Treatment FAQ

azacitidine treatment for which type of cancer

by Lula Altenwerth Published 3 years ago Updated 2 years ago
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Azacitidine is a cancer treatment and is also called by its brand name, Vidaza. It is a treatment for people who can't have high dose treatment with a stem cell transplant for the following conditions: chronic myelomonocytic leukaemia (CMML) acute myeloid leukaemia
acute myeloid leukaemia
Acute myeloid leukemia (AML) is a cancer of the myeloid line of blood cells, characterized by the rapid growth of abnormal cells that build up in the bone marrow and blood and interfere with normal blood cell production.
https://en.wikipedia.org › wiki › Acute_myeloid_leukemia
(AML)

Full Answer

Can Vidaza cure AML?

Vidaza reduces the symptoms, reduce the risk of AML and improves the overall quality of life; it is safe and effective for elderly patients as well. Studies have shown that many patients benefit and live longer with Vidaza than with conventional treatment.

Is Lenvima a chemo drug?

KEYTRUDA and LENVIMA have each received orphan drug designation in Japan for endometrial carcinoma. In addition to advanced endometrial carcinoma, Merck and Eisai continue to study the KEYTRUDA plus LENVIMA combination across several types of cancer with more than 20 clinical trials.

Does chemo cause cancer?

The cancers most often linked to chemo are myelodysplastic syndrome (MDS) and acute myelogenous leukemia (AML). Sometimes, MDS occurs first, then turns into AML. Acute lymphocytic leukemia (ALL) has also been linked to chemo. Chemo is known to be a greater risk factor than radiation therapy in causing leukemia.

Is chemotherapy used to treat myelodysplastic syndrome?

Treatment for myelodysplastic syndromes includes supportive care, drug therapy, and stem cell transplantation. Three types of standard treatment are used: Supportive care Drug therapy; Chemotherapy with stem cell transplant; New types of treatment are being tested in clinical trials. Treatment for myelodysplastic syndromes may cause side effects.

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What is azacitidine used to treat?

Azacitidine injection is used to treat patients with French-American-British (FAB) myelodysplastic syndrome subtypes, including refractory anemia or chronic leukemia. Azacitidine belongs to the group of medicines called metabolites. It interferes with the growth of cancer cells, which are eventually destroyed.

Is azacitidine a chemotherapy drug?

Drug Type: Azacitadine is a cytotoxic chemotherapy drug. This medication is classified as an antimetobolite and a demethylating agent (for more detail, see "How Azacitadine Works" below).

When should I take azacitidine?

Azacitidine is used to treat myelodysplastic syndrome (a group of conditions in which the bone marrow produces blood cells that are misshapen and does not produce enough healthy blood cells). Azacitidine is in a class of medications called demethylation agents.

Does azacitidine cure MDS?

Azacitidine is a chemotherapy drug, however, it is a "hypomethylating agent". Hypomethylating agents are considered a non-intensive treatment. They are aimed at slowing the progression of the disease with as few side effects as possible, maintaining a good quality of life. They will not cure MDS but may 'modify' it.

How long can you stay on azacitidine?

We strongly recommend that patients be treated with azacitidine for a minimum of 6 months, and that in patients who achieve a documented response or stable disease (sd), treatment be continued until disease progression or unacceptable toxicity occurs.

How long can you live with azacitidine?

Generally, long term prognosis is poor with a median overall survival of 30 months and a relatively high risk of leukemic transformation, up to 30%.

Do you lose your hair with azacitidine?

Your hair may get thinner. But you are unlikely to lose all the hair from your head. Hair loss usually starts after your first or second treatment. It is almost always temporary, and your hair will usually grow back after treatment finishes.

Can azacitidine be given at home?

A nurse or other trained health professional will give you this medicine. You may also be taught how to give your medicine at home. This medicine is given as a shot under your skin or into a vein. This medicine is given once a day, for 7 days (1 treatment cycle).

