What Oncozar is and what it is used for?
Oncozar belongs to a group of medicines called “cytotoxics”. These medicines kill dividing cells, including cancer cells. Oncozar may be given alone or in combination with other anti-cancer medicines, in the treatment of the following types of cancer:
• Advanced ovarian cancer, in combination with carboplatin
Before you are given Oncozar
You should not be given Oncozar:
Warnings and precautions
Before the first infusion you will have sample of your blood taken to evaluate if you have sufficient kidneys and liver function. Before each infusion you will have samples of your blood taken to evaluate if you have enough blood cells to receive Oncozar. Your doctor may decide to change the dose or delay treating you depending on your general condition and if your blood cell counts are too low. Periodically you will have sample of your blood taken to evaluate your kidneys and liver function. Tell your doctor if:
Children and adolescents
This medicine is not recommended for use in children under 18 years of age due to insufficient data on safety and efficacy.
Other medicines and Oncozar
Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines, including vaccinations and medicines obtained without a prescription.
Pregnancy, breast-feeding and fertility
If you are pregnant, or thinking about becoming pregnant, tell your doctor. The use of Oncozar should be avoided during pregnancy. Your doctor will discuss with you the potential risk of taking Oncozar during pregnancy.
If you are breast-feeding, tell your doctor. You must discontinue breast-feeding during Oncozar treatment. Because of the potential risk to a fetus, females of reproductive potential should use effective contraception during treatment with Oncozar and for 6 months after the final dose.
Because of the potential genotoxicity, males with female partners of reproductive potential should use effective contraception during treatment with Oncozar and for 3 months after the final dose.
If you are a man being treated with Oncozar you are advised not to father a child during treatment and up to 6 months after treatment and to seek advice on conservation of sperm prior to treatment because Oncozar may alter male fertility.
Driving and using machines
Oncozar may make you feel sleepy, particularly if you have consumed any alcohol. Do not drive a car or use machinery until you are sure that Oncozar treatment has not made you feel sleepy.
Oncozar contains Sodium
Oncozar contains 2.11 mg (< 1 mmol) of sodium in each 200 mg vial and 10.56 mg (< 1 mmol) sodium in each 1 g vial, which it is required to be taken into consideration by patients on a controlled sodium diet.
How Oncozar is given?
Use aseptic techniques during the reconstitution and any further dilution of Oncozar for intravenous infusion administration. Calculate the dose and the number of Oncozar vials needed. The usual dose of Oncozar is 1000-1250 mg for every square metre of your body’s surface area. Your height and weight are measured to work out the surface area of your body. Your doctor will use this body surface area to work out the right dose for you. This dosage may be adjusted, or treatment may be delayed depending on your blood cell counts and on your general condition.
Oncozar 200 mg: Reconstitute each 200 mg vial with 5 ml of 9 mg/ml (0.9%) sodium chloride solution for injection, without preservative, resulting in a solution containing 38 mg/ml gemcitabine. The total volume after reconstitution is 5.26 ml.
Oncozar 1 g: Reconstitute each 1 g vial with 25 ml of 9 mg/ml (0.9%) sodium chloride solution for injection, without preservative, resulting in a solution containing 38 mg/ml gemcitabine. The total volume after reconstitution is 26.3 ml.
Reconstituted Oncozar is a clear, colourless solution. The reconstituted solution should be inspected visually for particulate matter and discoloration prior to administration. If turbidity is observed, do not administer.
Prior to administration, reconstitute solution should be diluted with 0.9% Sodium Chloride Injection, USP to a minimum final concentration of at least 0.1 mg/ml.
Chemical and physical in-use stability has been demonstrated for 24 hours at 20°C to 25°C. From a microbiological point of view, the product should be used immediately. If not used immediately, in-use storage times and conditions prior to use are the responsibility of the user and would normally not be longer than 24 hours at room temperature, unless reconstitution/dilution has taken place in controlled and validated aseptic conditions.
If the prepared solution comes into contact with the eyes, this may cause serious irritation. The eyes should be rinsed immediately and thoroughly with water. If there is lasting irritation, a doctor should be consulted. If the solution is spilled on the skin, rinse thoroughly with water.
You will always receive Oncozar by infusion into one of your veins.
The infusion will last approximately 30 minutes. How frequently you receive your Oncozar infusion depends on the type of cancer that you are being treated for.
If you have further questions on the use of this product ask your doctor or pharmacist.
Possible Side Effects
Like all medicines, Oncozar can cause side effects, although not everybody gets them.
Frequencies of the observed side effects are defined as:
You must contact your doctor immediately if you notice any of the following:
Side effects with Oncozar may include:
Very common side effects
Common side effects
Uncommon side effects
Rare side effects
Very rare side effects
Not known side effects
You might have any of these symptoms and/or conditions. You must tell your doctor as soon as possible when you start experiencing any of these side effects.
How to store Oncozar?
Keep out of the reach of children.
Store below 30°C. Keep vial in outer carton in order to protect from light.
Protect from freezing.
Oncozar solutions are stable for 24 hours at controlled room temperature 20° to 25°C.
Solutions of reconstituted Oncozar should not be refrigerated, as crystallization may occur.
Do not use this medicine if you notice a cloudy solution or an insoluble precipitate.
Do not use this medicine after the expiry date which is stated on the label and carton.
For single-used only. Discard unused portion.
Oncozar is a Cytotoxic drug. Follow applicable special handling procedures.
The medicine should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help to protect the environment.
Further information
What Oncozar contains?
Oncozar contains the active ingredient gemcitabine (as hydrochloride).
Each vial of Oncozar 200 mg contains 200 mg gemcitabine (as hydrochloride).
Each vial of Oncozar 1 g contains 1 g gemcitabine (as hydrochloride).
The other ingredients are mannitol, sodium acetate tri-hydrate, sodium hydroxide, hydrochloric acid, and water for injection.
What Oncozar looks like and contents of the pack?
Oncozar is a white to off – white lyophilized powder.
It is supplied in packs containing:
1 x 200 mg vial along with information booklet
1 x 1 g vial along with information booklet