{"id":4759,"date":"2020-11-30T10:37:40","date_gmt":"2020-11-30T10:37:40","guid":{"rendered":"https:\/\/zeepedia.com\/?p=4759"},"modified":"2021-08-21T07:26:22","modified_gmt":"2021-08-21T07:26:22","slug":"adcetris","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/medicines\/adcetris\/","title":{"rendered":"ADCETRIS &#8211; Brentuximab Vedotin uses, dose and side effects"},"content":{"rendered":"\n<p>50 mg&nbsp;powder for concentrate for&nbsp;infusion&nbsp;solution<br>brentuximab vedotin<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">1. What Adcetris is and what it is used for<\/h2>\n\n\n\n<p>Adcetris contains the active substance&nbsp;<strong>brentuximab vedotin<\/strong>&nbsp;, an anti-cancer agent consisting of monoclonal&nbsp;antibodies&nbsp;bound to a substance which is intended to kill cancer cells.&nbsp;This substance is delivered to cancer cells by the monoclonal&nbsp;antibody&nbsp;.&nbsp;A monoclonal&nbsp;antibody&nbsp;is a&nbsp;protein&nbsp;that recognizes certain cancer cells.<\/p>\n\n\n\n<p>Hodgkin&#8217;s lymphoma,&nbsp;systemic&nbsp;large cell anaplastic&nbsp;lymphoma,&nbsp;and cutaneous T cell lymphoma are types of cancers in the white&nbsp;blood cells.<\/p>\n\n\n\n<p>Classical&nbsp;Hodgkin&#8217;s lymphoma&nbsp;has specific&nbsp;proteins&nbsp;on the cell surface that are different from non-classical&nbsp;Hodgkin&#8217;s lymphoma&nbsp;.<\/p>\n\n\n\n<p>Adcetris is used to treat advanced classic&nbsp;Hodgkin&#8217;s lymphoma&nbsp;that has not been treated before.&nbsp;Adcetris is co-administered with doxorubicin, vinblastine, and dacarbazine, other chemotherapy drugs used to treat&nbsp;Hodgkin&#8217;s lymphoma.<\/p>\n\n\n\n<p>Adcetris is also used as the only drug to reduce the likelihood of classic&nbsp;Hodgkin&#8217;s lymphoma&nbsp;returning after an&nbsp;infusion&nbsp;of your own healthy&nbsp;stem cells&nbsp;into your body (&nbsp;autologous&nbsp;stem cell transplantation&nbsp;) in patients with certain risk factors.<\/p>\n\n\n\n<p>Adcetris is also used as the sole drug to treat classic&nbsp;Hodgkin&#8217;s lymphoma&nbsp;which has:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>returned after, or did not respond to, an&nbsp;autologous&nbsp;stem cell transplant&nbsp;or<\/li><li>come back after, or never responded to, at least two previous treatments and you cannot receive additional combination treatments or an&nbsp;autologous&nbsp;stem cell transplant.<\/li><\/ul>\n\n\n\n<p>Systemic&nbsp;large-cell anaplastic&nbsp;lymphoma&nbsp;is a type of non\u2011&nbsp;Hodgkin&#8217;s lymphoma&nbsp;found in the lymph nodes and \/ or other parts of the body.<\/p>\n\n\n\n<p>Adcetris is used to treat&nbsp;systemic&nbsp;large-cell anaplastic&nbsp;lymphoma&nbsp;that has not been previously treated.&nbsp;Adcetris is given together with cyclophosphamide, doxorubicin, and prednisone, which are other chemotherapy drugs used to treat these conditions.<\/p>\n\n\n\n<p>Adcetris is also used to treat large-cell anaplastic&nbsp;lymphoma&nbsp;such as:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>have not responded to other types of cancer treatments or<\/li><li>has returned after previous cancer treatment.<\/li><\/ul>\n\n\n\n<p>Cutaneous T cell lymphoma is a cancer of a certain type of&nbsp;white blood cell&nbsp;called T cell that mainly affects the skin.&nbsp;Adcetris is used to treat cutaneous T cell lymphoma when a specific type of&nbsp;protein&nbsp;is present on the cell surface.<\/p>\n\n\n\n<p>Adcetris is used to treat cutaneous T-cell lymphoma in patients who have previously been treated with at least one blood cancer drug.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">2. What you need to know before you receive Adcetris<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Do not use Adcetris<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>if you are allergic to brentuximab vedotin or any of the other ingredients of this medicine (listed in section 6).