Drugplain

Arranon 5 mg/mL

nelarabine · INJECTION · Sandoz Inc

1 Recall on Record
Plain English

Arranon is a injection containing nelarabine at 5 mg/mL, taken intravenous. Manufactured by Sandoz Inc.

Key Facts

Brand Name
Arranon
Generic Name
nelarabine
NDC Code (Product)
66758-165
Manufacturer
Sandoz Inc
Strength
5 mg/mL
Dosage Form
INJECTION
Route
INTRAVENOUS
Marketing Status
Application #
NDA021877
Drug Class
Nucleoside Metabolic Inhibitor [EPC]
Marketing Start
10/05/2016

Recall History

1 Recall on Record
Class II10/08/2012

GlaxoSmithKline, LLC.

Impurities/Degradation Products: Potential for drug related impurities to exceed the specification limits.

TerminatedVoluntary: Firm initiated

Side Effects Reported to FDA

FDA FAERS database · These are reported events, not confirmed side effects

febrile neutropenia75 reports
drug ineffective63 reports
neurotoxicity60 reports
neuropathy peripheral56 reports
muscular weakness55 reports
sepsis55 reports
peripheral sensory neuropathy54 reports
myelopathy52 reports
off label use50 reports
neutropenia48 reports

Full Prescribing Information

Source: FDA Drug Label (SPL)For healthcare professionals

Indications & Usage

1 INDICATIONS AND USAGE ARRANON is indicated for the treatment of T-cell acute lymphoblastic leukemia (T-ALL) and T-cell lymphoblastic lymphoma (T-LBL) in adult and pediatric patients age 1 year and older whose disease has not responded to or has relapsed following treatment with at least 2 chemotherapy regimens. ARRANON is a nucleoside metabolic inhibitor indicated for the treatment of patients with T-cell acute lymphoblastic leukemia (T-ALL) and T-cell lymphoblastic lymphoma (T-LBL) in adult and pediatric patients age 1 year and older whose disease has not responded to or has relapsed following treatment with at least two chemotherapy regimens. ( 1 )

Dosage & Administration

2 DOSAGE AND ADMINISTRATION • Adult Dose : 1,500 mg/m 2 administered by intravenous infusion over 2 hours on Days 1, 3, and 5 repeated every 21 days. ( 2.1 ) • Pediatric Dose : 650 mg/m 2 administered by intravenous infusion over 1 hour daily for 5 consecutive days repeated every 21 days. ( 2.1 ) • Discontinue treatment for neurologic reactions greater than or equal to Grade 2. ( 2.2 ) • Dosage may be delayed for hematologic reactions. ( 2.2 ) • Take measures to prevent hyperuricemia. ( 2.4 ) 2.1 Recommended Dosage This product is for intravenous use only. Adult Dosage : The recommended adult dose of ARRANON is 1,500 mg/m 2 administered by intravenous infusion over 2 hours on Days 1, 3, and 5 repeated every 21 days. Administer ARRANON undiluted. Pediatric Dosage : The recommended pediatric dose of ARRANON is 650 mg/m 2 administered by intravenous infusion over 1 hour daily for 5 consecutive days repeated every 21 days. Administer ARRANON undiluted. The recommended duration of treatment for adult and pediatric patients has not been clearly established. In clinical trials, treatment was generally continued until there was evidence of disease progression, the patient experienced unacc

Contraindications

4 CONTRAINDICATIONS None. None. (4)

Drug Interactions

7 DRUG INTERACTIONS Administration of ARRANON in combination with adenosine deaminase (ADA) inhibitors, such as pentostatin, is not recommended [see Clinical Pharmacology (12.3)] . Administration in combination with adenosine deaminase (ADA) inhibitors, such as pentostatin, is not recommended. ( 7 , 12.3 )

Adverse Reactions

6 ADVERSE REACTIONS The following clinically-significant adverse reactions are discussed in greater detail in other sections of the label: • Neurologic [see Boxed Warning, Warnings and Precautions (5.1)] • Hematologic [see Warnings and Precautions (5.2)] • Tumor Lysis Syndrome [see Warnings and Precautions (5.4)] • Effects on Ability to Drive and Use Machines [see Warnings and Precautions (5.6)] The most common (≥ 20%) adverse reactions were: • Adult : anemia, thrombocytopenia, neutropenia, nausea, diarrhea, vomiting, constipation, fatigue, pyrexia, cough, and dyspnea. ( 6.1 ) • Pediatric : anemia, neutropenia, thrombocytopenia, and leukopenia. ( 6.1 ) The most common (> 10%) neurological adverse reactions were: • Adult : somnolence, dizziness, peripheral neurologic disorders, hypoesthesia, headache, and paresthesia. ( 6.1 ) • Pediatric : headache and peripheral neurologic disorders. ( 6.1 ) To report SUSPECTED ADVERSE REACTIONS, contact Sandoz Inc. at 1-800-525-8747 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch . 6.1 Clinical Trials Experience Because clinical trials are conducted under widely varying conditions, adverse reaction rates observed in the clinical trials of a drug

Frequently Asked Questions

What is Arranon used for?

Arranon contains nelarabine. It is a injection taken intravenous. Consult your doctor for specific uses.

Is Arranon a controlled substance?

Arranon is not classified as a controlled substance by the DEA.

What is the generic name for Arranon?

The generic name for Arranon is nelarabine. There are 10 other brand versions of nelarabine.

What is the NDC code for Arranon 5 mg/mL?

The NDC (National Drug Code) for Arranon 5 mg/mL is 66758-165, listed by Sandoz Inc.

Product NDC

66758-165

Package NDC

66758-165-94

Other Arranon Dosages

Not medical advice. Always consult your doctor or pharmacist before making any medication decisions.

Data from openFDA · Public domain (CC0 1.0)