Indication and Usage of Ibrutinib
Ibrutinib comes under the brand name Imbruvica. It is an anticancer medicine that belongs to a class of drugs called protein kinase inhibitors. The ibrutinib medication is available as immediate-release oral capsules and immediate-release oral tablets. Ibrutinib capsules for oral administration are available in the following dosage strengths: 70 mg and 140 mg. Although, ibrutinib tablets for oral administration are available in the following dosage strengths: 140 mg, 280 mg, 420 mg, and 560 mg.
Ibrutinib is used for the treatment of the following blood cancers in adults:
Mantle Cell
Lymphoma: Ibrutinib
is prescribed for the treatment of adult patients with MCL (mantle cell lymphoma)
who have received at least 1-prior therapy.
Chronic
Lymphocytic Leukemia/Small Lymphocytic Lymphoma: Ibrutinib is
prescribed for the treatment of adult patients with chronic lymphocytic
leukemia (CLL)/small lymphocytic lymphoma (SLL).
Chronic
Lymphocytic Leukemia/Small Lymphocytic Lymphoma with 17p deletion: Ibrutinib is
prescribed for the treatment of adult patients with chronic lymphocytic
leukemia (CLL)/small lymphocytic lymphoma (SLL) with 17p deletion.
Waldenström’s
Macroglobulinemia: Ibrutinib is prescribed for the treatment of
adult patients with Waldenström’s macroglobulinemia (WM).
Marginal Zone
Lymphoma (MZL): Ibrutinib is prescribed for the treatment of
adult patients with MZL (marginal zone lymphoma (MZL) who require systemic therapy
and have received at least 1-prior anti-CD20-based therapy.
Chronic Graft
versus Host Disease: Ibrutinib is prescribed for the treatment of
adult patients with chronic graft-versus-host disease (cGVHD) after the failure of
single or multiple lines of systemic therapy.
Mechanism of
Action: In
Mantle Cell Lymphoma, Chronic Lymphocytic Leukemia, and Waldenström’s
Macroglobulinemia, ibrutinib 140 mg capsule works
by inhibiting the Bruton's tyrosine kinase, a protein in the body that favors
these cancerous cells grow and survive. By inhibiting this protein, Ibrutinib
helps kill and decrease the number of cancerous cells. This medication also
resists the worsening of cancer.
Dosage: Ibrutinib
dosage should be administered orally once daily with a glass of water at around
the same time each day. Ibrutinib capsules or tablets need to be swallowed
whole with water. It is not recommended to open, break, or chew the Ibrutinib
capsules. Do not break or chew the tablets. This medication must not be taken
with grapefruit juice. Ibrutinib should continue until the disease is
progressive or no longer tolerated by the patient.
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