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Drug Interactions between futibatinib and Vyxeos

This report displays the potential drug interactions for the following 2 drugs:

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Interactions between your drugs

Moderate

DAUNOrubicin liposomal cytarabine liposomal

Applies to: Vyxeos (cytarabine liposomal / daunorubicin liposomal) and Vyxeos (cytarabine liposomal / daunorubicin liposomal)

MONITOR: The concomitant or sequential administration of multiple antineoplastic agents may result in additive toxicities, particularly in the bone marrow, gastrointestinal tract and heart.

MANAGEMENT: Close clinical and laboratory monitoring for hematologic and nonhematologic toxicities are recommended when antineoplastic agents are administered concurrently or during close intervals. Dosing adjustments may be necessary. The manufacturers' recommendations and institutional protocols for dosage, treatment regimens, monitoring, and management of toxicities should be consulted.

References (9)
  1. (2001) "Product Information. Paraplatin (carboplatin)." Bristol-Myers Squibb
  2. (2001) "Product Information. Ifex (ifosfamide)." Bristol-Myers Squibb
  3. (2022) "Product Information. Fluorouracil (fluorouracil)." Roche Laboratories
  4. (2001) "Product Information. Zanosar (streptozocin)." Pharmacia and Upjohn
  5. (2001) "Product Information. Ellence (epirubicin)." Pharmacia and Upjohn
  6. Cerner Multum, Inc. "UK Summary of Product Characteristics."
  7. EMEA. European Medicines Agency (2007) EPARs. European Union Public Assessment Reports. http://www.ema.europa.eu/ema/index.jsp?curl=pages/includes/medicines/medicines_landingpage.jsp&mid
  8. Cerner Multum, Inc. "Australian Product Information."
  9. Agencia Española de Medicamentos y Productos Sanitarios Healthcare (2008) Centro de información online de medicamentos de la AEMPS - CIMA. https://cima.aemps.es/cima/publico/home.html
Moderate

DAUNOrubicin liposomal futibatinib

Applies to: Vyxeos (cytarabine liposomal / daunorubicin liposomal) and futibatinib

MONITOR: Coadministration with futibatinib may increase the plasma concentrations of drugs that are substrates of the P-glycoprotein (P-gp) and/or breast cancer resistance protein (BCRP) efflux transporters. The proposed mechanism, based on in vitro data, involves decreased clearance due to inhibition of P-gp and BCRP by futibatinib. The clinical relevance is unknown.

MANAGEMENT: Caution is advised with the concomitant use of futibatinib with drugs that are P-gp and/or BCRP substrates, particularly narrow therapeutic index drugs. More frequent monitoring for increased adverse reactions of these drugs and dose adjustments as per their product labeling should be considered.

References (1)
  1. (2022) "Product Information. Lytgobi (futibatinib)." Taiho Oncology, Inc., 1

Drug and food interactions

Major

futibatinib food

Applies to: futibatinib

GENERALLY AVOID: Grapefruit juice may increase the plasma concentrations of futibatinib. The proposed mechanism is inhibition of CYP450 3A4-mediated first-pass metabolism in the gut wall by certain compounds present in grapefruit. In general, the effect of grapefruit juice is concentration-, dose- and preparation-dependent, and can vary widely among brands. Certain preparations of grapefruit juice (e.g., high dose, double strength) have sometimes demonstrated potent inhibition of CYP450 3A4, while other preparations (e.g., low dose, single strength) have typically demonstrated moderate inhibition. Increased exposure to futibatinib may increase the risk of adverse effects such as retinal pigment epithelial detachment, dry eye/corneal keratitis, pyrexia, hyperphosphatemia and soft tissue mineralization, palmar-plantar erythrodysesthesia syndrome, fatigue, nail toxicity, urinary tract infection, constipation, diarrhea, dry mouth, increased liver function tests (ALT and AST), stomatitis, abdominal pain, ascites, bile duct obstruction, and musculoskeletal pain.

MANAGEMENT: Patients should be advised to avoid consumption of grapefruit or grapefruit juice during treatment with futibatinib.

References (1)
  1. (2022) "Product Information. Lytgobi (futibatinib)." Taiho Oncology, Inc., 1

Therapeutic duplication warnings

No warnings were found for your selected drugs.

Therapeutic duplication warnings are only returned when drugs within the same group exceed the recommended therapeutic duplication maximum.

See also

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Drug Interaction Classification

These classifications are only a guideline. The relevance of a particular drug interaction to a specific individual is difficult to determine. Always consult your healthcare provider before starting or stopping any medication.
Major Highly clinically significant. Avoid combinations; the risk of the interaction outweighs the benefit.
Moderate Moderately clinically significant. Usually avoid combinations; use it only under special circumstances.
Minor Minimally clinically significant. Minimize risk; assess risk and consider an alternative drug, take steps to circumvent the interaction risk and/or institute a monitoring plan.
Unknown No interaction information available.

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

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