brentuximab (Intravenous route)
John Cunningham (JC) virus infection resulting in progressive multifocal leukoencephalopathy (PML) and death can occur in patients receiving brentuximab vedotin .
Commonly used brand name(s)
In the U.S.
Available Dosage Forms:
- Powder for Solution
Therapeutic Class: Antineoplastic Agent
Pharmacologic Class: Antibody Drug Conjugate
Uses For brentuximab
Brentuximab injection is used to treat Hodgkin lymphoma and systemic anaplastic large cell lymphoma, which are blood cancers. It is given to patients who have received a bone marrow (autologous stem cell) transplant or other cancer treatments that did not work well. Brentuximab interferes with the growth of cancer cells, which are then destroyed by the body.
brentuximab is to be given only by or under the direct supervision of your doctor.
Before Using brentuximab
In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For brentuximab, the following should be considered:
Tell your doctor if you have ever had any unusual or allergic reaction to brentuximab or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.
Appropriate studies have not been performed on the relationship of age to the effects of brentuximab injection in the pediatric population. Safety and efficacy have not been established.
Appropriate studies have not been performed on the relationship of age to the effects of brentuximab injection in the geriatric population.
There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding.
Interactions with Medicines
Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are receiving brentuximab, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.
Using brentuximab with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medication or change some of the other medicines you take.
- Measles Virus Vaccine, Live
- Mumps Virus Vaccine, Live
- Rubella Virus Vaccine, Live
- Varicella Virus Vaccine
Using brentuximab with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.
- Adenovirus Vaccine
- Bacillus of Calmette and Guerin Vaccine, Live
- Cholera Vaccine, Live
- Influenza Virus Vaccine, Live
- Poliovirus Vaccine, Live
- Smallpox Vaccine
- Typhoid Vaccine
- Yellow Fever Vaccine
Interactions with Food/Tobacco/Alcohol
Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.
Using brentuximab with any of the following is usually not recommended, but may be unavoidable in some cases. If used together, your doctor may change the dose or how often you use brentuximab, or give you special instructions about the use of food, alcohol, or tobacco.
- Grapefruit Juice
Other Medical Problems
The presence of other medical problems may affect the use of brentuximab. Make sure you tell your doctor if you have any other medical problems, especially:
- Infection—May decrease your body's ability to fight an infection.
- Kidney disease or
- Liver disease—Use with caution. The effects may be increased because of slower removal of the medicine from the body.
- Lung problems (eg, cough, shortness of breath) or
- Neutropenia (low white blood cells) or
- Peripheral neuropathy (nerve problem) or
- Pneumonitis (inflammation of the lung) or
- Stomach or intestinal bleeding or
- Stomach ulcer or
- Thrombocytopenia (low platelets in the blood)—Use with caution. May make these conditions worse.
Proper Use of brentuximab
Before receiving brentuximab, make sure you understand all the risks and benefits. It is important for you to work closely with your doctor during your treatment.
You will receive brentuximab in a hospital or cancer treatment center. A nurse or other trained health professional will give you brentuximab. brentuximab is given through a needle placed in one of your veins.
You may also receive medicines (eg, acetaminophen, antihistamines, steroids) to help prevent possible allergic reactions to the injection.
Precautions While Using brentuximab
It is very important that your doctor check your progress at regular visits to make sure brentuximab is working properly. Blood tests may be needed to check for unwanted effects.
Using brentuximab while you are pregnant can harm your unborn baby. Women should use an effective form of birth control to avoid pregnancy during treatment and for at least 6 months after the last dose. Men should use an effective form of birth control to avoid pregnancy in sexual partners during treatment and for 6 months after the last dose. If you think a pregnancy has occurred with the medicine, tell your doctor right away.
Talk with your doctor if you plan to have children after receiving brentuximab. Some men may become infertile (unable to have children).
Do not use brentuximab together with bleomycin (Blenoxane®). Using these medicines together may cause serious side effects, such as cough or troubled breathing.
