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Venclexta and Zykadia

Determining the interaction of Venclexta and Zykadia and the possibility of their joint administration.

Check result:
Venclexta <> Zykadia
Relevance: 23.10.2023 Reviewer: Shkutko P.M., M.D., in

In the database of official manuals used in the service creation an interaction registered by statistical results of studies was found, which can either lead to negative consequences for the patient health or strengthen a mutual positive effect. A doctor should be consulted to address the issue of joint drug administration.

Consumer:

Consumer information for this interaction is not currently available.CONTRAINDICATED: Coadministration with potent inhibitors of CYP450 3A4 may significantly increase the plasma concentrations of venetoclax, which is primarily metabolized by the isoenzyme. In 11 previously treated non-Hodgkin's lymphoma patients, venetoclax peak plasma concentration (Cmax) and systemic exposure (AUC) increased by 2.3- and 6.4-fold, respectively, when coadministered with 400 mg once daily for 7 days of ketoconazole, a potent CYP450 3A4 inhibitor. Additionally, inhibition of P-glycoprotein (P-gp) and breast cancer resistance protein (BCRP) efflux transporters by ketoconazole may contribute. Increased venetoclax exposure may potentiate the risk of tumor lysis syndrome, particularly at initiation of therapy and during the dosage ramp-up phase, as well as other adverse effects such as diarrhea, nausea, vomiting, neutropenia, anemia, and thrombocytopenia. MANAGEMENT: Concomitant use of potent CYP450 3A4 inhibitors at initiation and during the dosage ramp-up phase of venetoclax is considered contraindicated. If a potent CYP450 3A4 inhibitor is required after the ramp-up phase, the manufacturer recommends that venetoclax dosage be reduced by at least 75%. The dosage used prior to initiating the CYP450 3A4 inhibitor may be resumed 2 to 3 days after discontinuation of the inhibitor. References "Product Information. Venclexta (venetoclax)." AbbVie US LLC, North Chicago, IL.

Professional:

CONTRAINDICATED: Coadministration with potent inhibitors of CYP450 3A4 may significantly increase the plasma concentrations of venetoclax, which is primarily metabolized by the isoenzyme. In 11 previously treated non-Hodgkin's lymphoma patients, venetoclax peak plasma concentration (Cmax) and systemic exposure (AUC) increased by 2.3- and 6.4-fold, respectively, when coadministered with 400 mg once daily for 7 days of ketoconazole, a potent CYP450 3A4 inhibitor. Additionally, inhibition of P-glycoprotein (P-gp) and breast cancer resistance protein (BCRP) efflux transporters by ketoconazole may contribute. Increased venetoclax exposure may potentiate the risk of tumor lysis syndrome, particularly at initiation of therapy and during the dosage ramp-up phase, as well as other adverse effects such as diarrhea, nausea, vomiting, neutropenia, anemia, and thrombocytopenia.

MANAGEMENT: Concomitant use of potent CYP450 3A4 inhibitors at initiation and during the dosage ramp-up phase of venetoclax is considered contraindicated. If a potent CYP450 3A4 inhibitor is required after the ramp-up phase, the manufacturer recommends that venetoclax dosage be reduced by at least 75%. The dosage used prior to initiating the CYP450 3A4 inhibitor may be resumed 2 to 3 days after discontinuation of the inhibitor.

References
  • "Product Information. Venclexta (venetoclax)." AbbVie US LLC, North Chicago, IL.
Venclexta

Generic Name: venetoclax

Brand name: Venclexta, Venclexta Starting Pack

Synonyms: n.a.

Zykadia

Generic Name: ceritinib

Brand name: Zykadia

Synonyms: n.a.

In the course of checking the drug compatibility and interactions, data from the following reference sources was used: Drugs.com, Rxlist.com, Webmd.com, Medscape.com.

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