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SAFETY profile

Adverse Reaction1

N=137

All Grades (%)

Grade 3-4 (%)

Vascular disorders
Hot flusha 50 0
Hypertensionb 15 0
General disorders and administration site conditions
Injection site reactionsc 11 0
Fatigued 10 0
Infections and infestations
Upper respiratory tract infectione 11 0
Musculoskeletal and connective tissue disorders
Musculoskeletal painf 11 0
Pain in extremity 10 0
Arthralgia 7 0
Renal and urinary disorders
Micturition urgencyg 6 0
Nocturia 6 0
Nervous system disorders
Dizzinessh 5 0.7

a Includes hot flush and flushing

b Includes hypertension, essential hypertension, and blood pressure increased

c Includes injection site pain, injection site erythema, injection site hemorrhage, injection site nodule, injection site paraesthesia, injection site pruritus, and injection site warmth

d Includes fatigue and asthenia

e Includes upper respiratory tract infection, sinusitis, and nasopharyngitis

f Includes musculoskeletal pain, back pain, and bone pain

g Includes micturition urgency and dysuria

h Includes dizziness, dizziness postural, vertigo, and vertigo positional

Serious adverse reactions occurred in 15% of patients who received CAMCEVI®, including 1% of patients who experienced subdural hematoma. Fatal adverse reactions occurred in 2% of patients, including cerebrovascular accident (0.7%) and pulmonary embolism (0.7%).1

The most common adverse reactions (≥10%) occurring during a median follow-up duration of 336 days were hot flush, hypertension, injection site reactions, upper respiratory tract infections, musculoskeletal pain, fatigue, and pain in extremity.1

Adverse Reaction1
N=137
All Grades (%) Grade 3-4 (%)
Vascular disorders
Hot flusha
50 0
Hypertensionb
15 0
General disorders and administration site conditions
Injection site reactionsc
11 0
Fatigued
10 0
Infections and infestations
Upper respiratory tract infectione
11 0
Musculoskeletal and connective tissue disorders
Musculoskeletal painf
11 0
Pain in extremity
10 0
Arthralgia
7 0
Renal and urinary disorders
Micturition urgencyg
6 0
Nocturia
6 0
Nervous system disorders
Dizzinessh
5 0.7

a Includes hot flush and flushing

b Includes hypertension, essential hypertension, and blood pressure increased

c Includes injection site pain, injection site erythema, injection site hemorrhage, injection site nodule, injection site paraesthesia, injection site pruritus, and injection site warmth

d Includes fatigue and asthenia

e Includes upper respiratory tract infection, sinusitis, and nasopharyngitis

f Includes musculoskeletal pain, back pain, and bone pain

g Includes micturition urgency and dysuria

h Includes dizziness, dizziness postural, vertigo, and vertigo positional

Serious adverse reactions occurred in 15% of patients who received CAMCEVI®, including 1% of patients who experienced subdural hematoma. Fatal adverse reactions occurred in 2% of patients, including cerebrovascular accident (0.7%) and pulmonary embolism (0.7%).1

The most common adverse reactions (≥10%) occurring during a median follow-up duration of 336 days were hot flush, hypertension, injection site reactions, upper respiratory tract infections, musculoskeletal pain, fatigue, and pain in extremity.1

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    IMPORTANT SAFETY INFORMATION

    Do not use CAMCEVI® in patients with hypersensitivity to GnRH, GnRH agonist analogs, or any of the components of CAMCEVI as anaphylactic reactions to these drugs have been reported in the medical literature.

    CAMCEVI, like other GnRH agonists, causes a transient increase in serum levels of testosterone during the first week of treatment which can cause transient worsening of symptoms. As with other GnRH agonists, cases of ureteral obstruction and spinal cord compression have been observed, which may contribute to paralysis with or without fatal complications.

    Patients with metastatic vertebral lesions and/or with urinary tract obstruction should be closely observed during the first few weeks of therapy.

    Hyperglycemia and an increased risk of developing diabetes have been reported in men receiving GnRH agonists. Blood glucose levels should be monitored and managed according to current clinical practice.

    Increased risk of myocardial infarction, sudden cardiac death, and stroke has been reported in association with the use of GnRH agonists. The risk appears low based on the reported odds ratios, and should be evaluated carefully along with cardiovascular risk factors when determining a treatment for patients with prostate cancer. Patients should be monitored for cardiovascular disease and be managed according to current clinical practice.

    Androgen deprivation therapy may prolong the QT/QTc interval. Consider periodic monitoring of electrocardiograms and electrolytes.

    Convulsions have been reported in patients receiving GnRH agonists, like CAMCEVI. Patients experiencing convulsions should be managed according to the current clinical practice.

    CAMCEVI can cause severe cutaneous adverse reactions (SCARs), including Stevens-Johnson syndrome/toxic epidermal necrolysis, drug reaction with eosinophilia and systemic symptoms (DRESS), and acute generalized exanthematous pustulosis (AGEP). Interrupt CAMCEVI if signs or symptoms of SCARs develop. Permanently discontinue if SCARs are confirmed.

    Monitor serum levels of testosterone following injection of CAMCEVI.

    Based on findings in animal studies and mechanism of action, CAMCEVI may cause fetal harm when administered to pregnant women.

    The most common (≥10%) adverse reactions during a median follow-up of 336 days were hot flush, hypertension, injection site reactions, upper respiratory tract infections, musculoskeletal pain, fatigue, and pain in extremity.

    INDICATION

    CAMCEVI is indicated for the treatment of adult patients with advanced prostate cancer.

    Click here for full Prescribing Information.

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    Reference:

    1. CAMCEVI. Prescribing information. Accord BioPharma.

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