<\/li><li>if you are currently using bleomycin, an anticancer medicine.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Warnings and cautions<\/h2>\n\n\n\n<p>When you first receive this medicine or during treatment, tell your doctor about:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>you become confused, have difficulty thinking, memory loss, blurred or impaired vision, decreased strength, decreased control or loss of sensation in one arm or leg, a change in the way you walk or balance disorders as these can be symptoms of a serious and potentially life-threatening condition in the brain which is called&nbsp;progressive&nbsp;multifocal&nbsp;leukoencephalopathy (PML).&nbsp;If you have these symptoms before treatment with this medicine, tell your doctor immediately about any changes in these symptoms.&nbsp;You should also inform your partner or healthcare provider about your treatment as they may notice symptoms that you are not aware of.<\/li><li>you have severe and persistent abdominal pain, with or without nausea and vomiting, as this may be a symptom of a serious and possibly fatal condition called&nbsp;pancreatitis&nbsp;(&nbsp;inflammation&nbsp;of the pancreas).<\/li><li>you have new-onset or worsening shortness of breath or cough as these can be symptoms of a serious and potentially fatal lung complication (&nbsp;pulmonary&nbsp;toxicity)<\/li><li>you are taking or have previously taken medicines that may affect the immune system, e.g.&nbsp;cytotoxic drugs&nbsp;or immunosuppressive agents.<\/li><li>you have or think you have an&nbsp;infection.&nbsp;Some&nbsp;infections&nbsp;can be serious and can be due to&nbsp;viruses, bacteria, or other causes that can be life-threatening.<\/li><li>there is a beeping (wheezing) sound when you breathe \/ shortness of breath,&nbsp;hives,&nbsp;itching,&nbsp;or swelling (signs of an infusion reaction).&nbsp;For more detailed information, see \u201cInfusion reactions\u201d in section 4.<\/li><li>you have some problems with altered sensation in the skin, especially in the hands or feet, e.g.&nbsp;numbness, stinging or burning sensation, pain, discomfort, or weakness (&nbsp;neuropathy&nbsp;)<\/li><li>you have a headache, feel tired, dizzy, pale (&nbsp;anemia&nbsp;) or have unusual bleeding or bruising, bleed longer than usual after leaving a blood sample or bleed from the gums (&nbsp;thrombocytopenia&nbsp;)<\/li><li>you get chills or tremors or feel hot.&nbsp;You should check if you have a fever.&nbsp;Fever with low&nbsp;white blood cell count&nbsp;can be a sign of a serious&nbsp;infection<\/li><li>you may experience dizziness, decreased urination, confusion, vomiting, nausea, swelling, shortness of breath, or arrhythmias (this can be a potentially life-threatening complication called tumor lysis syndrome)<\/li><li>you experience&nbsp;flu-like symptoms&nbsp;followed by painful red or purple rashes that spread and form blisters and extensive skin discharge that can be life-threatening (this can be a serious skin reaction called&nbsp;Stevens-Johnson syndrome&nbsp;and&nbsp;toxic epidermal necrolysis&nbsp;)<\/li><li>you have new or worsening stomach pain, nausea, vomiting, constipation as they may be symptoms of a serious and potentially fatal gastrointestinal complication (gastrointestinal complications)<\/li><li>you have abnormal results when examining your liver function as it may be caused by serious and potentially fatal liver damage (liver toxicity).&nbsp;The risk of liver damage when you start treatment with Adcetris may increase if you already have pre-existing liver disease or other pre-existing conditions and of certain medicines.<\/li><li>you feel tired, need to urinate frequently, have increased thirst, increased appetite with unintentional weight loss or irritability (&nbsp;hyperglycemia&nbsp;)<\/li><li>you have kidney or liver problems.