Ziextenzo Generic Name & Formulations
Pegfilgrastim-bmez 6mg/0.6mL; soln for SC inj; preservative-free.
Granulocyte colony stimulating factor.
Single-dose prefilled syringe—1 (w. supplies)
To decrease the incidence of infection, as manifested by febrile neutropenia, in patients with non-myeloid malignancies receiving myelosuppressive anticancer drugs associated with clinically significant incidence of febrile neutropenia.
Limitations of Use
Not for the mobilization of peripheral blood progenitor cells for hematopoietic stem cell transplantation.
Ziextenzo Dosage and Administration
Adults and Children
See full labeling. ≥45kg: Do not give between 14 days before and 24 hours after chemotherapy. 6mg SC once per chemotherapy cycle. Pediatrics weighing 31–44kg: 4mg; 21–30kg: 2.5mg; 10–20kg: 1.5mg; <10kg: 0.1mg/kg. Direct administration of prefilled syringe with doses <6mg is not recommended.
Ziextenzo Boxed Warnings
Monitor for splenomegaly, splenic rupture, acute respiratory distress syndrome (ARDS); evaluate if fever, lung infiltrates, or respiratory distress occurs; discontinue if ARDS diagnosed. Permanently discontinue if serious allergic reactions develop. Sickle cell disorders; discontinue if sickle cell crisis occurs. Monitor for glomerulonephritis; consider dose reduction or interruption if treatment-related. Monitor CBCs, platelet counts during therapy. Discontinue if aortitis is suspected. Myeloid malignancies. Myelodysplasia. Monitor for MDS/AML in those with breast or lung cancer. Possible transient (+) bone imaging changes in nuclear imaging. Latex allergy (needle cap). Pregnancy. Nursing mothers.
Ziextenzo Adverse Reactions
Bone or extremity pain; anaphylaxis, ARDS, splenic rupture, glomerulonephritis, leukocytosis, thrombocytopenia, capillary leak syndrome (monitor closely if occurs), aortitis.
Ziextenzo Clinical Trials
Ziextenzo Patient Counseling