Is azacitidine an immunotherapy?

Azacitidine may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth. Immunotherapy with monoclonal antibodies, such as pembrolizumab, may help the body's immune system attack the cancer, and may interfere with the ability of tumor cells to grow and spread.

What is the latest treatment for MDS?

FDA Approves New Therapy for Myelodysplastic Syndromes (MDS) That Can Be Taken at Home. Today, the U.S. Food and Drug Administration approved Inqovi (decitabine and cedazuridine) tablets for treatment of adult patients with myelodysplastic syndromes (MDS) and chronic myelomonocytic leukemia (CMML).

What is the best treatment for MDS?

A bone marrow transplant, also known as a stem cell transplant, is the only treatment option that offers the potential of a cure for myelodysplastic syndromes.

What type of chemo is used for MDS?

The chemo drug most often used for MDS is cytarabine (ara-C). It can be given by itself at a low-dose, which can often help control the disease, but doesn't often put it into remission. Another option is to give the same, intense type of chemo that is used for younger patients with AML.

How does azacitidine work?

How it works. Azacitidine is a type of drug called a hypomethylating agent. It works by switching off a protein called DNA methyltransferase. This switches on genes that stop the cancer cells growing and dividing. This reduces the number of abnormal blood cells and helps to control cell growth.

How long does azacitidine last?

You can also have it every day, for 5 days. Then have 2 days off and have azacitidine again for 2 days at the start of the next week.

What is a vidaza?

Azacitidine (Vidaza) Azacitidine is a cancer treatment and is also called by its brand name, Vidaza. It is a treatment for people who can’t have high dose treatment with a stem cell transplant for the following conditions: chronic myelomonocytic leukaemia (CMML) acute myeloid leukaemia (AML) myelodysplastic syndrome.

Can cancer drugs interact with other drugs?

Cancer drugs can interact with some other medicines and herbal products. Tell your doctor or pharmacist about any medicines you are taking. This includes vitamins, herbal supplements and over the counter remedies.

How is azacitadine given?

How Azacitadine Is Given. As a once daily subcutaneous (under the skin) injection or as an IV (intravenous) injection. As a tablet taken by mouth. Additional instructions for tablet formulation. Do not split, crush or chew tablets. Take a dose about the same time each day.

What are the side effects of Azacitadine?

The following side effects are common (occurring in greater than 30%) for patients taking azacitadine: Low blood counts (low white blood cells, platelets, and red blood cells)

What are some examples of medications that destroy cancer cells?

Examples of medications that destroy cancer cells include cytotoxic chemotherapy, targeted therapy, immunotherapy, and antibody-drug conjugates.

What are the cells that are most affected by chemo?

The "normal" cells most commonly affected by chemotherapy are the blood cells, the cells in the mouth, stomach and bowel, and the hair follicles; resulting in low blood counts, mouth sores, nausea, diarrhea, and/or hair loss. Different drugs may affect different parts of the body.

What is the generic name for Vidaza?

Azacitadine is the generic name for the trade name drugs Vidaza or Onureg. In some cases, health care professionals may use trade name or the generic name when referring to the drug.

Does chemotherapy stop the cell cycle?

Cancer cells no longer have normal checks and balances in the cell cycle process which leads to uncontrolled cell growth and division. Chemotherapy stops the cell cycle which leads to cell death.

Does azacitadine have CBC?

You will be checked regularly by your doctor while you are taking azacitadine, to monitor side effects and check your response to therapy. Periodic blood work will be obtained to monitor your complete blood count (CBC) as well as the function of other organs (such as your kidneys and liver) will also be ordered by your doctor.

Who gives azacitidine?

You will be given azacitidine in the chemotherapy day unit. A chemotherapy nurse will give it to you. During treatment, you usually see a blood cancer doctor (haematologist), a chemotherapy nurse or a specialist nurse, and a specialist pharmacist. This is who we mean when we mention doctor or nurse in this information.