<\/li><\/ul>\n\n\n\n<p>To check that it is safe for you to receive this medicine, your doctor will take regular blood tests on you.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Other medicines and Adcetris<\/h2>\n\n\n\n<p>Tell your doctor if you are taking, have recently taken, or might take any other medicines.&nbsp;This also applies to herbal preparations and other over-the-counter medicines.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Pregnancy, breastfeeding, and fertility<\/h2>\n\n\n\n<p>You and your partner must use two effective methods of contraception during your treatment with this medicine.&nbsp;Women must continue to use contraception for 6 months after the last&nbsp;dose of&nbsp;Adcetris.<\/p>\n\n\n\n<p>You should not use this medicine if you are pregnant unless you and your doctor decide that the benefit to you outweighs the potential risk to the unborn baby.<\/p>\n\n\n\n<p>It is important to tell your doctor before and during treatment, if you are pregnant, think you may be pregnant or are planning to have a baby.<\/p>\n\n\n\n<p>If you are breast-feeding, you should discuss with your doctor whether you should receive this medicine.<\/p>\n\n\n\n<p>Men treated with this medicine are advised to freeze semen samples for storage before treatment.&nbsp;Men are advised not to become fathers during treatment with this medicine or for the following six months after the last&nbsp;dose.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Driving and using machines<\/h2>\n\n\n\n<p>Your treatment may affect your ability to drive or use machines.&nbsp;If you do not feel well during the treatment, do not drive or use machines.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Adcetris contains sodium<\/h2>\n\n\n\n<p>This medicine contains 13.2 mg of&nbsp;sodium&nbsp;(the main component of common table salt) in each&nbsp;vial.&nbsp;This corresponds to 0.7% of the recommended maximum daily intake of&nbsp;sodium&nbsp;via the diet of an adult.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How Adcetris will be given<\/h2>\n\n\n\n<p>If you have any further questions on the use of this product, ask your doctor or nurse who is giving you&nbsp;an infusion.<\/p>\n\n\n\n<p><strong>Dose&nbsp;and frequency<\/strong><br><\/p>\n\n\n\n<p>The dose&nbsp;of this medicine depends on your body weight.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>The usual&nbsp;dose of&nbsp;Adcetris when given in combination with doxorubicin, vinblastine, and dacarbazine is 1.2 mg\/kg given every two weeks for 6 months.<br><\/li><li>The usual&nbsp;dose of&nbsp;Adcetris when given in combination with cyclophosphamide, doxorubicin and prednisone is 1.8 mg\/kg given every 3 weeks for approximately 4-6 months.<\/li><\/ul>\n\n\n\n<p>See the package leaflet for these medicines given in combination with Adcetris for more information on their use and efficacy.&nbsp;After the first&nbsp;dose of&nbsp;Adcetris in combination with&nbsp;chemotherapy, your doctor may also give you a medicine to prevent or alleviate&nbsp;neutropenia&nbsp;(reduced&nbsp;white blood cell count&nbsp;), as&nbsp;neutropenia may increase the risk of&nbsp;infection.&nbsp;Tell your doctor if you have kidney or liver problems as your doctor may reduce your starting dose or may not recommend Adcetris<\/p>\n\n\n\n<p>The usual&nbsp;dose of&nbsp;Adcetris when given as a single drug is 1.8 mg \/ kg once every 3 weeks for a maximum of one year.&nbsp;If you have liver or kidney problems, your doctor may reduce the starting dose to 1.2 mg \/ kg.<br><\/p>\n\n\n\n<p>Adcetris should only be given to adults.&nbsp;It is not intended for use in children.<\/p>\n\n\n\n<p><strong>How Adcetris is given<\/strong><br><\/p>\n\n\n\n<p>This medicine is given to you in a vein (&nbsp;intravenously&nbsp;) as an&nbsp;infusion.&nbsp;It is given by your doctor or nurse for 30 minutes.&nbsp;Your doctor or nurse will also monitor you during and after the&nbsp;infusion.