Sutent 25mg

Sutent 25mg is an antineoplastic drug which prevents the growth and spread of cancer cells in the body.

Sutent 25mg tablet belongs to targeted therapy and is a receptor protein-tyrosine kinase inhibitor. It prohibits the actions of vascular endothelial growth factor (VEGF) and is an angiogenesis inhibitor.

Sutent 25mg tablet is a prescription drug which is used under the guidance of medical practitioners

sutent 25mg,sutent 25mg capsule

INDICATION

Sutent 25mg tablet is used for the treatment in patients having Gastrointestinal stromal tumor

Sutent 25mg is used for the treatment in patients having Advanced pancreatic neuroendocrine tumor

Sutent 25mg tablet is used for the treatment in patients having Advanced renal cell cancer

DOSAGE

The recommended dosage for the following condition as follows :

Dose after disease progression on or intolerance to imatinib mesylate

The usual dose for patients with Gastrointestinal Stromal Tumor is 50 mg PO qDay for 4 weeks, followed by 2 weeks drug-free, repeat cycle

The usual dose for patients with Renal Cell Carcinoma is 50 mg PO qDay for 4 weeks, followed by 2 weeks drug-free, repeat cycle

Adjuvant treatment of RCC :

•used for the adjuvant therapy of adult patients at high risk of recurrent RCC following nephrectomy

•The recommended dose is 50 mg PO qDay for 4 weeks, followed by 2 weeks drug-free, repeat cycle for a maximum of nine 6-week cycles totally

The usual dose for patients with Pancreatic Neuroendocrine Tumor

is 37.5 mg PO qDay continuously without a scheduled off-treatment period

MECHANISM

Sunitinib belongs to the type of small molecule which prohibits multiple RTKs, some of which are involved in tumor growth, pathologic angiogenesis, and metastatic progression of cancer. Sunitinib was judge for its inhibitory activity against a variety of kinases (>80 kinases) and was identified as an inhibitor of platelet-derived growth factor receptors (PDGFRa and PDGFRb), vascular endothelial growth factor receptors (VEGFR1, VEGFR2, and VEGFR3), stem cell factor receptor (KIT), Fms-like tyrosine kinase-3 (FLT3), colony stimulating factor receptor Type 1 (CSF-1R), and the glial cell-line derived neurotrophic factor receptor (RET)

ADME

High plasma concentration of sunitinib is between 6 and 12 hours and the bioavailability of sunitinib has no effect on food.

Human plasma protein binding was 95 % and 90 % respectively.

Primarily metabolized by cytochrome P450 enzyme, CYP3A4

The drug sunitinib is eliminated primarily through feces 61% and renal excretion is 16% of the administrated dose. Sunitinib half-life is 40 – 60 hours

Primary active metabolite half-life was 80 – 110 hours

PRECAUTION

•Adrenal hemorrhage resulted in animal studies; follow the adrenal function in case of stress such as surgery, trauma or severe infection

•Control urine protein; interfere with treatment for 24-hr urine protein ≥3 g; stop for repeat episodes of protein ≥3 g despite dose reductions or nephrotic syndrome

•Sutent 25mg treatment will cause severe hepatotoxicity involving liver failure; check liver function tests before starting treatment.

•Hemorrhagic events involving tumor-related hemorrhage resulted; test the serial complete blood counts and physical examinations

•Hypothyroidism resulted; follow the baseline thyroid function in patients with hypothyroidism or hyperthyroidism and treat per standard medical practice prior to initiating therapy

DRUG INTERACTION

Sutent 25mg tablet combination with CYP3A4 inhibitors (ketoconazole0 will increase the sunitinib plasma concentrations.

Sutent 25mg combination with CYP3A4 inducers (rifampin) will decrease the Sunitinib plasma concentration

CONTRAINDICATION

Patients are contraindicated with Sutent 25mg due to hypersensitivity and renal impairment.

MISSED DOSE

If a dose is missed the have the dose immediately before next dose timing reaches or skip the missed dose and continue the regular schedule.

Consult doctors regarding the missed dose.

STORAGE

Stored at a controlled temperature at 25℃ Keep away from children’s resistance Dispense only in its original carton

SIDE EFFECTS

Common side effects :

Signs of allergic reactions: hives, breathing difficulty, sore throat, skin pain, red or purple skin rash Liver problem: upper stomach pain, itching, tired feeling, decreased appetite, dark urine, jaundice.

Serious side effects :

Swelling in ankles or feet

Fast heartbeats

Sudden dizziness

Shortness of breath

Unusual bruising

Signs of tumor cell breakdown - muscle cramps, tiredness, decreased urination, slow heart rate. Thyroid problem - severe tiredness, depression, rapid heart rate,, feeling nervous, sweating, nausea, vomiting, diarrhea, loss of hair, weight changes, irregular menstrual periods.

Contact Details

Phone : +91-9987711567 

Email :applepharmaceutical@gmail.com

Email :info@myapplepharma.com