Plerixafor

Generic name
Plerixafor
Brand name
ATC Code
L03AX16

Plerixafor

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

Interactions
PK
Renal impairment
References

Pharmacokinetics in children

No information is present at this moment.

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

No information is present at this moment.

Available formulations

No information is present at this moment.

Dosages

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

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]

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.

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.

Interactions

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

IMMUNOSTIMULANTS

This pages provides a list of drugs from the same ATC class for comparison. This does not necessarily mean that these drugs are interchangeable.

Colony stimulating factors
L03AA02
L03AA14
Interferons
L03AB05
L03AB11
L03AB10
Other immunostimulants
L03AX13
L03AX15

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

Changes

Therapeutic Drug Monitoring


Overdose