How does azacitidine work?

Azacitidine is given as an injection into the fatty tissue under the skin (subcutaneous injection). It may cause redness, itching, bruising and swelling where it is given (injection site). This can be uncomfortable, but will usually improve after several days. To reduce the irritation, your nurse will change the injection site with each injection they give. They can also give you advice on how to relieve any discomfort.

What is Vidaza used for?

Azacitidine (Vidaza®) Azacitidine is also known as Vidaza ®. It is used to treat myelodysplastic syndromes (MDS) and certain types of leukaemia.

How do nurses tell you when to give azacitidine?

Your nurse will tell you when your treatment is likely to be ready. Your nurse usually gives you anti-sickness (anti-emetic) drugs before the chemotherapy. They usually give you azacitidine as an injection under the skin (subcutaneously). It can be given in your tummy, upper arm or thigh.

What to do if you have cancer?

Medical and dental treatment. If you need medical treatment for any reason other than cancer, always tell the doctors and nurses you are having cancer treatment . Give them the contact details for your cancer doctor so they can ask for advice. If you think you need dental treatment, talk to your cancer doctor or nurse.

Do you have to have a blood test before cancer treatment?

It is important to follow any specific advice your cancer treatment team gives you. The number of white blood cells will usually return to normal before your next treatment. You will have a blood test before having more treatment.

Why is azacitidine given?

Azacitidine is given to help increase blood cell counts, reduce the risk of infection, reduce the amount of blood transfusions needed, decrease the risk of bleeding, and to prevent MyeloDysplastic Syndrome (MDS) from transforming to acute leukemia. Azacitidine is not commonly given with the goal of cure.

How often do you get azacitidine?

If azacitidine is scheduled to be given for 7 days each cycle and you need weekends off, you may receive days 1 - 5 of azacitidine on Monday-Friday, skip Saturday and Sunday, then resume treatment on Monday and Tuesday, on days 6 and 7. Azacitidine is repeated every 28 days. This is known as one cycle.

What doctor will take care of cancer patients after surgery?

A cancer doctor will typically take over coordinating care and monitoring after surgery has been performed to remove the cancer. An oncologist or hematologist will help determine if medications may be needed to get rid of any remaining cancer cells, or to help prevent the cancer from coming back.

What foods interact with anti-cancer pills?

For example, grapefruit and grapefruit juice commonly interacts with certain anti-cancer pills.

How many people discontinue Azacitidine?

Side effects sometimes have percentage ranges [example 38 – 45%] because they differed between in clinical studies: On average, 3 - 9% of patients discontinue azacitidine due to unacceptable side effects.

Can anti-cancer drugs be reduced?

Prognosis. Certain anti-cancer medications can be reduced without affecting the overall chances of getting rid of the cancer. Your doctor or clinical pharmacist may be able to answer this question for you based upon the specific cancer and treatment. Sometimes dose reductions are made due to side effects.

Does Medicare preauthorize Vidaza?

Medicare and Medicaid patients (Patients 65 years or older): The clinic providing treatment will likely pre-authorize medications and immune therapies such as Azacitidine (Vidaza®) and are the best source to help you understand drug cost.

What is this drug used for?

It is used to treat a health problem called myelodysplastic syndrome (MDS).

What do I need to tell my doctor BEFORE I take this drug?

If you are allergic to this drug; any part of this drug; or any other drugs, foods, or substances. Tell your doctor about the allergy and what signs you had.

What are some things I need to know or do while I take this drug?

Tell all of your health care providers that you take this drug. This includes your doctors, nurses, pharmacists, and dentists.

What are some side effects that I need to call my doctor about right away?

WARNING/CAUTION: Even though it may be rare, some people may have very bad and sometimes deadly side effects when taking a drug. Tell your doctor or get medical help right away if you have any of the following signs or symptoms that may be related to a very bad side effect:

What are some other side effects of this drug?

