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Tepmetko

Tepmetko

tepotinib

Manufacturer:

Merck

Distributor:

Zuellig Pharma
Concise Prescribing Info
Contents
Tepotinib HCl hydrate
Indications/Uses
Metastatic NSCLC harbouring mesenchymal-epithelial transition factor gene exon 14 (METex14) skipping alterations.
Dosage/Direction for Use
Adult 2 tab once daily until disease progression or unacceptable toxicity.
Administration
Should be taken with food: Swallow whole, do not crush/chew.
Contraindications
Special Precautions
Permanently discontinue use if ILD is confirmed. Hepatotoxicity. Assess for presence of METex14 skipping alterations prior to initiation. Monitor for new or worsening pulmonary symptoms indicative of ILD-like reactions; liver enzymes & bilirubin prior to, every 2 wk during 1st 3 mth of treatment then once mthly. Interference w/ creatinine & renal function lab tests. Not to be taken by patients w/ galactose intolerance, total lactase deficiency or glucose-galactose malabsorption. May affect ability to drive & use machines. Severe hepatic (Child-Pugh Class C) & renal (CrCl <30 mL/min) impairment. Women of childbearing potential & male patients w/ female partners should use effective contraception during & for at least 1 wk after last dose. Not to be used during pregnancy, lactation & for at least 1 wk after last dose. Paed <18 yr.
Adverse Reactions
Decreased albumin; nausea, diarrhoea, increased amylase & lipase, vomiting; increased alkaline phosphatase, ALT & AST; increased creatinine; oedema. QT prolongation; ILD-like reactions.
Drug Interactions
Decreased exposure w/ strong P-gp (eg, carbamazepine, phenytoin, rifampicin, St. John's wort) & CYP inducers. Increased exposure w/ dual strong CYP3A & P-gp inhibitors eg, itraconazole. Inhibited transport of sensitive P-gp & BCRP substrates. Altered exposure to metformin. Monitor clinical effects of P-gp dependent substrates w/ narrow therapeutic index eg, digoxin.
MIMS Class
Targeted Cancer Therapy
ATC Classification
L01EX21 - tepotinib ; Belongs to the class of other protein kinase inhibitors. Used in the treatment of cancer.
Presentation/Packing
Form
Tepmetko FC tab 225 mg
Packing/Price
60's
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