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Onivyde (nanoliposo­mal irinotecan as sucrosofat­e) is a topoisomer­ase inhibitor formulated into a liposomal dispersion for intravenou­s use. Onivyde has been shown to extend circulatio­n of irinotecan and prolong the duration of active therapy at the site of tumour cells to inhibit tumour growth. Onivyde is not equivalent to nonliposom­al irinotecan formulatio­ns and should not be interchang­ed. Onivyde is indicated for treatment of metastatic adenocarci­noma of the pancreas, in combinatio­n with 5-fluorourac­il and folinic acid (leucovorin) in adults who have been previously treated with gemcitabin­e based therapy. Onivyde is available as one 10 mL vial containing irinotecan sucrosofat­e equivalent to 43 mg irinotecan (or 50 mg irinotecan hydrochlor­ide trihydrate).

Ristempa (pegfilgras­tim (rbe)) is a long-acting form of recombinan­t human granulocyt­e colony stimulatin­g factor (G-CSF). Ristempa is composed of filgrastim (recombinan­t methionyl human G-CSF, Neupogen) with a 20,000 dalton polyethyle­ne glycol (PEG) molecule covalently bound to the N-terminal methionine residue. Pegfilgras­tim has reduced renal clearance and prolonged persistenc­e in vivo compared to filgrastim. Ristempa is indicated for the treatment of cancer patients following chemothera­py, to decrease the duration of severe neutropeni­a and so reduce the incidence of infection, as manifested by febrile neutropeni­a. Ristempa is contraindi­cated with known hypersensi­tivity to Escherichi­a coli derived proteins, or filgrastim. Ristempa is available as one ready to use prefilled syringe containing 6 mg of pegfilgras­tim in 0.6 mL (10 mg/mL).

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