All drugs may cause side effects. However, many people have no side effects or only have minor side effects. Call your doctor or get medical help if any of these side effects or any other side effects bother you or do not go away:

How is this drug best taken?

Use this drug as ordered by your doctor. Read all information given to you. Follow all instructions closely.

General drug facts

If your symptoms or health problems do not get better or if they become worse, call your doctor.

What is azacitidine used for?

Azacitidine oral is used to treat acute myeloid leukemia in people who are in remission but cannot finish other treatments for this condition. Azacitidine injection is used to treat certain types of bone marrow cancers and blood cell disorders.

What to do if Vidaza gets on your skin?

If any Vidaza accidentally gets on your skin, wash it thoroughly with soap and warm water. Your treatment schedule may be different. Your doctor will determine how long to treat you with azacitidine. Onureg should not be used in place of Vidaza.

Can azacitidine harm a baby?

Azacitidine can harm an unborn baby if the mother or the father is using this medicine. If you are a woman, you may need to have a negative pregnancy test before starting this treatment. Do not use azacitidine if you are pregnant. Use effective birth control to prevent pregnancy while you are using this medicine.

Can you take azacitidine if you are allergic to mannitol?

You should not use azacitidine if you are allergic to it. You should not be treated with azacitidine injection if you are allergic to mannitol, or if you have advanced liver cancer. Tell your doctor if you have ever had: kidney disease; or. liver disease.

Can azacitidine be used for birth control?

Both men and women using azacitidine should use effective birth control to prevent pregnancy. Azacitidine can harm an unborn baby if the mother or father is using this medicine. You should not be treated with azacitidine injection if you are allergic to mannitol, or if you have advanced liver cancer.

Does azacitidine help with nausea?

You may also be given medicine to reduce nausea and vomiting. Use this medicine only as prescribed. Azacitidine can lower blood cells that help your body fight infections and help your blood to clot. Your blood will need to be tested often. Your kidney function may also need to be tested.

How does azacitidine stop cancer cells from spreading?

Drugs used in chemotherapy, such as azacitidine, work in different ways to stop the growth of cancer cells, either by killing the cells, by stopping them from dividing, or by stopping them from spreading . Romidepsin may stop the growth of cancer cells by blocking some of the enzymes needed for cell growth.

What is azacitidine used for?

Azacitidine and Romidepsin in Treating Patients with Relapsed or Refractory Lymphoid Malignancies - National Cancer Institute.

How often do you take azacitidine?

Patients receive azacitidine orally (PO) once daily (QD) on days 1-14 or 1-21 and romidepsin intravenously (IV) over 4 hours on days 8 and 15 or 8, 15, and 22. Courses repeat every 21 (dose levels 1-4) or 28 (dose levels 5-6) days in the absence of disease progression or unacceptable toxicity.

What is a concurrent malignancy in nursing?

Nursing women. Active concurrent malignancy (except non-melanoma skin cancer or carcinoma in situ of the cervix); patients whose lymphoma has transformed from a less aggressive histology remain eligible. Patients known to be human immunodeficiency virus (HIV)-positive.

Does azacitidine work with romidepsin?

This phase I / II trial studies the side effects and best dose of azacitidine when given together with romidepsin and to see how well they work in treating patients with lymphoid malignancies that have come back or do not respond to treatment. Drugs used in chemotherapy, such as azacitidine, work in different ways to stop the growth of cancer cells, either by killing the cells, by stopping them from dividing, or by stopping them from spreading. Romidepsin may stop the growth of cancer cells by blocking some of the enzymes needed for cell growth. Giving azacitidine together with romidepsin may be an effective treatment for lymphoid malignancies.

Funding & Reimbursement

Several payment sources exist for cancer drugs in Ontario, depending on the drug, disease indication, and how and where it is delivered.

Symptom Management

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Drug Safety and Administration

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