Module 4: Trelstar, Zoladex and Firmagon PI Flashcards

1
Q

What type of drug is Trelstar?

A

A GnRH agonist

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2
Q

What areas should be used for the injection of Trelstar?

A

Either buttock.

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3
Q

Why should the Trelstar suspension be administered immediately after reconstitution?

A

Because the suspension can separate.

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4
Q

What gauge of needle is used for all doeses of Trelstar?

A

21 gauge

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5
Q

Trelstar is administered via a ____ injetion with an injection volume of ____.

A

IM, 2 mL

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6
Q

In clinical trials of Trelstar, which was the most common AE?

A

Hot flush

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7
Q

During Trelstar clinical trials, what was the impact on mean testosterone levels?

A

Initial transient increase above baseline during the 1st week following the initial injection.

Declined to baseline, or below by the end of the 2nd week of treatment.

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8
Q

For both the 11.25mg and 22.5mg doses o Trelstar, which lab value abnormalities were not present at baseline, but were observed in < 10% of patients>

A

Increased glucose, decreased hemoglobin

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9
Q

In the Trelstar clinical studies, what was the castration rate (%) on day 29 for the 3 doses?

A

3.75=91.2
11.25=97.7
22.5=97.5

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10
Q

In the Trelstar clinical study, on the 22.5mg dose, what was the rate on castration maintenance (%) from days 5-337?

A

93.3%

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11
Q

How many caucasian patients made up each treatment group?

A

3.75mg=59.9
11.25mg=48
22.5mg=64

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12
Q

How many black patients made up each treatment group?

A

3.75mg=39.3
11.25=38
22.5=23

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13
Q

How many unidentified race patients made up each treatment group?

A

3.75mg=.8
11.25mg=15
22.5mg=13

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14
Q

Which are the approved doses and administration times for Zoladex?

A

3.6mg every 28 days
10.8mg every 12 weeks

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15
Q

What type of drug delivery system does Zoladex use?

A

Implant

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16
Q

What gauge of needle is used for Zoladex

A

16 gauge for 3.6mg
14 gauge for 10.8mg

17
Q

What area should be used for the injection of Zoladex?

A

Abdomen

18
Q

Extra care should be taken when administering Zoladex to what types of patients?

A

Low BMI

Those on a full dose of anticoagulent

19
Q

In Zoladex clinical trials, what was the most common AE?

A

hot flashes

20
Q

In 2 controlled clinical trials comparing Zoladex 10.8mg vs Zoladex 3.6mg, what was the ONLY AE reported by more than 5% of patients?

A

hot flashes

21
Q

In the clinical study of Zoladex 3.6mg for stage B2-C prostate carcinoma, what 2 treatment arms were compared?

A

Zoladex 3.6mg + flutamide + radiation compared to radiation alone.

22
Q

In the clinical study of Zoladex 3.6mg for prostate carcinoma, what two treatment arms were compared?

A

Zoladex 3.6mg to Orchiectomy

23
Q

In clinical studies on Zoladex 10.8mg for prostatic carcinoma what 2 treatment arms were compared?

A

Zoladex 3.6mg to Zoladex 10.8mg

24
Q

What type of drug is Firmagon?

A

GnRH antagonist

25
Q

What area should be used for injection with Firmagon?

A

abdomen

26
Q

Firmagon must be administered within what period of time after the addition of sterile water?

A

1 hour

27
Q

What is the injection volume of each dose of Firmagon?

A

loading dose is 2 3mL doses equalling 6mL.

maintenance dose is 4mL.

28
Q

In clinical trials, what was the most common AE?

A

Injection site reaction

29
Q

In the Firmagon active controlled study, to what drug was Firmagon compared?

A

Leuprolide

30
Q

In the Firmagon active controlled study, on what day of treatment did more than 90% of patients achieve medical castration range?

A

Day 3

31
Q

In the Firmagon clinical study, what % of patients mainained medical castration rates from day 28 to day 364?

A

98.3% of patients treated with 240/160
97.2% of patients treated with 240/80

32
Q

How often must Firmagon be dosed for maintenance?

A

Monthly