<\/p>\n\n\n\n<p>If you have any further questions on the use of this product, ask your doctor.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">4. Possible side effects<\/h2>\n\n\n\n<p>Like all medicines, this medicine can cause&nbsp;side effects&nbsp;, although not everybody gets them.<br><\/p>\n\n\n\n<p><strong>Infusion reactions<\/strong><\/p>\n\n\n\n<p>Drugs of this type (monoclonal&nbsp;antibodies&nbsp;) can lead to infusion reactions such as:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>rash<\/li><li>respiratory distress<\/li><li>hard to breathe<\/li><li>cough<\/li><li>pressure over the chest<\/li><li>fever<\/li><li>back pain<\/li><li>frostbite<\/li><li>headache<\/li><li>malaise (nausea) or nausea (vomiting).<\/li><\/ul>\n\n\n\n<p>Infusion reactions of this medicine may occur in more than 1 in 10 people.<br><\/p>\n\n\n\n<p>In general, these types of reactions occur within minutes to several hours after the&nbsp;infusion is&nbsp;completed.&nbsp;However, they may develop more than several hours after&nbsp;infusion&nbsp;one, but this is unusual.&nbsp;These infusion reactions can be severe or even fatal (so-called&nbsp;anaphylactic reaction&nbsp;).&nbsp;The extent to which infusion-related reactions of this drug are severe or fatal is not known.<br><\/p>\n\n\n\n<p>You can get other medicines, e.g.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>antihistamine&nbsp;is,&nbsp;a corticosteroid&nbsp;is or&nbsp;paracetamol<\/li><\/ul>\n\n\n\n<p>to alleviate some of the above reactions if you have already experienced them when you received this type of medicine.<br><\/p>\n\n\n\n<p>If you think you may have had a similar reaction in the past, tell your doctor BEFORE you receive this medicine.<\/p>\n\n\n\n<p>If you develop infusion reactions (as above), your doctor may stop giving you this medicine and start supportive treatment.<\/p>\n\n\n\n<p>If&nbsp;infusion is&nbsp;started again, your doctor may increase the time during which your&nbsp;infusion&nbsp;is given so that you can tolerate it better.<br><\/p>\n\n\n\n<p><strong>Tell your doctor immediately if you notice any of the following symptoms as some of them may be signs of a serious or potentially fatal condition:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>progressive&nbsp;multifocal&nbsp;leukoencephalopathy (PML) has symptoms such as confusion, difficulty thinking, memory loss, blurred or impaired vision, decreased strength, decreased control or loss of sensation in one arm or leg, a change in gait or balance disorders (for more detailed information, see section 2) (may affect up to 1 in 100 people).&nbsp;<\/li><li>symptoms of&nbsp;inflammation&nbsp;of the pancreas (&nbsp;pancreatitis&nbsp;) as serious and persistent stomach pain, with or without nausea and vomiting (may affect up to 1 in 100)<\/li><li>shortness of breath and cough (may affect more than 1 in 10 people)<\/li><li>flu-like symptoms&nbsp;followed by painful red or purple rashes that spread and form blisters and extensive skin discharge (may affect up to 1 in 100 people)<\/li><li>altered sensation, especially in the skin, numbness, stinging sensation, discomfort, burning sensation, weakness, or pain in the hands or feet (&nbsp;neuropathy, may occur in more than 1 in 10 people)<\/li><li>feeling weak (may affect more than 1 in 10 people)<\/li><li>constipation (may affect more than 1 in 10 people)<\/li><li>diarrhea, vomiting (may affect more than 1 in 10 people)<\/li><li>chills or tremors (may affect up to 1 in 10 people)<\/li><li>feeling tired, need to urinate frequently, increased thirst, increased appetite with accidental weight loss, and irritability (this may be a sign of&nbsp;hyperglycemia, which may occur in up to 1 in 10 people)<\/li><li>unusual bleeding or bruising, bleeding longer than usual after leaving a blood sample or bleeding from the gums (this may be a