Carmustine

Evidence Level: N/A Predicted Indications: 0

Table of Contents

  1. Carmustine
    1. Pharmacist Assessment Report
    2. Carmustine: Known uses and market status in Australia
    3. Summary
    4. Quick overview
    5. Known uses recorded for this drug
      1. Approved (supported by a licence or label)
      2. Related to an approved indication (same disease category)
      3. Relations recorded in the knowledge graph (no approval found)
    6. Australia Market Information
    7. Cytotoxicity
    8. Safety Considerations
    9. Disclaimer

Pharmacist Assessment Report

Carmustine: Known uses and market status in Australia

Summary

The TxGNN model has no candidate with a score of 0.99 or higher for Carmustine, so there is currently no new predicted indication. The drug’s recorded uses are listed below.

Quick overview

Item Content
New predicted indications None (no model candidate scored 0.99 or higher)
Known uses recorded for this drug 15
Evidence level Not applicable
Australia Market Status Listed on the PBS Schedule (1 of 1 items) – TGA (ARTG) registration status is not included in this data
Number of PBS Items 1 (valid: 1)

Known uses recorded for this drug

Approved (supported by a licence or label)

Indication Source
hodgkin disease licence in another country
non-hodgkin lymphoma licence in another country
Indication Approved category
none none

Relations recorded in the knowledge graph (no approval found)

Indication
alk-positive large b-cell lymphoma
anaplastic astrocytoma
anaplastic ependymoma
anaplastic oligoastrocytoma
anaplastic oligodendroglioma
angiocentric glioma
astroblastoma
b-cell neoplasm
brain cancer
brain glioblastoma
chordoid glioma of the third ventricle
classic hodgkin lymphoma
classic hodgkin lymphoma, lymphocyte-rich type

Australia Market Information

Licence Product Dosage form Status
8898H Gliadel Implants 7.7 mg, 8 Valid

Cytotoxicity

Item Content
Cytotoxicity Classification Conventional cytotoxic (alkylating agent, nitrosourea class)
Myelosuppression Risk High. Delayed and cumulative myelosuppression is expected with systemic or high-dose use
Emetogenicity Classification High for intravenous use; the implant is local
Monitoring Items FBC with differential, liver and renal function, and pulmonary function. Pulmonary toxicity was prominent in the retrieved high-dose studies
Handling Protection Follow cytotoxic drug handling regulations

This is a class-based summary. Please refer to the Product Information (PI) warnings and precautions for product-specific details.


Safety Considerations

No label-based warnings or contraindications were available in the data compiled for this report. Please refer to the TGA-approved Product Information (PI) for these.

  • Contraindication signals (knowledge graph, not label text): Associations include bone marrow and blood conditions (anaemia, leukopenia, thrombocytopenia, acute leukaemias), lung disease including pulmonary fibrosis, liver, kidney and gallbladder disease, infections (including fungal infection and meningitis), brain oedema, hydrocephalus, intracranial abscess and epilepsy.
  • Drug interactions: 100 interactions were recorded. Of those shown, cimetidine is rated Major, naltrexone Moderate and levofloxacin Minor. Most others have an unspecified severity, including proton pump inhibitors, H2 blockers, corticosteroids, ondansetron, aprepitant, morphine and vancomycin.
  • Literature signals: Pulmonary toxicity was common in high-dose regimens (39% in one series). Therapy-related acute leukaemia has also been reported after alkylator treatment of glioma.

Disclaimer

This content is for research purposes only and does not constitute medical advice. Clinical validation is required before any clinical application.



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