{"id":8081,"date":"2021-03-05T10:25:50","date_gmt":"2021-03-05T10:25:50","guid":{"rendered":"https:\/\/zeepedia.com\/?p=8081"},"modified":"2021-05-04T17:03:20","modified_gmt":"2021-05-04T17:03:20","slug":"implicit","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/medicines\/implicit\/","title":{"rendered":"Empliciti &#8211; Elotuzumab uses, dose and side effects"},"content":{"rendered":"\n<p> 300 mg and 400 mg\u00a0powder for concentrate for\u00a0infusion\u00a0solution\u00a0<br>elotuzumab<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">1. What Empliciti is and what it is used for<\/h2>\n\n\n\n<p>Empliciti contains the active substance elotuzumab, which is a monoclonal&nbsp;antibody, a type of&nbsp;protein&nbsp;designed to recognize and attach to a specific target substance in the body.&nbsp;Elotuzumab attaches to a target protein called SLAMF7.&nbsp;SLAMF7 is found in large amounts on the surface of multiple&nbsp;myeloma&nbsp;cells and certain cells in the immune system (natural killer cells).&nbsp;When elotuzumab binds to SLAMF7 on the multiple&nbsp;myeloma&nbsp;cells or the natural killer cells, it stimulates the immune system to attack and destroy the multiple&nbsp;myeloma&nbsp;cells.<br><\/p>\n\n\n\n<p>Empliciti is used to treat multiple&nbsp;myeloma&nbsp;(&nbsp;bone marrow&nbsp;cancer&nbsp;) in adults.&nbsp;Empliciti will be given to you with lenalidomide and <a href=\"https:\/\/zeepedia.com\/medical\/medicines\/toflacort\/\">dexamethasone<\/a> or with pomalidomide and dexamethasone.&nbsp;Myeloma&nbsp;is a cancer of a type of&nbsp;white blood cell called a plasma cell.&nbsp;These cells divide uncontrollably and accumulate in the&nbsp;bone marrow.&nbsp;This leads to damage to the skeleton and kidneys.<br><\/p>\n\n\n\n<p>Empliciti is used if your cancer has not responded to previous treatment or has returned after a certain number of previous treatments.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">2. What you need to know before using Empliciti<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Do not use Empliciti<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>if you are allergic to elotuzumab or any of the other ingredients of this medicine (see section 6 &#8220;Contents of the pack and other information&#8221;).&nbsp;Talk to your doctor if you are not sure.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Warnings and cautions<\/h2>\n\n\n\n<p><strong><br>Infusion-related&nbsp;reaction<\/strong><\/p>\n\n\n\n<p>Tell your doctor or nurse immediately if you get any of the infusion-related reactions listed at the top of section 4. These&nbsp;side effects&nbsp;occur mainly during or after&nbsp;infusion one of the first&nbsp;dose.&nbsp;You will be monitored for signs of such effects during and after&nbsp;infusion&nbsp;one.<br><\/p>\n\n\n\n<p>Depending on the severity of the infusion-related reactions, you may need additional treatment to prevent complications and reduce your symptoms, or Empliciti\u2011&nbsp;infusion may&nbsp;be discontinued.&nbsp;When the symptoms disappear or improve, the&nbsp;infusion&nbsp;can&nbsp;continue a little slower and increase gradually if the symptoms do not return.&nbsp;Your doctor may decide not to continue your Empliciti treatment if you have a severe infusion-related reaction.<br><\/p>\n\n\n\n<p>Before each&nbsp;infusion&nbsp;of Empliciti, you will be given medicines to reduce infusion-related reactions (see section 3 &#8220;How to use Empliciti, medicines given before each infusion&#8221;).<br><\/p>\n\n\n\n<p>Before starting treatment with Empliciti, you must also read the section warnings and precautions in the package leaflet of all medicines taken in combination with Empliciti, to get information about these medicines.