Bezlotoxumab

Generic name
Bezlotoxumab
Brand name
ATC Code
J06BC03

Bezlotoxumab

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

Interactions
PK
Renal impairment
References

Pharmacokinetics in children

  1-4 years (n=20) 4-7 years (n=13) 7-12 years (n=21) 12-18 years (n=37)
                                   Geometric mean (%CV)
Cmax (mcg/ml) 112 (37,4%) 136 (32,2 %) 143 (24,0 %) 155 (28,2 %)
T1/2 (days) 18,4 (32 %) 17,6 (36,6 %) 18,2 (35,3 %) 21,7 (22,1 %)*
Clearance (l/day) 0,07 (33,2 %) 0,116 (44,2 %) 0,171 (45 %) 0,24 (33,7 %)*
Volume of distribution (l) 1,85 (39,1 %) 2,95 (36,8 %) 4,51 (27,7 %) 7,5 (33,3 %)*

*- n=36; FK parameters, except Cmax, could not be determined in one person due to an
incomplete concentration-time profile
Source: SmPC Zinplava

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

Prevention of recurrence of Clostridium difficile infection
  • Intravenous
    • 1 year up to 18 years
      • 10 mg/kg/dose, once only. infusion in 60 minutes.

Renal impaiment in children > 3 months

GFR ≥10 ml/min/1.73m2: Dose adjustment not required.

GFR <10 ml/min/1.73m2: A general recommendation on dose adjustment cannot be provided.

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 matches that of 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

IMMUNOGLOBULINS

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

Immunoglobulins, normal human
J06BA02
J06BA01
Specific immunoglobulins
J06BB01
J06BB04
J06BB02
J06BB03
IMMUNOGLOBULINS, NORMAL HUMAN
J06BA02
J06BA01
Antiviral monoclonal antibodies
J06BD07
J06BD08
J06BD01

Reference

  1. Merck Sharp & Dohme B.V., SmPC Zinplava (EU/1/16/1156/001-2) Rev 10; 18-07-2023, www.ema.europa.eu

Changes

Therapeutic Drug Monitoring


Overdose