Drugplain

VORANIGO 40 mg/1

vorasidenib · TABLET, FILM COATED · Servier Pharmaceuticals LLC

No Recall History
Plain English

Vorasidenib is a prescription tablet used to treat certain brain tumors called low-grade gliomas that have specific genetic mutations. This medication works by blocking an enzyme called isocitrate dehydrogenase 1, which helps slow tumor growth.

Key Facts

Brand Name
VORANIGO
Generic Name
vorasidenib
NDC Code (Product)
72694-728
Manufacturer
Servier Pharmaceuticals LLC
Strength
40 mg/1
Dosage Form
TABLET, FILM COATED
Route
ORAL
Marketing Status
Application #
NDA218784
Drug Class
Isocitrate Dehydrogenase 1 Inhibitor [EPC]; Isocitrate Dehydrogenase 2 Inhibitor [EPC]
Marketing Start
08/07/2024

Recall History

No Recall History

Side Effects Reported to FDA

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

alanine aminotransferase increased63 reports
aspartate aminotransferase increased51 reports
fatigue45 reports
malignant neoplasm progression34 reports
headache33 reports
hepatic cytolysis33 reports
seizure29 reports
nausea27 reports
hepatic enzyme increased26 reports
gamma-glutamyltransferase increased24 reports

Full Prescribing Information

Source: FDA Drug Label (SPL)For healthcare professionals

Indications & Usage

1 INDICATIONS AND USAGE VORANIGO is indicated for the treatment of adult and pediatric patients 12 years and older with Grade 2 astrocytoma or oligodendroglioma with a susceptible isocitrate dehydrogenase-1 (IDH1) or isocitrate dehydrogenase-2 (IDH2) mutation, as detected by an FDA-approved test, following surgery including biopsy, sub-total resection, or gross total resection [see Dosage and Administration (2.1) , Clinical Pharmacology (12.1) and Clinical Studies (14) ] . VORANIGO is an isocitrate dehydrogenase-1 (IDH1) and isocitrate dehydrogenase-2 (IDH2) inhibitor indicated for the treatment of adult and pediatric patients 12 years and older with Grade 2 astrocytoma or oligodendroglioma with a susceptible IDH1 or IDH2 mutation, as detected by an FDA-approved test, following surgery including biopsy, sub-total resection, or gross total resection. ( 1 )

Dosage & Administration

2 DOSAGE AND ADMINISTRATION Recommended dosage in adults: ( 2.3 ) 40 mg orally once daily Recommended dosage in pediatric patients 12 years of age and older based on body weight: ( 2.3 ) ≥40 kg : 40 mg orally once daily <40 kg : 20 mg orally once daily Take with or without food. ( 2.3 ) 2.1 Recommended Evaluation Before Initiating VORANIGO Before initiating VORANIGO, evaluate blood chemistry and liver laboratory tests [see Warnings and Precautions (5.1) and Adverse Reactions (6.1) ]. 2.2 Patient Selection Select patients with Grade 2 astrocytoma or oligodendroglioma for treatment with VORANIGO based on the presence of IDH1 or IDH2 mutations in tumor specimens [see Clinical Studies (14) ] . Information on FDA-approved tests for detection of IDH1 or IDH2 mutations in Grade 2 astrocytoma or oligodendroglioma for selecting patients for treatment with VORANIGO is available at: https://www.fda.gov/CompanionDiagnostics. 2.3 Recommended Dosage and Administration Recommended Dosage Adult Patients The recommended dosage of VORANIGO in adult patients is 40 mg orally once daily until disease progression or unacceptable toxicity. Pediatric Patients 12 Years and Older The recommended dosage of V

Contraindications

4 CONTRAINDICATIONS None. None. ( 4 )

Drug Interactions

7 DRUG INTERACTIONS CYP1A2 Inhibitors : Avoid concomitant use of strong and moderate CYP1A2 inhibitors. ( 7.1 ) CYP1A2 Inducers : Avoid concomitant use of moderate CYP1A2 inducers and smoking tobacco. ( 7.1 ) Certain CYP3A Substrates : Avoid concomitant use with CYP3A substrates, where a minimal concentration change can reduce efficacy. ( 7.2 ) Hormonal Contraception : If concomitant use cannot be avoided, use with nonhormonal contraception methods. ( 7.2 ) 7.1 Effect of Other Drugs on VORANIGO Table 5: Effect of Other Drugs on VORANIGO Strong and Moderate CYP1A2 Inhibitors Clinical Impact Concomitant use of VORANIGO with a strong or moderate CYP1A2 inhibitor may increase vorasidenib plasma concentrations [see Clinical Pharmacology (12.3) ] , which may increase the risk of adverse reactions. Prevention or Management Avoid concomitant use of VORANIGO with strong and moderate CYP1A2 inhibitors. If concomitant use of moderate CYP1A2 inhibitors cannot be avoided, monitor for increased adverse reactions and modify the dosage for adverse reactions as recommended [see Dosage and Administration (2.4) ] . Moderate CYP1A2 Inducers Clinical Impact Concomitant use of VORANIGO with moderate CYP

Adverse Reactions

6 ADVERSE REACTIONS The following clinically significant adverse reactions are described elsewhere in the labeling: Hepatotoxicity [see Warnings and Precautions (5.1) ] The most common (≥15%) adverse reactions include fatigue, headache, COVID-19, musculoskeletal pain, diarrhea, nausea, and seizure. Grade 3 or 4 (≥2%) laboratory abnormalities were ALT increased, AST increased, GGT increased, and neutrophils decreased. ( 6.1 ) To report SUSPECTED ADVERSE REACTIONS, contact Servier Pharmaceuticals at 1-800-807-6124 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 cannot be directly compared to rates in the clinical trials of another drug and may not reflect the rates observed in practice. Adverse reactions described in the WARNINGS AND PRECAUTIONS reflect exposure to VORANIGO 40 mg orally once daily until disease progression or unacceptable toxicity in the 244 patients with astrocytoma or oligodendroglioma with susceptible IDH1 or IDH2 mutation in trials AG881-C-002 (NCT02481154, n=11), AG120-881-001 (NCT03343197, n=14)

Frequently Asked Questions

What is VORANIGO used for?

Vorasidenib is a prescription tablet used to treat certain brain tumors called low-grade gliomas that have specific genetic mutations. This medication works by blocking an enzyme called isocitrate dehydrogenase 1, which helps slow tumor growth.

Is VORANIGO a controlled substance?

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

What is the generic name for VORANIGO?

The generic name for VORANIGO is vorasidenib. There are no other listed brand versions of vorasidenib.

What is the NDC code for VORANIGO 40 mg/1?

The NDC (National Drug Code) for VORANIGO 40 mg/1 is 72694-728, listed by Servier Pharmaceuticals LLC.

Product NDC

72694-728

Package NDC

72694-728-40

Other VORANIGO Dosages

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

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