Drugplain

Mitomycin 5 mg/10mL

Mitomycin · INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION · Bryant Ranch Prepack

10 Recalls on Record
Plain English

Mitomycin is a injection, powder, lyophilized, for solution containing mitomycin at 5 mg/10mL, taken intravenous. Manufactured by Bryant Ranch Prepack.

Key Facts

Brand Name
Mitomycin
Generic Name
Mitomycin
NDC Code (Product)
71335-2927
Manufacturer
Bryant Ranch Prepack
Strength
5 mg/10mL
Dosage Form
INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION
Route
INTRAVENOUS
Marketing Status
Application #
ANDA202670
Drug Class
Alkylating Drug [EPC]
Marketing Start
03/11/2022

Recall History

10 Recalls on Record
Class II06/02/2015

The Compounding Pharmacy of America

Lack of Assurance of Sterility; FDA inspection identified GMP violations potentially impacting product quality and sterility

TerminatedVoluntary: Firm initiated
Class II09/21/2016

Wells Pharmacy Network LLC

Lack of Assurance of Sterility

TerminatedVoluntary: Firm initiated
Class II03/20/2013

Clinical Specialties Compounding Pharmacy

Lack of Assurance of Sterility: FDA inspection findings resulted in concerns regarding quality control processes

TerminatedVoluntary: Firm initiated
Class I01/03/2013

Mobius Therapeutics LLC

Non-Sterility: one or more components of the kit have been found to be contaminated with yeast.

TerminatedVoluntary: Firm initiated
Class II05/02/2013

THE COMPOUNDING SHOP, INC.

Lack of Assurance of Sterility: FDA inspection findings resulted in concerns regarding quality control processes

TerminatedVoluntary: Firm initiated
Class II05/21/2012

Franck's Lab Inc., d.b.a. Franck's Compounding Lab

Lack of Assurance of Sterility: Franck's Lab Inc. initiated a recall of all Sterile Human Drugs distributed between 11/21/2011 and 05/21/2012. FDA environmental sampling revealed the presence of microorganisms and fungal growth in the clean room where sterile products were prepared.

TerminatedVoluntary: Firm initiated
Class II03/20/2013

Clinical Specialties Compounding Pharmacy

Lack of Assurance of Sterility: FDA inspection findings resulted in concerns regarding quality control processes

TerminatedVoluntary: Firm initiated
Class II09/21/2016

Wells Pharmacy Network LLC

Lack of Assurance of Sterility

TerminatedVoluntary: Firm initiated
Class II12/06/2021

Edge Pharma, LLC

Lack of Assurance of Sterility

TerminatedVoluntary: Firm initiated
Class II05/28/2013

Main Street Family Pharmacy, LLC

The firm received seven reports of adverse reactions in the form of skin abscesses potentially linked to compounded preservative-free methylprednisolone 80mg/ml 10 ml vials.

TerminatedVoluntary: Firm initiated

Side Effects Reported to FDA

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

off label use356 reports
diarrhoea144 reports
nausea131 reports
thrombocytopenia105 reports
neutropenia103 reports
drug ineffective101 reports
disease progression97 reports
pancytopenia93 reports
vomiting89 reports
fatigue78 reports

Full Prescribing Information

Source: FDA Drug Label (SPL)For healthcare professionals

Indications & Usage

INDICATIONS AND USAGE Mitomycin for Injection is not recommended as single-agent, primary therapy. It has been shown to be useful in the therapy of disseminated adenocarcinoma of the stomach or pancreas in proven combinations with other approved chemotherapeutic agents and as palliative treatment when other modalities have failed. Mitomycin is not recommended to replace appropriate surgery and/or radiotherapy.

Dosage & Administration

DOSAGE AND ADMINISTRATION Parenteral drug products should be inspected visually for particulate matter and discoloration prior to administration whenever solution and container permit. Mitomycin should be given intravenously only, using care to avoid extravasation of the compound. If extravasation occurs, cellulitis, ulceration, and slough may result. Each Single-Dose vial contains mitomycin 40 mg and mannitol 80 mg. To administer, add Sterile Water for Injection, 80 mL. Shake to dissolve. If product does not dissolve immediately, allow to stand at room temperature until solution is obtained. After full hematological recovery (see guide to dosage adjustment) from any previous chemotherapy, the following dosage schedule may be used at 6 to 8 week intervals: 20 mg/m 2 intravenously as a single dose via a functioning intravenous catheter. Because of cumulative myelosuppression, patients should be fully re-evaluated after each course of mitomycin, and the dose reduced if the patient has experienced any toxicities. Doses greater than 20 mg/m 2 have not been shown to be more effective, and are more toxic than lower doses. The following schedule is suggested as a guide to dosage adjustmen

Warnings

WARNINGS Patients being treated with mitomycin must be observed carefully and frequently during and after therapy. The use of mitomycin results in a high incidence of bone marrow suppression, particularly thrombocytopenia and leukopenia. Therefore, the following studies should be obtained repeatedly during therapy and for at least eight weeks following therapy: platelet count, white blood cell count, differential, and hemoglobin. The occurrence of a platelet count below 100,000/mm 3 or a WBC below 4,000/mm 3 or a progressive decline in either is an indication to withhold further therapy until blood counts have recovered above these levels. Patients should be advised of the potential toxicity of this drug, particularly bone marrow suppression. Deaths have been reported due to septicemia as a result of leukopenia due to the drug. Patients receiving mitomycin should be observed for evidence of renal toxicity. Mitomycin should not be given to patients with a serum creatinine greater than 1.7 mg percent. Usage in Pregnancy Safe use of mitomycin in pregnant women has not been established. Teratological changes have been noted in animal studies. The effect of mitomycin on fertility is unk

Contraindications

CONTRAINDICATIONS Mitomycin is contraindicated in patients who have demonstrated a hypersensitive or idiosyncratic reaction to it in the past. Mitomycin is contraindicated in patients with thrombocytopenia, coagulation disorder, or an increase in bleeding tendency due to other causes.

Adverse Reactions

ADVERSE REACTIONS Bone Marrow Toxicity This was the most common and most serious toxicity, occurring in 605 of 937 patients (64.4%). Thrombocytopenia and/or leukopenia may occur anytime within 8 weeks after onset of therapy with an average time of 4 weeks. Recovery after cessation of therapy was within 10 weeks. About 25% of the leukopenic or thrombocytopenic episodes did not recover. Mitomycin produces cumulative myelosuppression. Integument and Mucous Membrane Toxicity This has occurred in approximately 4% of patients treated with mitomycin. Cellulitis at the injection site has been reported and is occasionally severe. Stomatitis and alopecia also occur frequently. Rashes are rarely reported. The most important dermatological problem with this drug, however, is the necrosis and consequent sloughing of tissue which results if the drug is extravasated during injection. Extravasation may occur with or without an accompanying stinging or burning sensation and even if there is adequate blood return when the injection needle is aspirated. There have been reports of delayed erythema and/or ulceration occurring either at or distant from the injection site, weeks to months after mitomycin

Frequently Asked Questions

What is Mitomycin used for?

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

Is Mitomycin a controlled substance?

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

What is the generic name for Mitomycin?

The generic name for Mitomycin is Mitomycin. There are 6 other brand versions of Mitomycin.

What is the NDC code for Mitomycin 5 mg/10mL?

The NDC (National Drug Code) for Mitomycin 5 mg/10mL is 71335-2927, listed by Bryant Ranch Prepack.