Generic Name: Cabazitaxel
Trade Name: Jevtana®
How is this drug used? Jevtana is used in combination with prednisone (a steroid medication) for the treatment of hormone-refractory, metastatic prostate cancer. Previous treatment must have included Taxotere® (docetaxel).
What is the mechanism of action? Jevtana belongs to a group of drugs referred to as microtubule inhibitors. Jevtana produces its anticancer effects by causing abnormalities in microtubule formation in cells. Microtubules are components of cells that provide structural framework that enables cells to divide and grow. The abnormal microtubule formation caused by Jevtana inhibits cellular replication.
How is Jevtana given (administered)? Jevtana is given as an intravenous (IV) infusion, usually every three weeks. The prednisone that is used in combination with Jevtana is taken every day by mouth.
Prior to each infusion of Jevtana, patients receive additional medications to reduce the likelihood of a severe allergic reaction.
How are patients monitored? Patients will usually have scheduled meetings with their healthcare provider while they are being treated with Jevtana. Typically, blood will be drawn to check levels of blood cells and to monitor functions of some organ systems, such as the kidneys or liver. Patients may also undergo physical examinations, scans or other measures to assess side effects and response to therapy.
What are the most common (occur in 10% or more of patients) side effects of treatment with Jevtana?
This is not a complete list of side effects. Some patients may experience other side effects that are not listed here. Patients may wish to discuss with their physician the other less common side effects of this drug, some of which may be serious.
Some side effects may require medical attention. Other side effects do not require medical attention and may go away during treatment. Patients should check with their physician about any side effects that continue or are bothersome.
What can patients do to help alleviate or prevent discomfort and side effects?
Are there any special precautions patients should be aware of before starting treatment?
When should patients notify their physician?
Tell your doctor if you experience any unusual symptoms. Notify your healthcare provider immediately if you experience blood in your urine or symptoms of infection such as fever, cough, burning on urination, or muscle aches. Also notify your doctor or nurse right away if you experience symptoms of an allergic reaction during or soon after treatment with Jevtana. Symptoms of an allergic reaction include rash or itching, skin redness, feeling dizzy or faint, breathing problems, chest or throat tightness, or swelling of the face. Other serious problems to watch for and to discuss with your physician include severe vomiting and diarrhea (which can lead to dehydration and loss of electrolytes) and kidney failure. Signs of kidney failure include swelling of the face or body or a decrease in the amount of urine produced each day.
What is a package insert?
A package insert is required by the FDA and contains a summary of the essential scientific information needed for the safe and effective use of the drug for healthcare providers and consumers. A package insert typically includes information regarding specific indications, administration schedules, dosing, side effects, contraindications, results from some clinical trials, chemical structure, pharmacokinetics and metabolism of the specific drug. By carefully reviewing the package insert, you will get the most complete and current information about how to safely use this drug. If you do not have the package insert for the drug you are using, your pharmacist or physician may be able to provide you with a copy.
Copyright © 2011 CancerConnect Last updated 02/11.
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