sign of&nbsp;thrombocytopenia, which may occur in up to 1 in 10 people)<\/li><li>headache, dizziness, looks pale (this may be a sign of&nbsp;anemia&nbsp;, which may occur in more than 1 in 10 people)<\/li><\/ul>\n\n\n\n<p>You may experience the following side effects:<\/p>\n\n\n\n<p>The following&nbsp;side effects&nbsp;have been reported when Adcetris is the only drug:<br><\/p>\n\n\n\n<p><strong>A very common&nbsp;side effect&nbsp;is<\/strong>&nbsp;(can occur in more than 1 in 10)<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>decreased&nbsp;white blood cell count<\/li><li>infection&nbsp;of the upper airways<\/li><li>weight loss<\/li><li>infection<\/li><li>nausea<\/li><li>abdominal pain<\/li><li>itching<\/li><li>muscle pain<\/li><li>joint pain or painful swollen joints<\/li><\/ul>\n\n\n\n<p><strong>Common&nbsp;side effects&nbsp;are<\/strong>&nbsp;(may affect up to 1 in 10 people)<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>pneumonia<\/li><li>tender creamy yellow rash in the mouth (mouth cod)<\/li><li>decreased&nbsp;platelet count<\/li><li>dizziness<\/li><li>blisters that can form scabs<\/li><li>elevated blood sugar levels<\/li><li>elevated liver values<\/li><li>unusual hair loss or thinning<\/li><\/ul>\n\n\n\n<p><strong>Less common&nbsp;side effects&nbsp;are<\/strong>&nbsp;(may affect up to 1 in 100 people)<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>tumor lysis syndrome &#8211; a potentially life-threatening condition;&nbsp;you may experience dizziness, decreased urination, confusion, vomiting, nausea, swelling, shortness of breath, or heart rhythm disturbances.<\/li><li>new or recurrent&nbsp;infection&nbsp;with&nbsp;cytomegalovirus&nbsp;(&nbsp;CMV&nbsp;)<\/li><li>infection&nbsp;of the blood (&nbsp;sepsis&nbsp;) and\/or&nbsp;septic&nbsp;shock&nbsp;(a life-threatening form of&nbsp;sepsis&nbsp;)<\/li><li>Stevens-Johnson syndrome and&nbsp;toxic epidermal necrolysis&nbsp;&#8211; a rare, serious disorder in which you may experience&nbsp;flu-like symptoms&nbsp;followed by painful and red or purple rashes that spread and form blisters and extensive skin rash.<\/li><\/ul>\n\n\n\n<ul class=\"wp-block-list\"><li>decreased&nbsp;white blood cell count&nbsp;with concomitant fever<\/li><li>damage to the nerves and nerve sheaths (demyelinating&nbsp;polyneuropathy&nbsp;).<\/li><\/ul>\n\n\n\n<p>The following&nbsp;side effects&nbsp;have been reported when Adcetris is given in combination with chemotherapy:<br><\/p>\n\n\n\n<p><strong>Very common&nbsp;side effects&nbsp;(may affect more than 1 in 10 people)<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>decreased&nbsp;white blood cell count<\/li><li>decreased&nbsp;platelet count<\/li><li>decreased&nbsp;white blood cell count&nbsp;at the same time as fever<\/li><li>infection&nbsp;of the upper airways<\/li><li>weight loss<\/li><li>infection<\/li><li>nausea<\/li><li>abdominal pain<\/li><li>abnormal hair loss or thinner hair<\/li><li>muscle aches<\/li><li>joint pain or painful swollen joints<\/li><li>dizziness<\/li><li>reduced appetite<\/li><li>difficulty sleeping<\/li><li>skeletal pain<\/li><li>blisters that can form scabs.<\/li><\/ul>\n\n\n\n<p><strong>Common&nbsp;side effects&nbsp;are<\/strong>&nbsp;(may affect up to 1 in 10 people)<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>infection&nbsp;of the blood (&nbsp;sepsis&nbsp;or&nbsp;sepsis&nbsp;) and\/or&nbsp;septic&nbsp;shock&nbsp;(a life-threatening form of&nbsp;sepsis&nbsp;);&nbsp;pneumonia<\/li><li>sores or&nbsp;inflammation&nbsp;in the mouth<\/li><li>sore, yellowish, raised spots in the mouth (cod)<\/li><li>itching<\/li><li>elevated blood sugar<\/li><li>elevated liver values.