New Drug Indications - May 2022


nivolumab

Opdivo

Pharmaceutical company: Bristol-Myers Squibb

NEW INDICATION & DOSAGE

Neoadjuvant treatment of resectable non–small-cell lung cancer (tumors of at least 4 cm or node-positive) in combination with platinum-doublet chemotherapy

Adults: 360-mg IV infusion followed by platinum-doublet chemotherapy on the same day every 3 weeks for 3 cycles.

Released: May 2022

Nursing Drug Handbook

© 2022 Wolters Kluwer


sirolimus

Hyftor

Pharmaceutical company: Nobelpharma America

NEW FORM

Topical gel:2 mg/g

INDICATION & DOSAGE

Facial angiofibroma associated with tuberous sclerosis

Adults and children age 12 and older: Apply to facial skin b.i.d. Maximum dose, 800 mg (2.5 cm).

Children ages 6 to 11: Apply to facial skin b.i.d. Maximum dose, 600 mg (2 cm).

Adjust-a-dose: Reevaluate need for the drug if symptoms don’t improve within 12 weeks of treatment.

Released: May 2022

Nursing Drug Handbook

© 2022 Wolters Kluwer


upadacitinib

Rinvoq

Pharmaceutical company: AbbVie

NEW INDICATION & DOSAGE

Moderate to severe active ulcerative colitis after inadequate response or intolerance to one or more TNF blockers

Adults: 45 mg PO once daily for 8 weeks, followed by a maintenance dose of 15 mg once daily. May increase maintenance dose to 30 mg once daily for patients with refractory, severe, or extensive disease. If patient response to 30-mg dose is inadequate, discontinue the drug. Use the lowest effective dose needed to maintain response.

Adjust-a-dose: If the patient has severe renal impairment (eGFR 15 to 29 mL/min/1.73 m2), mild to moderate hepatic impairment (Child-Pugh class A or B), or is taking a strong CYP3A4 inhibitor, give induction dose, 30 mg once daily for 8 weeks; then maintenance dose, 15 mg once daily.

Released: May 2022

Nursing Drug Handbook

© 2022 Wolters Kluwer