Brand Name

Trodelvy

Generic Name
Sacituzumab Govitecan
View Brand Information
FDA approval date: April 22, 2020
Form: Powder

What is Trodelvy (Sacituzumab Govitecan)?

TRODELVY is a Trop-2-directed antibody and topoisomerase inhibitor conjugate indicated for the treatment of adult patients with: Locally Advanced or Metastatic Breast Cancer Unresectable locally advanced or metastatic triple-negative breast cancer who have received two or more prior systemic therapies, at least one of them for metastatic disease.

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Brand Information

TRODELVY (SACITUZUMAB GOVITECAN)
WARNING: NEUTROPENIA AND DIARRHEA
  • TRODELVY can cause severe, life-threatening, or fatal neutropenia. Withhold TRODELVY for absolute neutrophil count below 1500/mm
  • TRODELVY can cause severe diarrhea. Monitor patients with diarrhea and give fluid and electrolytes as needed. At the onset of diarrhea, evaluate for infectious causes and, if negative, promptly initiate loperamide Grade 1 and reduce subsequent doses
1DOSAGE FORMS AND STRENGTHS
For injection: 180 mg off-white to yellowish lyophilized powder in a single-dose vial.
2CONTRAINDICATIONS
TRODELVY is contraindicated in patients who have experienced a severe hypersensitivity reaction to TRODELVY
3ADVERSE REACTIONS
The following adverse reactions are discussed in greater detail in other sections of the label:
  • Neutropenia
  • Diarrhea
  • Hypersensitivity and Infusion-Related Reactions
  • Nausea and Vomiting
3.1Clinical Trials Experience
Because clinical trials are conducted under widely varying conditions, adverse reaction rates observed in the clinical trials of a drug cannot be directly compared to rates in the clinical trials of another drug and may not reflect the rates observed in clinical practice.
The pooled safety population described in the Warnings and Precautions section reflect exposure to TRODELVY in 1063 patients, which included 366 patients with mTNBC and 322 patients with hormone receptor-positive (HR+)/human epidermal growth factor receptor 2-negative (HER2-) breast cancer from IMMU-132-01, ASCENT, and TROPiCS-02; and 375 patients with other tumor types. TRODELVY was administered as an intravenous infusion once weekly on Days 1 and 8 of 21-day treatment cycles at doses of 10 mg/kg until disease progression or unacceptable toxicity. Among the 1063 patients treated with TRODELVY, the median duration of treatment was 4.1 months (range: 0 to 63 months). In this pooled safety population, the most common (≥ 25%) adverse reactions including laboratory abnormalities were decreased leukocyte count (84%), decreased neutrophil count (75%), decreased hemoglobin (69%), diarrhea (64%), nausea (64%), decreased lymphocyte count (63%), fatigue (51%), alopecia (45%), constipation (37%), increased glucose (37%), decreased albumin (35%), vomiting (35%), decreased appetite (30%), decreased creatinine clearance (28%), increased alkaline phosphatase (28%), decreased magnesium (27%), decreased potassium (26%), and decreased sodium (26%).
4OVERDOSAGE
In a clinical trial, planned doses of up to 18 mg/kg (approximately 1.8 times the maximum recommended dose of 10 mg/kg) of TRODELVY were administered. In these patients, a higher incidence of severe neutropenia was observed.
5DESCRIPTION
Sacituzumab govitecan-hziy is a Trop-2 directed antibody and topoisomerase inhibitor conjugate, composed of the following three components:
  • the humanized monoclonal antibody, hRS7 IgG1κ (also called sacituzumab), which binds to Trop-2 (the trophoblast cell-surface antigen-2);
  • the drug SN-38, a topoisomerase inhibitor;
  • a hydrolysable linker (called CL2A), which links the humanized monoclonal antibody to SN-38.
The recombinant monoclonal antibody is produced by mammalian (murine myeloma) cells, while the small molecule components SN-38 and CL2A are produced by chemical synthesis. Sacituzumab govitecan-hziy contains on average 7 to 8 molecules of SN-38 per antibody molecule. Sacituzumab govitecan-hziy has a molecular weight of approximately 160 kilodaltons. Sacituzumab govitecan-hziy has the following chemical structure.
TRODELVY (sacituzumab govitecan-hziy) for injection is a sterile, preservative-free, off-white to yellowish lyophilized powder for intravenous use in a 50 mL clear glass single-dose vial, with a rubber stopper and crimp-sealed with an aluminum flip-off cap.
Each single-dose vial of TRODELVY delivers 180 mg sacituzumab govitecan-hziy, 71.7 mg 2-(N-morpholino) ethane sulfonic acid (MES), 1.8 mg polysorbate 80 and 153.99 mg trehalose. Reconstitution with 20 mL of 0.9% Sodium Chloride Injection, USP, results in a concentration of 10 mg/mL with a pH of 6.5.
6REFERENCES
1. "OSHA Hazardous Drugs." OSHA.
7HOW SUPPLIED/STORAGE AND HANDLING
TRODELVY (sacituzumab govitecan-hziy) for injection is a sterile, off-white to yellowish lyophilized powder in a single-dose vial. Each TRODELVY vial is individually boxed in a carton:
  • NDC 55135-132-01 contains one 180 mg vial
8PATIENT COUNSELING INFORMATION
Advise the patient to read the FDA-approved patient labeling (Patient Information)
9PRINCIPAL DISPLAY PANEL - 180 mg Vial Label
NDC 55135-132-01
Rx only
TRODELVY
180 mg per vial
For intravenous infusion only
Warning: Hazardous Drug
Single-dose vial
90370103
PRINCIPAL DISPLAY PANEL - 180 mg Vial Label
10PRINCIPAL DISPLAY PANEL - 180 mg Vial Box
NDC 55135-132-01
Rx only
TRODELVY
180 mg per vial
For intravenous infusion only
Warning: Hazardous Drug
Reconstitute and dilute
Single-dose vial
1 Vial
PRINCIPAL DISPLAY PANEL - 180 mg Vial Box