&nbsp;When using lenalidomide, you must pay special attention to pregnancy testing and the need to use contraception (see &#8220;Pregnancy and breast-feeding&#8221; in this section).<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Children and young people<\/h2>\n\n\n\n<p>Empliciti is not recommended for use in children and adolescents under 18 years of age.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Other medicines and Empliciti<\/h2>\n\n\n\n<p>Tell your doctor if you are taking, have recently taken, or might take any other medicines.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Pregnancy and breastfeeding<\/h2>\n\n\n\n<p><strong><br>Women using Empliciti<\/strong><\/p>\n\n\n\n<p>If you are pregnant or breast-feeding, think you may be pregnant, or are planning to have a baby, ask your doctor for advice before using this medicine.<br><\/p>\n\n\n\n<p>You should not use Empliciti if you are pregnant unless your doctor explicitly recommends it.&nbsp;It is unknown what effect Empliciti has on pregnant women or whether it could harm the unborn baby.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>If you are a woman of&nbsp;childbearing potential, you must use effective contraception during treatment with Empliciti and for 120 days after stopping treatment.<\/li><li>Tell your doctor if you become pregnant while using Empliciti.<\/li><\/ul>\n\n\n\n<p>When Empliciti is given in combination with lenalidomide or pomalidomide, you must follow the pregnancy prevention program for lenalidomide and pomalidomide respectively (see the package leaflet for lenalidomide or pomalidomide).&nbsp;<strong>Lenalidomide and pomalidomide are expected to harm the fetus.<\/strong><br><\/p>\n\n\n\n<p>It is not known if elotuzumab passes into breast milk or if there is any risk to breastfeeding infants.&nbsp;Elotuzumab will be given in combination with lenalidomide or pomalidomide and breast-feeding will be discontinued due to the use of lenalidomide or pomalidomide.<br><\/p>\n\n\n\n<p><strong>Men who use Empliciti<\/strong><\/p>\n\n\n\n<p>You should use a condom during your treatment with Empliciti and for 180 days after stopping treatment to ensure that your partner does not become pregnant.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Driving and using machines<\/h2>\n\n\n\n<p>Empliciti is unlikely to affect your ability to drive or use machines.&nbsp;However, if you get an infusion-related reaction (fever, chills, high&nbsp;blood pressure, see section 4 &#8220;Possible side effects&#8221;), do not drive, cycle or use machines until the reaction disappears.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Empliciti contains sodium<\/h2>\n\n\n\n<p><strong>Tell your doctor<\/strong>&nbsp;if you have been prescribed a low-salt diet (low in sodium) before being treated with Empliciti.&nbsp;This medicine contains 3.92 mg&nbsp;sodium&nbsp;(the main ingredient in table salt\/table salt) per&nbsp;300 mg&nbsp;vial&nbsp;or 5.23 mg&nbsp;sodium&nbsp;per&nbsp;400 mg&nbsp;vial.&nbsp;This corresponds to 0.2% and 0.3%, respectively, of the highest recommended daily intake of&nbsp;sodium&nbsp;for an adult.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">3. How to use Empliciti<\/h2>\n\n\n\n<p><strong>How much Empliciti is given<\/strong><\/p>\n\n\n\n<p>The amount of Empliciti you will receive will be calculated based on your body weight.<br><\/p>\n\n\n\n<p><strong>How Empliciti is given<\/strong><\/p>\n\n\n\n<p>You will receive Empliciti under the supervision of experienced healthcare professionals.&nbsp;It will be given via a vein (&nbsp;intravenously&nbsp;) as a drip (&nbsp;infusion&nbsp;) for several hours.<br><\/p>\n\n\n\n<p>Empliciti is taken during treatment cycles lasting 28 days (4 weeks), in combination with other medicines used to treat multiple&nbsp;myeloma.