VYXEOS is indicated for the treatment of adults with newly-diagnosed therapy-related AML or AML with myelodysplasia-related changes.
VYXEOS has different dosage recommendations than other daunorubicin and cytarabine-containing products. Do not interchange with products containing these ingredients.
Do not use in patients with a history of serious hypersensitivity reactions to cytarabine, daunorubicin or any other components of VYXEOS.
((Rami Komrokji, MD))
The extended half-life of VYXEOS allows for greater drug exposure within the plasma and bone marrow.
Based on the pharmacokinetic Phase 1 trial data, the median half-lives of daunorubicin and cytarabine are prolonged with VYXEOS versus free drug.
For VYXEOS, the estimated half-life of daunorubicin and cytarabine were 32 hours and 40 hours, respectively, when administered in VYXEOS.
In the VYXEOS Phase 3 trial, bone marrow assessments were performed 14 to 21 days after induction, and a follow-up evaluation was performed 5 to 14 days later if the Day 14 to 21 bone marrow was nonevaluable or assessment of a morphologic leukemia-free state was equivocal.
At our institution, we typically assess bone marrow between Days 14 and 21, and a growth factor is started once blasts are undetectable.
Serious or fatal hemorrhage including CNS hemorrhage have occurred with VYXEOS. Monitor blood counts regularly and provide platelet transfusions as needed.
Due to the risk of cardiotoxicity, VYXEOS is not recommended in patients with impaired cardiac function. Discontinue in patients with impaired cardiac function unless the benefit of treatment outweighs the risk. Calculate the lifetime cumulative anthracycline exposure prior to each cycle of VYXEOS.
Discontinue in patients with severe or life-threatening hypersensitivity reactions, treat the signs and symptoms and monitor until resolution.
Use only if the benefit outweighs the risks in patients with Wilson’s disease or other copper-related metabolic disorders. Discontinue in patients who develop acute copper toxicity.
Administer by the intravenous route only.
Advise females and males of the potential for VYXEOS to cause fetal harm and to use effective contraception.
The most common adverse reactions include hemorrhagic events, febrile neutropenia, rash, edema, nausea, mucositis, diarrhea, constipation, musculoskeletal pain, fatigue, abdominal pain, dyspnea, headache, cough, decreased appetite, arrhythmia, pneumonia, bacteremia, chills, sleep disorders, and vomiting.
VYXEOS (daunorubicin and cytarabine) liposome for injection 44 mg/100 mg is indicated for the treatment of adults with newly-diagnosed therapy-related acute myeloid leukemia (t-AML) or AML with myelodysplasia-related changes (AML-MRC).
IMPORTANT SAFETY INFORMATION