Interactions between Palifermin and Tecvayli
1 drug interaction and 3 additional warnings found for the following 2 drugs:
- palifermin
- Tecvayli (teclistamab)
Drug interactions
Moderate drug interactions
Moderate:
palifermin teclistamab
Applies to: palifermin and Tecvayli (teclistamab)
Adjust dosing interval
In a clinical trial, administration of palifermin within 24 hours of chemotherapy resulted in increased severity and duration of oral mucositis, presumably due to increased sensitivity of the rapidly dividing epithelial cells in the immediate post-chemotherapy period.
Management
Palifermin should not be administered within 24 hours before, during infusion of, or within 24 hours after administration of myelotoxic chemotherapy.
References (1)
- (2004) "Product Information. Kepivance (palifermin)." Shire US Inc
Food/lifestyle interactions
No alcohol/food interactions were found. However, this does not necessarily mean no interactions exist. Always consult your healthcare provider.
Disease interactions
3 potential interactions Applies to: 3 conditions, including Liver Disease, Infection, and Renal Dysfunction.
Infection
Moderate:
Tecvayli
The teclistamab in Tecvayli has a moderate potential interaction with Infection.
Teclistamab and talquetamab can cause severe, life-threatening, or fatal infections. Patients should be monitored for signs and symptoms of infection prior to and during treatment. Any infection should be treated appropriately. Administer prophylactic antimicrobials according to clinical guidelines.
Liver Disease
Moderate:
Tecvayli
The teclistamab in Tecvayli has a moderate potential interaction with Liver Disease.
The effects of severe renal impairment (eGFR less than 30 mL/min) on the pharmacokinetics of teclistamab and talquetamab are unknown. Moderate to severe hepatic impairment (total bilirubin greater than 1.5 times ULN with any AST) on the pharmacokinetics of teclistamab are unknown. Severe hepatic impairment (total bilirubin greater than 3 times ULN with any AST) on the pharmacokinetics of talquetamab are unknown. Additionally, teclistamab and talquetamab have caused hepatotoxicity, including fatalities. Caution is advised in patients with renal and hepatic impairment. Monitor liver enzymes and bilirubin at baseline and during treatment as clinically indicated.
Renal Dysfunction
Moderate:
Tecvayli
The teclistamab in Tecvayli has a moderate potential interaction with Renal Dysfunction.
The effects of severe renal impairment (eGFR less than 30 mL/min) on the pharmacokinetics of teclistamab and talquetamab are unknown. Moderate to severe hepatic impairment (total bilirubin greater than 1.5 times ULN with any AST) on the pharmacokinetics of teclistamab are unknown. Severe hepatic impairment (total bilirubin greater than 3 times ULN with any AST) on the pharmacokinetics of talquetamab are unknown. Additionally, teclistamab and talquetamab have caused hepatotoxicity, including fatalities. Caution is advised in patients with renal and hepatic impairment. Monitor liver enzymes and bilirubin at baseline and during treatment as clinically indicated.
More resources
palifermin
A total of 128 drugs are known to interact with palifermin.
- Palifermin is in the drug class miscellaneous uncategorized agents.
- Palifermin is used to treat Mucositis.
Tecvayli
A total of 445 drugs are known to interact with Tecvayli.
- Tecvayli is in the drug class bispecific T-cell engagers (BiTE).
- Tecvayli is used to treat Multiple Myeloma.
Drug Interaction Classification
| Highly clinically significant. Avoid combinations; the risk of the interaction outweighs the benefit. | |
| Moderately clinically significant. Usually avoid combinations; use it only under special circumstances. | |
| 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. | |
| No interaction information available. |
Further information
Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.