<\/p>\n\n\n\n<p>When given in combination with lenalidomide and dexamethasone, Empliciti should be used as follows:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>In cycles 1 and 2 once a week on days 1, 8, 15, and 22.<\/li><li>In cycle 3 and later once every two weeks on days 1 and 15.<\/li><\/ul>\n\n\n\n<p>When given in combination with pomalidomide and dexamethasone, Empliciti should be used as follows:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>In cycles 1 and 2, once a week on days 1, 8, 15, and 22.<\/li><li>In cycle 3 and later, once every four weeks on day 1.<\/li><\/ul>\n\n\n\n<p>Your doctor will treat you with Empliciti as long as the disease improves or is stable and the&nbsp;side effects&nbsp;are tolerable.<br><\/p>\n\n\n\n<p><strong>Medicines are given before each&nbsp;infusion<\/strong><\/p>\n\n\n\n<p>You must receive the following medicines before each&nbsp;infusion&nbsp;of Empliciti, to help reduce any infusion-related reactions:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>drugs to reduce an&nbsp;allergic reaction&nbsp;(an&nbsp;antihistamine&nbsp;)<\/li><li>medicines to reduce&nbsp;inflammation&nbsp;(dexamethasone)<\/li><li>drugs to reduce pain and fever (&nbsp;paracetamol&nbsp;)<\/li><\/ul>\n\n\n\n<p><strong>If you miss a&nbsp;dose&nbsp;of Empliciti<\/strong><\/p>\n\n\n\n<p>Empliciti is used in combination with other drugs for multiple&nbsp;myeloma.&nbsp;If any of the medicines in the treatment are delayed, discontinued, or discontinued, your doctor will decide how to continue your treatment.<br><\/p>\n\n\n\n<p><strong>If you get too much Empliciti<\/strong><\/p>\n\n\n\n<p>Because Empliciti is given to you by healthcare professionals, you are unlikely to receive too much.&nbsp;In the unlikely event of an overdose, your doctor will monitor you to rule outside effects.<br><\/p>\n\n\n\n<p><strong>If you stop using Empliciti<\/strong><\/p>\n\n\n\n<p>If your Empliciti treatment is stopped, this may interrupt the effect of the medicine.&nbsp;Do not stop treatment unless you have discussed this with your doctor.<br><\/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, although not everybody gets them.&nbsp;Your doctor will discuss this with you and will explain the risks and benefits of the treatment.<br><\/p>\n\n\n\n<p>The following&nbsp;side effects&nbsp;have been reported in&nbsp;clinical trials&nbsp;with elotuzumab:<br><\/p>\n\n\n\n<p><strong>Infusion-&nbsp;<\/strong><strong>related&nbsp;<\/strong><strong>reactions<\/strong><\/p>\n\n\n\n<p>Treatment with Empliciti has been associated with infusion-related reactions (see section 2 &#8220;Warnings and precautions&#8221;).&nbsp;<strong>Tell your doctor or nurse immediately if you do not feel well during the&nbsp;infusion.&nbsp;<\/strong>The following is a list of typical symptoms associated with infusion-related reactions:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Fever<\/li><li>Overindulge<\/li><li>High&nbsp;blood pressure<\/li><\/ul>\n\n\n\n<p>Other symptoms may also occur.&nbsp;Your doctor may consider reducing the infusion rate of Empliciti or discontinuing it to manage these symptoms.&nbsp;<strong>Other&nbsp;side effects are&nbsp;<br><br><\/strong><br><\/p>\n\n\n\n<p><strong>Very common (may affect more than 1 in 10 people)<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Fever<\/li><li>Sore throat<\/li><li>Pneumonia<\/li><li>Weight loss<\/li><li>Low&nbsp;white blood cell count<\/li><li>Cough<\/li><li>Cold<\/li><li>Headache<\/li><li>Diarrhea<\/li><li>Feeling tired or weak<br><\/li><\/ul>\n\n\n\n<p><strong>Common (may affect up to 1 in 10 people)<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Chest pain<\/li><li>Blood clots in the veins (&nbsp;thrombosis&nbsp;)<\/li><li>Painful