Drugplain

Azacitidine 100 mg/1

azacitidine · INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION · Apotex Corp

8 Recalls on RecordCurrently in Shortage
Plain English

Azacitidine is a injection, powder, lyophilized, for solution containing azacitidine at 100 mg/1, taken intravenous. Manufactured by Apotex Corp.

Key Facts

Brand Name
Azacitidine
Generic Name
azacitidine
NDC Code (Product)
60505-6271
Manufacturer
Apotex Corp
Strength
100 mg/1
Dosage Form
INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION
Route
INTRAVENOUS, SUBCUTANEOUS
Marketing Status
Application #
ANDA215905
Drug Class
Nucleoside Metabolic Inhibitor [EPC]
Marketing Start
01/23/2024

Recall History

8 Recalls on Record
Class III07/22/2022

Teva Pharmaceuticals USA Inc

Subpotent Drug - Out of specification (OOS) result obtained during monitoring stability study for Assay. Results below specification.

TerminatedVoluntary: Firm initiated
Class II12/08/2020

Shilpa Medicare Limited

CGMP Deviations

TerminatedVoluntary: Firm initiated
Class II12/08/2020

Shilpa Medicare Limited

CGMP Deviations

TerminatedVoluntary: Firm initiated
Class III01/19/2022

Dr. Reddy's Laboratories, Inc.

Failed stability specifications

TerminatedVoluntary: Firm initiated
Class III01/19/2022

Dr. Reddy's Laboratories, Inc.

Failed stability specifications

TerminatedVoluntary: Firm initiated
Class II12/14/2020

CIPLA

cGMP deviations: Vials may not be sealed correctly affecting sterility.

TerminatedVoluntary: Firm initiated
Class III07/27/2022

Amerisource Health Services LLC

Subpotent Drug

TerminatedVoluntary: Firm initiated
Class II06/12/2019

Infusion Options, Inc.

Lack of Assurance of Sterility

TerminatedVoluntary: Firm initiated

Side Effects Reported to FDA

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

febrile neutropenia1,926 reports
death1,820 reports
off label use1,464 reports
myelosuppression1,358 reports
neutropenia1,306 reports
acute myeloid leukaemia1,263 reports
pneumonia1,032 reports
drug ineffective986 reports
pyrexia956 reports
thrombocytopenia954 reports

Full Prescribing Information

Source: FDA Drug Label (SPL)For healthcare professionals

Indications & Usage

1 INDICATIONS AND USAGE Azacitidine for injection is a nucleoside metabolic inhibitor indicated for the treatment of: Adult patients with the following FAB myelodysplastic syndrome (MDS) subtypes: Refractory anemia (RA) or refractory anemia with ringed sideroblasts (RARS) (if accompanied by neutropenia or thrombocytopenia or requiring transfusions), refractory anemia with excess blasts (RAEB), refractory anemia with excess blasts in transformation (RAEB-T), and chronic myelomonocytic leukemia (CMMoL). ( 1.1 ) 1.1 Myelodysplastic Syndromes (MDS) Azacitidine for injection is indicated for treatment of adult patients with the following French-American-British (FAB) myelodysplastic syndrome subtypes: refractory anemia (RA) or refractory anemia with ringed sideroblasts (if accompanied by neutropenia or thrombocytopenia or requiring transfusions), refractory anemia with excess blasts (RAEB), refractory anemia with excess blasts in transformation (RAEB-T), and chronic myelomonocytic leukemia (CMMoL). Pediatric use information is approved for Celgene Corporation's Vidaza (azacitidine for injection). However, due to Celgene Corporation's marketing exclusivity rights, this drug product is no

Dosage & Administration

2 DOSAGE AND ADMINISTRATION Do not substitute Azacitidine for injection for oral azacitidine. The indications and dosing regimen for Azacitidine for injection differ from that of oral azacitidine ( 2.1 , 5.1 ). MDS: The recommended starting dosage for the first treatment cycle, for all patients regardless of baseline hematology values, is Azacitidine for injection 75 mg/m 2 daily for 7 days to be administered by subcutaneous injection or intravenous infusion. See full prescribing information for schedule for subsequent cycles. Premedicate for nausea and vomiting ( 2.2 ). Continue treatment as long as the patient continues to benefit ( 2.3 ). Monitor all patients for hematologic response and for renal toxicity; delay or reduce dosage as appropriate ( 2.3 , 2.6 , 2.7 ). 2.1 Important Administration Information Do not substitute Azacitidine for injection for oral azacitidine. The indications and dosing regimen for Azacitidine for injection differ from that of oral azacitidine [see Warnings and Precautions (5.1) ] 2.2 First Treatment Cycle for Adults The recommended starting dose for the first treatment cycle, for all patients regardless of baseline hematology laboratory values, is 75

Contraindications

4 CONTRAINDICATIONS Advanced Malignant Hepatic Tumors ( 4.1 ). Hypersensitivity to Azacitidine or Mannitol ( 4.2 ). 4.1 Advanced Malignant Hepatic Tumors Azacitidine is contraindicated in patients with advanced malignant hepatic tumors [ see Warnings and Precautions (5.3) ]. 4.2 Hypersensitivity to Azacitidine or Mannitol Azacitidine is contraindicated in patients with a known hypersensitivity to azacitidine or mannitol.

Adverse Reactions

6 ADVERSE REACTIONS Most common adverse reactions (>30%) in adult patients with MDS by subcutaneous route are: nausea, anemia, thrombocytopenia, vomiting, pyrexia, leukopenia, diarrhea, injection site erythema, constipation, neutropenia and ecchymosis. Most common adverse reactions by intravenous route also included petechiae, rigors, weakness and hypokalemia ( 6.1 ). To report SUSPECTED ADVERSE REACTIONS, contact Shilpa Medicare Limited 1-888-557-1212 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch. The following adverse reactions are described in other labeling sections: Anemia, Neutropenia and Thrombocytopenia [ see Warnings and Precautions (5.2) ] Hepatotoxicity in Patients with Severe Pre-existing Hepatic Impairment [ see Warnings and Precautions (5.3) ] Renal Toxicity [ see Warnings and Precautions (5.4) ] Tumor Lysis Syndrome [ see Warnings and Precautions (5.5) ] 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 cannot be directly compared to rates in the clinical trials of another drug and may not reflect the rates observed in practice. MDS The data describ

Frequently Asked Questions

What is Azacitidine used for?

Azacitidine contains azacitidine. It is a injection, powder, lyophilized, for solution taken intravenous. Consult your doctor for specific uses.

Is Azacitidine a controlled substance?

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

What is the generic name for Azacitidine?

The generic name for Azacitidine is azacitidine. There are 4 other brand versions of azacitidine.

What is the NDC code for Azacitidine 100 mg/1?

The NDC (National Drug Code) for Azacitidine 100 mg/1 is 60505-6271, listed by Apotex Corp.