Drug Index

Ipilimumab

 
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Mechanism :

Ipilimumab is a recombinant human IgG1 immunoglobulin monoclonal antibody that binds to the cytotoxic T-lymphocyte associated antigen 4 (CTLA-4). CTLA-4 is a down-regulator of T-cell activation pathways.


Indication :

• Metastatic colorectal cancer

• Unresectable or metastatic melanoma

• Advanced renal cell carcinoma


Contraindications :

Hypersensitivity to ipilimumab or any component of the formulation; active life-threatening autoimmune disease, or with organ transplantation graft where further immune activation is potentially imminently life-threatening.


Dosing :

Use in children ≥12 years of age and adolescents.

Metastatic colorectal cancer:

1 mg/kg IV once every 3 weeks (in combination with nivolumab) for up to 4 combination doses.

Unresectable or metastatic melanoma:

3 mg/kg IV every 3 weeks for a maximum of 4 doses; doses may be delayed due to toxicity, but all doses must be administered within 16 weeks of the initial dose.


Adverse Effect :

Fatigue, headache, skin rash, pruritus, Stevens-Johnson syndrome, toxic epidermal necrolysis, dermal ulceration, necrotic, bullous or hemorrhagic dermatitis, weight loss, diarrhea, nausea, increased serum lipase and amylase, vomiting, colitis, abdominal pain, anemia, increased serum AST,ALT, alkaline phosphatase, cough, dyspnea, fever, pituitary insufficiency.


Interaction :

Vemurafenib: Ipilimumab may enhance the hepatotoxic effect of Vemurafenib.
Discontinue breastfeeding during treatment and for 3 months following the final dose.


07/19/2019 03:14:44 Ipilimumab
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