Leucomax (Novartis): Full Drug Profile
Leucomax (Novartis) - General Information
Human, recombinant GM-CSF, expressed in yeast. Glycoprotein that is 127 residues. Substitution of Leu23 leads to a difference from native protein.
Pharmacology of Leucomax (Novartis)
Leucomax (Novartis) is used in the treatment of bone marrow transplant recipients or those exposed to chemotherapy an recovering from acut myelogenous leukemia, Leukine or GM-CSF is a hematopoietic growth factor which stimulates the survival, clonal expansion (proliferation) and differentiation of hematopoietic progenitor cells. GM-CSF is also capable of activating mature granulocytes and macrophages. After a bone marrow transplant or chemotherapy, patients have a reduced capacity to produce red and white blood cells. Supplementing them with external sources of GM-CSF helps bring the level of neutrophils back to normal so that they can better fight infections.
Leucomax (Novartis) for patients
Leucomax (Novartis) Interactions
Interactions between Leukine and other drugs have not been fully evaluated. Drugs which may potentiate the myeloproliferative effects of Leukine, such as lithium and corticosteroids, should be used with caution.
Leucomax (Novartis) Contraindications
Leukine is contraindicated:
1) in patients with excessive leukemic myeloid blasts in the bone marrow or peripheral blood (3 10%).
2) in patients with known hypersensitivity to GM-CSF, yeast-derived products or any component of the product.
3) for concomitant use with chemotherapy and radiotherapy.
Due to the potential sensitivity of rapidly dividing hematopoietic progenitor cells, Leukine should not be administered simultaneously with cytotoxic chemotherapy or radiotherapy or within 24 hours preceding or following chemotherapy or radiotherapy. In one controlled study, patients with small cell lung cancer received Leukine and concurrent thoracic radiotherapy and chemotherapy or the identical radiotherapy and chemotherapy without Leukine. The patients randomized to Leukine had significantly higher incidence of adverse events, including higher mortality and a higher incidence of grade 3 and 4 infections and grade 3 and 4 thrombocytopenia.11
Additional information about Leucomax (Novartis)
- Leucomax (Novartis) Indication
For the treatment of cancer and bone marrow transplant
- Mechanism Of Action
- Leucomax (Novartis) binds to the Granulocyte-macrophage colony stimulating factor receptor (GM-CSF-R-alpha or CSF2R) which stimulates a JAK2 STAT1/STAT3 signal transduction pathway. This leads to the production of hemopoietic cells and neutrophils
- Generic Name
- Sargramostim
- Synonyms
- CSF; Colony-stimulating factor; GM-CSF; Granulocyte-macrophage colony-stimulating factor precursor; Molgramostin
- Drug Category
- Immunomodulatory Agents; Antineoplastic Agents; Anti-Infective Agents
- Drug Type
- Biotech; Approved; Investigational
- Other Brand Names containing Sargramostim
- Immunex; Leucomax (Novartis); Leukine (Berlex Laboratories Inc);
- Dosage Forms of Leucomax (Novartis)
- Injection, solution Subcutaneous
- Chemical IUPAC Name
- Human granulocyte macrophage colony stimulating factor
- Chemical Formula
- C639H1006N168O196S8
- Sargramostim on Wikipedia
- https://en.wikipedia.org/wiki/Sargramostim
- Organisms Affected
- Humans and other mammals
