Home About

Mylotarg

GEMTUZUMAB OZOGAMICIN

Manufacturer: Wyeth Pharmaceuticals LLC, a subsidiary of Pfizer Inc.

Score: 141.0

Quick Summary

Mylotarg is a CD33-directed antibody-drug conjugate used for the treatment of newly-diagnosed CD33-positive acute myeloid leukemia (AML) in adults and pediatric patients 1 month and older, and for the treatment of relapsed or refractory CD33-positive AML in adults and pediatric patients 2 years and older. The drug has a boxed warning for hepatotoxicity, including severe or fatal hepatic veno-occlusive disease. Important safety information includes infusion-related reactions, hemorrhage, and increased risk of VOD. The recommended dose varies by patient population and treatment regimen, with initial dosing and titration details provided for different conditions. Special population considerations include use during pregnancy, pediatric use, and geriatric use.

Key Clinical Findings and Indications

  • Treatment of newly-diagnosed CD33-positive acute myeloid leukemia (AML) in adults and pediatric patients 1 month and older
  • Treatment of relapsed or refractory CD33-positive AML in adults and pediatric patients 2 years and older

Important Safety Information

Warning

Hepatotoxicity, including severe or fatal hepatic veno-occlusive disease

Contraindications

  • Hypersensitivity to the active substance or any of its components

Adverse Reactions

  • Infusion-related reactions
  • Hemorrhage
  • Increased risk of VOD

Dosing Recommendations

General Guidance

Dose modifications may be necessary for patients with hematologic or non-hematologic toxicities

Newly-diagnosed de novo AML

Adult Dose

3 mg/m2 on Days 1, 4, and 7 in combination with daunorubicin and cytarabine

Pediatric Dose

3 mg/m2 for patients with body surface area (BSA) greater than or equal to 0.6 m2, or 0.1 mg/kg for patients with BSA less than 0.6 m2

Relapsed or refractory AML

Adult Dose

3 mg/m2 on Days 1, 4, and 7

Pediatric Dose

3 mg/m2 on Days 1, 4, and 7 for patients 2 years and older

Special Population Considerations

Pregnancy

  • Use during pregnancy can cause embryo-fetal harm
  • Advise pregnant women of the potential risk to a fetus

Nursing Mothers

  • It is not known whether Mylotarg is excreted in human milk

Pediatric Use

  • The safety and effectiveness of Mylotarg in combination with standard chemotherapy have been established in pediatric patients 1 month and older with newly-diagnosed de novo AML

Geriatric Use

  • No overall differences in safety or effectiveness were observed between elderly patients and younger patients