skin rash with blisters (&nbsp;shingles, zona)<\/li><li>Night sweats<\/li><li>Mood swings<\/li><li>Decreased sensitivity, especially in the skin<\/li><li>Allergic reactions (hypersensitivity)<\/li><li>Pain in the mouth\/throat \/ sore throat<br><\/li><\/ul>\n\n\n\n<p><strong>Uncommon (may affect up to 1 in 100 people)<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Sudden, life-threatening&nbsp;allergic reaction&nbsp;(&nbsp;anaphylactic reaction&nbsp;)<br><\/li><\/ul>\n\n\n\n<p><strong>Tell your doctor immediately<\/strong>&nbsp;if you get any of the&nbsp;side effects&nbsp;listed above.&nbsp;Do not try to treat your symptoms with other medicines.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">5. How to store Empliciti<\/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 carton after EXP.&nbsp;The expiration date is the last day of the specified month.<br><\/p>\n\n\n\n<p>Store in a refrigerator (2 \u00b0 C \u2011 8 \u00b0 C).<\/p>\n\n\n\n<p>Do not freeze.<\/p>\n\n\n\n<p>Store in the original package.&nbsp;Sensitive to light.<br><\/p>\n\n\n\n<p>After&nbsp;reconstitution, the reconstituted solution should be immediately transferred from the vial to the infusion bag.<br><\/p>\n\n\n\n<p>After dilution, the&nbsp;infusion&nbsp;must be&nbsp;completed within 24 hours of&nbsp;reconstitution.&nbsp;The medicine should be used immediately.&nbsp;If the infusion solution is not used immediately, it can be stored in a refrigerator (2 \u00b0 C \u2011 8 \u00b0 C) for up to 24 hours.<br><\/p>\n\n\n\n<p>Any unused product or waste material should be disposed of by local requirements.<\/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 elotuzumab. Each&nbsp;vial&nbsp;of powder contains 300 mg or 400 mg of elotuzumab. After&nbsp;reconstitution, each ml of concentrate contains 25 mg of elotuzumab.<\/li><li>The other ingredients (excipients) are sucrose, sodium citrate (see section 2 &#8220;Empliciti contains sodium&#8221;), citric acid monohydrate, and polysorbate 80 (E433).<\/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>Empliciti powder for concentrate for&nbsp;solution&nbsp;for&nbsp;infusion&nbsp;(powder for concentrate) is a white to off-white, whole or decomposed cake, in a glass bottle.<br><\/p>\n\n\n\n<p>Empliciti is available in packs containing 1&nbsp;vial.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Marketing Authorisation Holder<\/h2>\n\n\n\n<p><strong>Marketing Authorisation Holder<\/strong><\/p>\n\n\n\n<p>Bristol \u2011 Myers Squibb Pharma EEIG&nbsp;<br>Plaza 254&nbsp;<br>Blanchardstown Corporate Park 2&nbsp;<br>Dublin 15, D15 T867&nbsp;<br>Ireland<br><\/p>\n\n\n\n<p><strong>Manufacturer<\/strong><\/p>\n\n\n\n<p>CATALENT ANAGNI SRL&nbsp;<br>Loc.&nbsp;Fontana del Ceraso snc&nbsp;<br>Strada Provinciale Casilina, 41&nbsp;<br>03012 ANAGNI (FR)&nbsp;<br>Italy<br><\/p>\n\n\n\n<p>Swords Laboratories to Bristol-Myers Squibb Cruiserath Biologics&nbsp;<br>Cruiserath Road, Mulhuddart&nbsp;<br>Dublin 15, D15 H6EF&nbsp;<br>Ireland<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>Belgique \/ Belgi\u00eb \/ Belgien<\/strong>NV Bristol \u2011 Myers Squibb Belgium SATel: + 32 2 352 76 11<\/td><td><strong>Lithuania<\/strong>Bristol \u2011 Myers Squibb Kft.Tel: +370 52 369140<\/td><\/tr><tr><td><strong>Bulgaria<\/strong>Bristol \u2011 Myers Squibb Kft.Tel: + 359 2 4942 480<\/td><td><strong>Luxembourg \/ Luxemburg<\/strong>NV Bristol \u2011 Myers Squibb Belgium SATel: + 32 2 352 76 11<\/td><\/tr><tr><td><strong>Czech Republic<\/strong>Bristol \u2011 Myers Squibb spol.&nbsp;s Rotel: + 420 221 016 111<\/td><td><strong>Hungary<\/strong>Bristol \u2011 Myers Squibb Kft.Tel .: + 36 1 808 9433<\/td><\/tr><tr><td><strong>Denmark<\/strong>Bristol \u2011 Myers Squibb DenmarkTel: + 45 45 93 05 06<\/td><td><strong>Malta<\/strong>Bristol-Myers Squibb SrlTel: + 356 23976333<\/td><\/tr><tr><td><strong>Germany<\/strong>Bristol \u2011 Myers Squibb GmbH &amp; Co.