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DAUNORUBICIN/ CYTARABINE INJ,LYPHL

Clinical Criteria Summary

Exclusion Criteria

  • Hypersensitivity to daunorubicin, cytarabine or any of its components
  • Pregnancy (known pregnancy or positive pregnancy test) and/or actively breastfeeding
  • Prior cumulative anthracycline exposure > 368 mg/m2 daunorubicin or equivalent
  • Class III or IV heart failure symptoms (NYHA staging system)
  • Left Ventricular Ejection Fraction < 50% (via echo, MUGA, MRI, etc.)
  • Uncontrolled infection
  • History of Wilson’s disease or another copper-metabolism disorder
  • Tbili > 2.0 mg/dL (unless with Gilbert’s Syndrome); ALT or AST > 3x ULN
  • Severe renal impairment or end-stage renal disease, defined as Clcr < 30 ml/min

Inclusion Criteria

  • Diagnosis of therapy-related AML (t-AML) OR diagnosis of AML with myelodysplasia-related changes (AML-MRC) OR diagnosis of AML with antecedent MDS or CMML
  • Patient has not received treatment for newly-diagnosed t-AML, AML-MRC or with antecedent MDS or CMML
  • Goals of care and role of Palliative Care Consult have been discussed and documented
  • ECOG Performance Status 0-2
  • For women of childbearing potential: Pregnancy must be excluded prior to receiving; contraceptive counseling on risks vs. benefits provided; effective contraception advised during treatment and for at least 6 months after last dose; males with female partners of reproductive potential advised to use effective contraception during treatment and for at least 6 months after last dose, with counseling that fertility may be compromised; women advised not to breastfeed during treatment and for at least 2 weeks after last dose.

Monitoring

  • Prior to induction: evaluate cardiac function, renal and liver function tests
  • TLS parameters for those at risk
  • Prior to each consolidation cycle: evaluate cardiac function, CBC, renal and liver function tests
  • Pregnancy test (in women of childbearing potential) at baseline

Discontinuation Criteria

  • Signs or symptoms of acute copper toxicity
  • Severe infusion reaction or any life-threatening hypersensitivity reaction
  • Worsening cardiac function, unless benefit outweighs risk (consider cardiology consultation)
  • Decline in ECOG performance status to level unacceptable to maintain quality of life

Dosage & Administration / Clinical Considerations

  • Refer to Product Information for dosing, dose modifications and administration details
  • Boxed warning: DO NOT INTERCHANGE WITH OTHER DAUNORUBICIN AND/OR CYTARABINE-CONTAINING PRODUCTS
  • Antiemetic potential per ASCO Clinical Practice Guidelines 2017: moderate
  • Use appropriate measure to prevent Tumor Lysis Syndrome (TLS)
  • Due to prolonged neutropenia expected following treatment, provide standard antimicrobial prophylaxis for induction of acute leukemia
  • Consider risks vs. benefits in patients with Wilson’s disease, as use in this population has not been studied
  • Concomitant cardiotoxic drugs may increase risk of cardiotoxicity, necessitating more frequent cardiac function assessment
  • Concomitant hepatotoxic drugs may affect liver function, increasing toxicity and necessitating more frequent liver function assessment

Source Documents