Check with your doctor right away if you have burning, numbness, tingling, or painful sensations in the arms, hands, legs, or feet. These could be symptoms of a condition called peripheral neuropathy.
brentuximab may cause an infusion reaction. This can be life-threatening and requires immediate medical attention. Tell your doctor or nurse right away if you have a fever, chills, trouble breathing, lightheadedness, fainting, or chest pain within a few hours after you receive it.
brentuximab may cause a serious type of allergic reaction called anaphylaxis. Anaphylaxis can be life-threatening and requires immediate medical attention. Call your doctor right away if you have a rash, itching, hoarseness, trouble breathing, trouble swallowing, or any swelling of your hands, face, or mouth while you are receiving brentuximab.
Check with your doctor if you have a fever, chills, sore throat, or painful urination. These could be symptoms of an infection.
Check with your doctor right away if you have pain or tenderness in the upper stomach, pale stools, dark urine, loss of appetite, nausea, vomiting, or yellow eyes or skin. These could be symptoms of a serious liver problem.
brentuximab may cause a serious type of reaction called tumor lysis syndrome. Your doctor may give you a medicine to help prevent this. Call your doctor right away if you have a decrease or change in urine amount, joint pain, stiffness, or swelling, lower back, side, or stomach pain, rapid weight gain, swelling of the feet or lower legs, or unusual tiredness or weakness.
Serious skin reactions can occur with brentuximab. Check with your doctor right away if you have blistering, peeling, or loosening of the skin, red skin lesions, severe acne or skin rash, sores or ulcers on the skin, or fever or chills.
brentuximab may cause a rare and serious brain infection called progressive multifocal leukoencephalopathy (PML). Check with your doctor right away if you have vision changes, loss of coordination, clumsiness, memory loss, difficulty speaking or understanding what others say, or muscle weakness in the legs.
brentuximab may cause new or worsening lung problems. Tell your doctor right away if you have a cough or trouble breathing after receiving brentuximab.
Stomach or bowel problems may occur with brentuximab. Tell your doctor right away if you have severe stomach pain, heartburn, or indigestion, bloody or black stools, trouble breathing, or if you vomit material that looks like coffee grounds.
Do not take other medicines unless they have been discussed with your doctor. This includes prescription or nonprescription (over-the-counter [OTC]) medicines and herbal or vitamin supplements.
brentuximab Side Effects
Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.
Check with your doctor or nurse immediately if any of the following side effects occur:More common
- Black, tarry stools
- bleeding gums
- blood in the urine or stools
- body aches or pain
- burning, numbness, tingling, or painful sensations
- difficult or labored breathing
- difficulty with breathing
- ear congestion
- loss of voice
- lower back or side pain
- painful or difficult urination
- pale skin
- pinpoint red spots on the skin
- sore throat
- stuffy or runny nose
- swollen, painful, or tender lymph glands in the neck, armpit, or groin
- tightness in the chest
- troubled breathing with exertion
- ulcers, sores, or white spots in the mouth
- unsteadiness or awkwardness
- unusual bleeding or bruising
- unusual tiredness or weakness
- weakness in the arms, hands, legs, or feet
- back pain
- bladder pain
- blistering, peeling, or loosening of the skin
- bloating or swelling of the face, arms, hands, lower legs, or feet
- blurred vision
- chest pain
- cloudy urine
- dizziness or lightheadedness
- fast heartbeat
- frequent urge to urinate
- general feeling of discomfort or illness
- irregular heartbeat
- joint pain, stiffness, or swelling
- muscle pain
- rapid weight gain
- red skin lesions, often with a purple center
- red, irritated eyes
- severe pain in the chest
- stomach pain
- sudden onset of severe breathing difficulty
- sudden shortness of breath or troubled breathing
- thickening of bronchial secretions
- unusual weight gain or loss
- Bloody stools
- severe abdominal pain, cramping, or burning
- severe constipation
- severe vomiting
- vomiting of material that looks like coffee grounds
Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:More common
- Decreased appetite or weight
- difficulty having a bowel movement (stool)
- difficulty with moving
- hair loss or thinning of the hair
- muscle spasms
- muscle stiffness
- night sweats
- pain in the arms or legs
- trouble sleeping
- Dry skin
Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.
Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.
See also: Side effects (in more detail)
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More about brentuximab
- Other brands: Adcetris