Dosages
Side effects in children
Warnings & precautions in children
Contra-indications in children

Interactions
PK
Renal impairment
References

Plerixafor

Generic name
Plerixafor
Brand name
ATC Code
L03AX16

Pharmacokinetics in children

No information is present at this moment.

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dose recommendation of formulary compared to licensed use (on-label versus off-label)

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Available formulations

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Dosages

Mobilization of stem cells
  • Subcutaneous
    • 1 year up to 18 years
      • 0.24 mg/kg/day in 1 dose

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Renal impaiment in children > 3 months

Adjustment in renal impairment as specified:

GFR 50-80 ml/min/1.73 m2
Dose adjustment not needed
GFR 30-50 ml/min/1.73 m2
67 percentage of single dose and dosing interval : 24 uur
GFR 10-30 ml/min/1.73 m2
67 percentage of single dose and dosing interval : 24 uur
GFR < 10 ml/min/1.73 m2
A general recommendation is not provided
Clinical consequences

With impaired renal function, the AUC of plerixafor increases and the half-life is prolonged. As a result, the risk of adverse reactions is increased.


Clinical implications:
In a study with adult volunteers, the AUC of plerixafor increased by 7% at creatinine clearance 51-80 ml/min, 34% at creatinine clearance 31-50 ml/min, and 38% at creatinine clearance ≤ 30 ml/min. Cmax was not affected by renal function.[MacFarland 2010]

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The complete list of all undesirable drug reactions can be found in the national Summary of Product Characteristics (SmPC) – click here

Side effects in children

Side effects in children do not differ from adults.

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The complete list of all contra-indications can be found in the national Summary of Product Characteristics (SmPC) – click here

Contra-indications

No information available on specific contra indications in children.

The complete list of all warnings and precautions can be found in the national Summary of Product Characteristics (SmPC) – click here

Warnings & precautions

No information available on specific warnings and precautions in children.

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Interactions

The complete list of all interactions can be found in the national Summary of Product Characteristics (SmPC) – click here

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References

  1. Genzyme Europe BV, SmPC Mozobil (EU/1/09/537/001) 02-09-2019
  2. NKFK Werkgroep nierfunctiestoornissen, Extrapolatie van KNMP risico analyse "Verminderde nierfunctie" voor volwassenen naar kinderen, 20 Dec 2021
  3. MacFarland R., A pharmacokinetic study of plerixafor in subjects with varying degrees of renal impairment., Biol Blood Marrow Transplant, 2010, 16, 95-101

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Changes

Changes