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

Interactions
PK
Renal impairment
References

Lipegfilgrastim

Generic name
Lipegfilgrastim
Brand name
ATC Code
L03AA14

Pharmacokinetics in children

Farmacokinetische en farmacodynamische modellering van pediatrische gegevens (leeftijd van 2 tot <18 jaar met toegediende doses van 100 ug/kg), met inbegrip van aanvullende gegevens uit het fase II onderzoek  en gecombineerd met eerdere farmacokinetische gegevens van volwassenen, ondersteunt dat vergelijkbare serumblootstellingen aan lipegfilgrastim werden bereikt bij
pediatrische patiënten als bij volwassen patiënten (SmPC)

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

No information is present at this moment.

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Available formulations

No information is present at this moment.

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Dosages

Neutropenia resulting from cytotoxic chemotherapy
  • Subcutaneous
    • 2 years up to 18 years
      • 24 hours after the chemo cylce: 0.1 mg/kg/dose, once only per chemotherapeutic cycle. Max: 6 mg/dose.
      • If the white blood cell count exceeds 50 x 109 /l after the expected nadir, lipegfilgrastim should be discontinued immediately.

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Renal impaiment in children > 3 months

Due to the neutrophil-mediated clearance mechanism, the pharmacokinetics of lipegfilgrastim are not expected to be affected by renal impairment.(SmPC)

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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

The safety profile in children is generally similar to that in adults. Some blood and lymphatic system disorders (anemia, lymphopenia, thrombocytopenia) and gastrointestinal system disorders (vomiting) were observed more frequently in children than in adults in clinical studies. 

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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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Reference

  1. Teva B.V., SmPC Lonquex (EU/1/13/856) Rev 24, 18-10-2022, www.ema.europa.eu

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Changes

Changes