&nbsp;KGaATel: 0800 0752002 (+49 (0) 89 121 42 350)<\/td><td><strong>The Netherlands<\/strong>Bristol \u2011 Myers Squibb BVTel: + 31 (0) 30 300 2222<\/td><\/tr><tr><td><strong>Eesti<\/strong>Bristol \u2011 Myers Squibb Kft.Tel: +372 640 1030<\/td><td><strong>Norway<\/strong>Bristol \u2011 Myers Squibb Norway LtdTel: + 47 67 55 53 50<\/td><\/tr><tr><td><strong>Greece<\/strong>Bristol \u2011 Myers Squibb AE:\u0397\u03bb: + 30 210 6074300<\/td><td><strong>Austria<\/strong>Bristol \u2011 Myers Squibb GesmbHTel: + 43 1 60 14 30<\/td><\/tr><tr><td><strong>Spain<\/strong>Bristol-Myers Squibb, SATel: + 34 91 456 53 00<\/td><td><strong>Poland<\/strong>Bristol-Myers Squibb Polska Sp.&nbsp;z ooTel .: + 48 22 2606400<\/td><\/tr><tr><td><strong>France<\/strong>Bristol \u2011 Myers Squibb SARLTel: + 33 (0) 1 58 83 84 96<\/td><td><strong>Portugal<\/strong>Bristol \u2011 Myers Squibb Pharmac\u00eautica Portuguesa, SATel: + 351 21 440 70 00<\/td><\/tr><tr><td><strong>Croatia<\/strong>Bristol \u2011 Myers Squibb spol.&nbsp;s Rotel: +385 1 2078 508<\/td><td><strong>Romania<\/strong>Bristol \u2011 Myers Squibb Kft.Tel: + 40 (0) 21 272 16 00<\/td><\/tr><tr><td><strong>Ireland<\/strong>Bristol \u2011 Myers Squibb Pharmaceuticals ucTel: + 353 (0) 1 483 3625<\/td><td><strong>Slovenia<\/strong>Bristol \u2011 Myers Squibb spol.&nbsp;s Rotel: +386 1 2355 100<\/td><\/tr><tr><td><strong>Iceland<\/strong>Bristol-Myers Squibb AB at Visitor hf.Phone: + 354 535 7000<\/td><td><strong>Slovak Republic<\/strong>Bristol \u2011 Myers Squibb spol.&nbsp;s roTel: + 421 2 20833 600<\/td><\/tr><tr><td><strong>Italy<\/strong>Bristol-Myers Squibb SrlTel: + 39 06 50 39 61<\/td><td><strong>Finland \/ Finland<\/strong>Oy Bristol \u2011 Myers Squibb (Finland) AbPuh \/ Tel: + 358 9 251 21 230<\/td><\/tr><tr><td><strong>Latvia<\/strong>Bristol \u2011 Myers Squibb Kft.Tel: +371 66164750<\/td><td><strong>United Kingdom<\/strong>Bristol \u2011 Myers Squibb Pharmaceuticals LtdTel: + 44 (0800) 731 1736<\/td><\/tr><\/tbody><\/table><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>Empliciti contains the active substance elotuzumab, which is a monoclonal antibody, a type of protein designed to recognize and attach to a specific target substance in the body. Elotuzumab attaches to a target protein called SLAMF7. SLAMF7 is found in large amounts on the surface of multiple myeloma cells and certain cells in the immune system (natural killer cells). When elotuzumab binds to SLAMF7 on the multiple myeloma cells or the natural killer cells, it stimulates the immune system to attack and destroy the multiple myeloma 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":[2205,2200],"tags":[4379,4382,4381,4383,4386,4385,2213,4380,4384],"class_list":["post-8081","post","type-post","status-publish","format-standard","hentry","category-e","category-medicines","tag-elotuzumab","tag-elotuzumab-infustion","tag-elotuzumabside-effects","tag-empliciti","tag-empliciti-infustion","tag-empliciti-side-effects","tag-medicines","tag-what-is-elotuzumab","tag-what-is-empliciti"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/8081","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=8081"}],"version-history":[{"count":4,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/8081\/revisions"}],"predecessor-version":[{"id":10603,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/8081\/revisions\/10603"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=8081"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=8081"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=8081"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}