<\/li><\/ul>\n\n\n\n<p><strong>Less common&nbsp;side effects&nbsp;are<\/strong>&nbsp;(may affect up to 1 in 100 people)<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Tumor light syndrome &#8211; a potentially life-threatening condition with symptoms such as dizziness, decreased urine output, confusion, vomiting, nausea, swelling, shortness of breath, and disturbed heart rhythm<\/li><li>Stevens-Johnson&nbsp;syndrome &#8211; a rare and serious disease with&nbsp;flu-like symptoms followed by painful red or purple rash that spreads, as well as blisters and large areas of detached skin<\/li><li>new or recurrent&nbsp;infection&nbsp;with&nbsp;cytomegalovirus&nbsp;(&nbsp;CMV&nbsp;).<\/li><\/ul>\n\n\n\n<p>If you are an elderly patient (65 years or older), you may be more likely to have serious&nbsp;side effects&nbsp;.<br><\/p>\n\n\n\n<p><em>Reporting of side effects<\/em><\/p>\n\n\n\n<p>If you get any side effects, talk to your doctor, pharmacist, or nurse.&nbsp;This includes any possible side effects not listed in this leaflet.&nbsp;You can also report side effects directly to the Medical Products Agency,&nbsp;www.lakemedelsverket.se.&nbsp;By reporting side effects, you can help increase drug safety information<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">5. How to store Adcetris<\/h2>\n\n\n\n<p>Keep this medicine out of the sight and reach of children.<br><\/p>\n\n\n\n<p>Do not use this medicine after the expiry date which is stated on the vial label and outer carton after EXP.&nbsp;The expiration date is the last day of the specified month.<br><\/p>\n\n\n\n<p><strong>Unopened vial:<\/strong>&nbsp;Store in a refrigerator (2 \u00b0 C &#8211; 8 \u00b0 C).&nbsp;Do not freeze.<\/p>\n\n\n\n<p>Keep the vial in the outer carton.&nbsp;Sensitive to light.<br><\/p>\n\n\n\n<p><strong>Reconstituted\/diluted solution:<\/strong>&nbsp;Use immediately or refrigerate (2 \u00b0 C-8 \u00b0 C) and use within 24 hours.<br><\/p>\n\n\n\n<p>Do not use this medicine if you notice any particles or discoloration before&nbsp;administering&nbsp;one.<\/p>\n\n\n\n<p>Medicines should not be disposed of via wastewater or household waste.&nbsp;Your doctor or nurse will discard this medicine.&nbsp;These measures will help to protect the environment.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">6. Contents of the packaging and other information<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Content declaration<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>The active substance is brentuximab vedotin.&nbsp;Each&nbsp;vial&nbsp;contains 50 mg of brentuximab vedotin.&nbsp;After reconstitution, each ml of solution contains 5 mg of Adcetris.<\/li><li>The other ingredients are citric acid monohydrate, sodium citrate dihydrate, \u03b1, \u03b1-trehalose dihydrate, and polysorbate 80. See section 2 for more information on&nbsp;sodium.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">What the medicine looks like and the contents of the pack<\/h2>\n\n\n\n<p>Adcetris is a white to off-white cake or powder for concentrate for&nbsp;solution&nbsp;for&nbsp;infusion, supplied in a&nbsp;glass&nbsp;vial.<\/p>\n\n\n\n<p>Each pack of Adcetris contains one&nbsp;vial.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Marketing Authorization Holder and Manufacturer<\/h2>\n\n\n\n<p>Takeda Pharma A \/ S<\/p>\n\n\n\n<p>Delta Park 45&nbsp;<\/p>\n\n\n\n<p>2665 Vallensbaek Strand<\/p>\n\n\n\n<p>Denmark<br><\/p>\n\n\n\n<p><strong>Manufacturer<\/strong><\/p>\n\n\n\n<p>Takeda Austria GmbH<\/p>\n\n\n\n<p>St.&nbsp;Peter-Stra\u03b2e 25<\/p>\n\n\n\n<p>A4020 Linz<\/p>\n\n\n\n<p>Austria<br><\/p>\n\n\n\n<p>Delpharm Novara Srl<\/p>\n\n\n\n<p>Via Crosa, 86<\/p>\n\n\n\n<p>28065 Cerano (NO)<\/p>\n\n\n\n<p>Italy<br><\/p>\n\n\n\n<p>Contact the representative of the marketing authorization holder to find out more about this medicine:<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td><strong>Belgium \/ Belgique \/ Belgien<\/strong>Takeda BelgiumTel \/ Tel: +32 2 464 06 11takeda\u2011belgium@takeda.com<\/td><td><strong>Lithuania<\/strong>Takeda, UABTel: +370 521 09 070lt\u2011info@takeda.com<\/td><\/tr><tr><td><strong>Bulgaria<\/strong>Takade