Drugplain

topotecan hydrochloride 4 mg/4mL

topotecan hydrochloride · INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION · Accord Healthcare, Inc.

No Recall History
Plain English

topotecan hydrochloride is a injection, powder, lyophilized, for solution containing topotecan hydrochloride at 4 mg/4mL, taken intravenous. Manufactured by Accord Healthcare, Inc..

Key Facts

Brand Name
topotecan hydrochloride
Generic Name
topotecan hydrochloride
NDC Code (Product)
16729-151
Manufacturer
Accord Healthcare, Inc.
Strength
4 mg/4mL
Dosage Form
INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION
Route
INTRAVENOUS
Marketing Status
Application #
ANDA202351
Marketing Start
07/23/2013

Recall History

No Recall History

Side Effects Reported to FDA

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

febrile neutropenia183 reports
pyrexia122 reports
off label use98 reports
neutropenia81 reports
vomiting77 reports
anaemia67 reports
diarrhoea65 reports
neoplasm progression59 reports
product use in unapproved indication55 reports
pancytopenia50 reports

Full Prescribing Information

Source: FDA Drug Label (SPL)For healthcare professionals

Indications & Usage

1 INDICATIONS AND USAGE Topotecan Hydrochloride for injection is a topoisomerase inhibitor indicated for treatment of: Patients with metastatic ovarian cancer after disease progression on or after initial or subsequent chemotherapy, as a single agent ( 1.1 ) Patients with small cell lung cancer (SCLC) platinum-sensitive disease who progressed at least 60 days after initiation of first-line chemotherapy, as a single agent ( 1.2 ) Patients with Stage IV-B, recurrent, or persistent cervical cancer which is not amenable to curative treatment, in combination with cisplatin ( 1.3 ) 1.1 Ovarian Cancer Topotecan hydrochloride for injection, as a single agent, is indicated for the treatment of patients with metastatic ovarian cancer after disease progression on or after initial or subsequent chemotherapy. 1.2 Small Cell Lung Cancer Topotecan hydrochloride for injection, as a single agent, is indicated for the treatment of patients with small cell lung cancer (SCLC) with platinum-sensitive disease who progressed at least 60 days after initiation of first-line chemotherapy. 1.3 Cervical Cancer Topotecan hydrochloride for injection, in combination with cisplatin, is indicated for the treatment

Dosage & Administration

2 DOSAGE AND ADMINISTRATION Ovarian Cancer and Small Cell Lung Cancer: 1.5 mg/m 2 by intravenous infusion over 30 minutes daily for 5 consecutive days, starting on Day 1 of a 21-day cycle ( 2.1 , 2.2 ) Cervical Cancer: 0.75 mg/m 2 by intravenous infusion over 30 minutes on Days 1, 2, and 3, with cisplatin 50 mg/m 2 on Day 1, of a 21-day cycle ( 2.3 ) Renal Impairment: Reduce dose if creatinine clearance (CLcr) 20 to 39 mL/min ( 2.6 ) 2.1 Important Safety Information Verify dosage using body surface area. Do not exceed a single dose of 4 mg intravenously. 2.2 Recommended Dosage for Ovarian Cancer The recommended dosage of topotecan hydrochloride for injection is 1.5 mg/m 2 by intravenous infusion over 30 minutes daily for 5 consecutive days, starting on Day 1 of a 21-day cycle until disease progression or unacceptable toxicity. 2.3 Recommended Dosage for Small Cell Lung Cancer (SCLC) The recommended dosage of topotecan hydrochloride for injection is 1.5 mg/m 2 by intravenous infusion over 30 minutes daily for 5 consecutive days, starting on Day 1 of a 21-day cycle. 2.4 Recommended Dosage for Cervical Cancer The recommended dosage of topotecan hydrochloride for injection is 0.75 mg/m

Contraindications

4 CONTRAINDICATIONS Topotecan Hydrochloride for Injection is contraindicated in patients who have a history of severe hypersensitivity reactions to topotecan. Reactions have included anaphylactoid reactions [see Adverse Reactions ( 6.2 )] . History of severe hypersensitivity reactions to topotecan ( 4 )

Adverse Reactions

6 ADVERSE REACTIONS The following serious adverse reactions are described elsewhere in the labeling: Myelosuppression [see Warnings and Precautions ( 5.1 )] Interstitial Lung Disease (ILD) [see Warnings and Precautions ( 5.2 )] Extravasation and Tissue Injury [see Warnings and Precautions ( 5.3 )] Ovarian Cancer The most common Grade 3 or 4 hematologic adverse reactions (incidence > 5%) were neutropenia, anemia, thrombocytopenia, and febrile neutropenia. ( 6.1 ) The most common (incidence > 5%) non-hematologic adverse reactions (all Grades) were nausea, vomiting, fatigue, diarrhea, and dyspnea. ( 6.1 ) SCLC The most common Grade 3 or 4 hematologic adverse reactions were (incidence > 5%) neutropenia, anemia, thrombocytopenia, and febrile neutropenia. ( 6.1 ) The most common (incidence > 5%) non-hematologic adverse reactions (all Grades) were asthenia, dyspnea, nausea, pneumonia, abdominal pain, and fatigue. ( 6.1 ) Cervical Cancer The most common Grade 3 or 4 hematologic adverse reactions were (incidence > 5%) neutropenia, anemia, and thrombocytopenia. ( 6.1 ) The most common (incidence > 25% and ≥ 2% higher than cisplatin alone) non-hematologic adverse reactions were pain, vomiting

Frequently Asked Questions

What is topotecan hydrochloride used for?

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

Is topotecan hydrochloride a controlled substance?

topotecan hydrochloride is not classified as a controlled substance by the DEA.

What is the generic name for topotecan hydrochloride?

The generic name for topotecan hydrochloride is topotecan hydrochloride. There are 3 other brand versions of topotecan hydrochloride.

What is the NDC code for topotecan hydrochloride 4 mg/4mL?

The NDC (National Drug Code) for topotecan hydrochloride 4 mg/4mL is 16729-151, listed by Accord Healthcare, Inc..

Product NDC

16729-151

Package NDC

16729-151-31

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

Data from openFDA · Public domain (CC0 1.0)