Dasacent 50 mg (Tablet)

Unit Price: ৳ 200.00 (1 x 10: ৳ 2,000.00)
Strip Price: ৳ 2,000.00

Medicine Details

Title and Categories

  • Dasacent
  • Cancer Therapy Medication

Indications

  • Treatment of Philadelphia chromosome-positive (Ph+) chronic myeloid leukemia (CML) in chronic phase
  • Chronic, accelerated, or myeloid or lymphoid blast phase Ph+ CML with resistance or intolerance to prior therapy including Imatinib
  • Philadelphia chromosome-positive acute lymphoblastic leukemia (Ph+ ALL) with resistance or intolerance to prior therapy
  • Pediatric patients 1 year of age and older with Ph+ CML in chronic phase
  • Newly diagnosed Ph+ ALL in combination with chemotherapy

Mode of Action

  • Inhibition of BCR-ABL, SRC family, c-KIT, EPHA2, and PDGFRβ kinases
  • Predicted binding to multiple conformations of the ABL kinase
  • Active in leukemic cell lines representing variants of imatinib mesylate-sensitive and resistant disease
  • Inhibition of CML and ALL cell lines overexpressing BCR-ABL

Absorption

  • Maximum plasma concentrations observed between 0.5 and 6 hours following oral administration
  • Food effect: high-fat meal increased mean AUC of Dasatinib by 14%

Distribution

  • Apparent volume of distribution is 2505 (CV% 93%)
  • Binding of Dasatinib to human plasma proteins in vitro was approximately 96%

Elimination

  • Mean terminal half-life of Dasatinib is 3 to 5 hours
  • Mean apparent oral clearance is 363.8 l/hr (CV% 81.3%)
  • Metabolized primarily by CYP3A4
  • Elimination primarily via feces

Metabolism

  • CYP3A4 primary enzyme responsible for active metabolite formation
  • FMO-3 and UGT enzymes involved in formation of metabolites
  • Active metabolite exposure represents approximately 5% of AUC of Dasatinib

Excretion

  • Primarily via feces
  • 4% of administered radioactivity recovered in urine within 10 days

Dosage & Administration

  • Adult Chronic Phase CML: 100 mg orally once daily
  • Adult Accelerated/Blast Phase CML or Ph+ ALL: 140 mg orally once daily
  • Pediatric Dosage based on body weight
  • Tablets should not be crushed, cut, or chewed
  • Can be taken with or without food

Interaction

  • CYP3A4 Inhibitors may increase Dasacet concentrations
  • CYP3A4 Inducers may decrease Dasacet concentrations
  • Gastric Acid Reducing Agents may decrease Dasacet concentrations

Contraindications

  • Known hypersensitivity to Dasatinib or any component of the formulation

Side Effects

  • Myelosuppression
  • Bleeding-related events
  • Fluid retention
  • Cardiovascular events
  • Pulmonary arterial hypertension
  • QT prolongation
  • Severe dermatologic reactions
  • Tumor lysis syndrome
  • Effects on growth and development in pediatric patients

Pregnancy & Lactation

  • Can cause fetal harm when administered to pregnant women
  • Breastfeeding not recommended during treatment

Precautions & Warnings

  • Severe thrombocytopenia, neutropenia, and anemia
  • Bleeding risk
  • Fluid retention risk
  • Cardiac dysfunction risk
  • Pulmonary arterial hypertension risk
  • QT prolongation risk
  • Severe dermatologic reactions risk
  • Tumor lysis syndrome risk

Overdose Effects

  • Experienced severe myelosuppression and bleeding in isolated cases
  • Patients should be monitored closely for myelosuppression and given appropriate supportive treatment

Therapeutic Class

  • Targeted Cancer Therapy

Storage Conditions

  • Store below 30°C in a dry place
  • Protect from light
  • Keep out of the reach of children

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