BulgariaTel .: + 359 2 958 27 36<\/td><td><strong>Luxembourg \/&nbsp;<\/strong><strong>Luxemburg<\/strong>Takeda BelgiumTel \/ Tel: +32 2 464 06 11takeda\u2011belgium@takeda.com<\/td><\/tr><tr><td><strong>Czech Republic<\/strong>Takeda PharmaceuticalsCzech Republic sroTel: + 420 234722722<\/td><td><strong>Hungary<\/strong>Takeda Pharma Kft.Tel: +361 2707030<\/td><\/tr><tr><td><strong>Denmark<\/strong>Takeda Pharma A \/ STel: +45 46 77 11 11<\/td><td><strong>Malta<\/strong>Takeda Italia SpATel: +39 06 502601<\/td><\/tr><tr><td><strong>Germany<\/strong>Takeda GmbHTel: +49 (0) 800 825 3325medinfoEMEA@takeda.com<\/td><td><strong>The Netherlands<\/strong>Takeda Nederland bvTel: +31 23 56 68 777nl.medical.info@takeda.com<\/td><\/tr><tr><td><strong>Eesti<\/strong>Takeda Pharma ASTel: +372 6177 669<\/td><td><strong>Norway<\/strong>Takeda Nycomed ASTel: +47 6676 3030infonorge@takeda.com<\/td><\/tr><tr><td><strong>Greece<\/strong>TAKEDA \u0395\u039b\u039b\u0391\u03a3 \u0391.\u0395T\u03b7\u03bb: +30 210 6387800gr.info@takeda.com<\/td><td><strong>Austria<\/strong>Takeda Pharma Ges.mbHTel: +43 (0) 800\u201120 80 50<\/td><\/tr><tr><td><strong>Spain<\/strong>Takeda Pharmac\u00e9utica Espa\u00f1a SATel: +34 917 90 42 22spain@takeda.com<\/td><td><strong>Poland<\/strong>Takeda Pharma sp.&nbsp;z ooTel .: + 48 22 608 13 00<\/td><\/tr><tr><td><strong>France<\/strong>Takeda France SASTel .: + 33 1 40 67 33 00medinfoEMEA@takeda.com<\/td><td><strong>Portugal<\/strong>Takeda Pharmaceuticals Portugal, Lda.Tel: + 351 21 120 1457<\/td><\/tr><tr><td><strong>Croatia<\/strong>Takeda Pharmaceuticals Croatia dooTel: +385 1 377 88 96<\/td><td><strong>Romania<\/strong>Takeda Pharmaceuticals SRLTel: +40 21 335 03 91<\/td><\/tr><tr><td><strong>Ireland<\/strong>Takeda Products Ireland LimitedTel: +44 (0) 1628 537 900<\/td><td><strong>Slovenia<\/strong>Takeda GmbH, Podru\u017enica SlovenijaTel: + 386 (0) 59 082 480<\/td><\/tr><tr><td><strong>Iceland<\/strong>Vistor hf.Phone: +354 535 7000vistor@vistor.is<\/td><td><strong>Slovak Republic<\/strong>Takeda Pharmaceuticals Slovakia sroTel: +421 (2) 20 602 600<\/td><\/tr><tr><td><strong>Italy<\/strong>Takeda Italia SpATel: +39 06 502601<\/td><td><strong>Finland \/ Finland<\/strong>Takeda OyPuh \/ Tel: +358 20 746 5000infoposti@takeda.com<\/td><\/tr><tr><td><strong>\u039a\u03cd\u03c0\u03c1\u03bf\u03c2<\/strong>A. POTAMITIS MEDICARE LTDT\u03b7\u03bb: +357 22583333info@potamitismedicare.com<\/td><td><strong>Sweden<\/strong>Takeda Pharma ABTel: +46 8 731 28 00infosweden@takeda.com<\/td><\/tr><tr><td><strong>Latvia<\/strong>Takeda Latvia SIATel: +371 67840082<\/td><td><strong>United Kingdom<\/strong>Takeda UK LtdTel: +44 (0) 1628 537 900<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p>This leaflet was last modified on 15\/09\/2020<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Other sources of information<\/h2>\n\n\n\n<p>This medicine has received a &#8220;conditional marketing authorization&#8221;.&nbsp;This means that more information about the drug is expected.<\/p>\n\n\n\n<p>The European Medicines Agency reviews new information on this medicine at least every year and updates this leaflet as needed.<br><\/p>\n\n\n\n<p>Further information on this medicine is available on the European Medicines Agency web site: http:\/\/www.ema.europa.eu\/.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">The following information is intended for healthcare professionals only:<\/h2>\n\n\n\n<p><strong>Traceability<\/strong><\/p>\n\n\n\n<p>To facilitate the traceability of biological drugs, the name and manufacturing batch number of the drug must be documented.<\/p>\n\n\n\n<p><strong>Disposal<\/strong><\/p>\n\n\n\n<p>Adcetris is for single use only.<\/p>\n\n\n\n<p>Any unused product or waste material should be disposed of in accordance with local requirements.