or hemorrhagic cystitis.

Thiotepa Clinical Trials

See Literature

Thiotepa Note

Notes

Formerly known under the brand name Thioplex.

Thiotepa Patient Counseling

See Literature

Thiotepa Generic Name & Formulations

General Description

Thiotepa 15mg; per vial; lyophilized pwd for IV, intravesical, or intracavitary administration after reconstitution.

Pharmacological Class

Alkylating agent.

How Supplied

Contact supplier.

Thiotepa Indications

Indications

Adenocarcinomas of the breast. Intracavitary effusion due to neoplasm of serosal cavities.

Thiotepa Dosage and Administration

Adult

0.3–0.4mg/kg IV once every 1–4 weeks. Intracavitary administration: 0.6–0.8mg/kg through same tube used to remove fluid from cavity.

Children

Not recommended.

Thiotepa Contraindications

Contraindications

Renal, hepatic, or bone marrow dysfunction; if need outweighs risk, may be used in low dosage with close monitoring.

Thiotepa Boxed Warnings

Not Applicable

Thiotepa Warnings/Precautions

Warnings/Precautions

Bone marrow suppression; monitor blood and platelets weekly during and for at least 3 weeks after therapy. Discontinue if WBC ≤3000/mm3 or platelets ≤150,000/mm3. Monitor renal and hepatic function. Use effective contraception if patient or partner is of childbearing potential. Elderly. Pregnancy (Cat.D). Nursing mothers: not recommended.

Thiotepa Pharmacokinetics

See Literature

Thiotepa Interactions

Interactions

Increased toxicity with concomitant or sequential alkylating agents (nitrogen mustards, cyclophosphamide), radiation, myelosuppressants. Prolonged apnea with succinylcholine.

Thiotepa Adverse Reactions

Adverse Reactions

Myelosuppression, fatigue, febrile or allergic reactions, inj site reactions, urinary retention, dysuria, GI disturbances, anorexia, alopecia, dizziness, headache, drowsiness, blurred vision, amenorrhea, interferes with spermatogenesis. Intravesical administration: rare: chemical or hemorrhagic cystitis.

Thiotepa Clinical Trials

See Literature

Thiotepa Note

Notes

Formerly known under the brand name Thioplex.

Thiotepa Patient Counseling

See Literature

Thiotepa Generic Name & Formulations

General Description

Thiotepa 15mg; per vial; lyophilized pwd for IV, intravesical, or intracavitary administration after reconstitution.

Pharmacological Class

Alkylating agent.

How Supplied

Contact supplier.

Thiotepa Indications

Indications

Adenocarcinomas of the ovary. Intracavitary effusion due to neoplasm of serosal cavities.

Thiotepa Dosage and Administration

Adult

0.3–0.4mg/kg IV once every 1–4 weeks. Intracavitary administration: 0.6–0.8mg/kg through same tube used to remove fluid from cavity.

Children

Not recommended.

Thiotepa Contraindications

Contraindications

Renal, hepatic, or bone marrow dysfunction; if need outweighs risk, may be used in low dosage with close monitoring.

Thiotepa Boxed Warnings

Not Applicable

Thiotepa Warnings/Precautions

Warnings/Precautions

Bone marrow suppression; monitor blood and platelets weekly during and for at least 3 weeks after therapy. Discontinue if WBC ≤3000/mm3 or platelets ≤150,000/mm3. Monitor renal and hepatic function. Use effective contraception if patient or partner is of childbearing potential. Elderly. Pregnancy (Cat.D). Nursing mothers: not recommended.

Thiotepa Pharmacokinetics

See Literature

Thiotepa Interactions

Interactions

Increased toxicity with concomitant or sequential alkylating agents (nitrogen mustards, cyclophosphamide), radiation, myelosuppressants. Prolonged apnea with succinylcholine.

Thiotepa Adverse Reactions

Adverse Reactions

Myelosuppression, fatigue, febrile or allergic reactions, inj site reactions, urinary retention, dysuria, GI disturbances, anorexia, alopecia, dizziness, headache, drowsiness, blurred vision, amenorrhea, interferes with spermatogenesis. Intravesical administration: rare: chemical or hemorrhagic cystitis.

Thiotepa Clinical Trials

See Literature

Thiotepa Note

Notes

Formerly known under the brand name Thioplex.

Thiotepa Patient Counseling

See Literature