<br><\/p>\n\n\n\n<p><strong>Instructions for reconstitution<\/strong><br><\/p>\n\n\n\n<p>Each&nbsp;single-use&nbsp;vial&nbsp;must be reconstituted with 10.5 ml of water for injections to a final concentration of 5 mg \/ ml.&nbsp;Each&nbsp;vial&nbsp;contains 10% overfill, which means 55 mg of Adcetris per&nbsp;vial&nbsp;and a total volume after reconstitution of 11 ml.<\/p>\n\n\n\n<ol class=\"wp-block-list\"><li>Aim the jet at the wall of the vial and not directly at the cake or powder.<\/li><li>Gently swirl the vial to facilitate dissolution.&nbsp;DO NOT SHAKE.<\/li><li>The reconstituted solution in the vial is clear to the slightly opalescent colorless solution with a final&nbsp;pH&nbsp;of 6.6.<\/li><li>The reconstituted solution should be inspected visually for foreign matter and\/or discoloration.&nbsp;If either is observed, the drug should be discarded.<\/li><\/ol>\n\n\n\n<p><strong>Completion of infusion solution<\/strong><br><\/p>\n\n\n\n<p>Appropriate reconstituted Adcetris must be withdrawn from the vial (s) and injected into an&nbsp;infusion bag&nbsp;containing sodium chloride 9 mg\/ml (0.9%) solution for&nbsp;injection&nbsp;to achieve a final concentration of 0.4-1.2 mg\/ml Adcetris.<\/p>\n\n\n\n<p>The recommended dilution volume is 150 ml.<\/p>\n\n\n\n<p>Reconstituted Adcetris can also be diluted in&nbsp;glucose&nbsp;50 mg\/ml (5%) solution for&nbsp;injection&nbsp;or Ringer-lactate solution for&nbsp;injection.<\/p>\n\n\n\n<p>Carefully turn the bag upside down to mix the solution containing Adcetris.&nbsp;DO NOT SHAKE.<\/p>\n\n\n\n<p>Any remaining solution in the vial, after the solution has been withdrawn for dilution, must be discarded in accordance with local regulations.<\/p>\n\n\n\n<p>Do not add any other medicines to the reconstituted Adcetris infusion solution or the intravenous infusion set.&nbsp;The infusion line should be flushed after&nbsp;administration with sodium chloride 9 mg\/ml (0.9%) solution for&nbsp;injection,&nbsp;glucose&nbsp;50 mg\/ml (5%) solution for&nbsp;injection,&nbsp;or Ringer-lactate solution for&nbsp;injection.<\/p>\n\n\n\n<p>After dilution, the Adcetris solution is infused immediately at the recommended infusion rate.<\/p>\n\n\n\n<p>The total storage time of the solution from reconstitution to&nbsp;infusion&nbsp;should not exceed 24 hours.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Adcetris contains the active substance brentuximab vedotin , an anti-cancer agent consisting of monoclonal antibodies bound to a substance which is intended to kill cancer cells. This substance is delivered to cancer cells by the monoclonal antibody . A monoclonal antibody is a protein that recognizes certain cancer cells.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"cybocfi_hide_featured_image":"","footnotes":""},"categories":[2201,2200],"tags":[11690,11693,11695,11688,11684,11687,11694,11689,11692,11686,11691,11685],"class_list":["post-4759","post","type-post","status-publish","format-standard","hentry","category-a","category-medicines","tag-adcetris","tag-adcetris-powder","tag-benefits-of-adcetris","tag-benefits-of-brentuximab-vedotin","tag-brentuximab-vedotin","tag-brentuximab-vedotin-powder","tag-side-effects-of-adcetris","tag-side-effects-of-brentuximab-vedotin","tag-what-adcetris-is-used-for","tag-what-brentuximab-vedotin-is-used-for","tag-what-is-adcetris","tag-what-is-brentuximab-vedotin"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/4759","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/comments?post=4759"}],"version-history":[{"count":5,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/4759\/revisions"}],"predecessor-version":[{"id":13125,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/4759\/revisions\/13125"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=4759"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=4759"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=4759"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}