Indications for ZEJULA:
Maintenance treatment in adults with recurrent epithelial ovarian, fallopian tube, or primary peritoneal cancer who are in a complete or partial response to platinum-based chemotherapy. Treatment in adults with advanced ovarian, fallopian tube, or primary peritoneal cancer who have been treated with ≥3 prior chemotherapy regimens and whose cancer is associated with homologous recombination deficiency (HRD) positive status defined by either: a deleterious or suspected deleterious BRCA mutation, or genomic instability and who have progressed >6 months after response to the last platinum-based chemotherapy.
Advanced ovarian cancer: select patients using FDA-approved tests. Recurrent ovarian cancer: start within 8 weeks after most recent platinum-containing regimen. Swallow whole. 300mg once daily until disease progression or unacceptable toxicity. Dose adjustments for adverse reactions: see full labeling.
Discontinue if myelodysplastic syndrome/acute myeloid leukemia is confirmed. Monitor CBCs weekly for the first month, monthly for the next 11 months then periodically thereafter; do not start therapy until recovery from hematological toxicity due to previous chemotherapy (Grade ≤1); discontinue if toxicities unresolved within 28 days after interruption (see full labeling). Monitor BP and heart rate at least weekly for the first 2 months, then monthly for the first year then periodically thereafter. Cardiovascular disorders (eg, coronary insufficiency, arrhythmias, hypertension); monitor closely. Severe renal impairment or ESRD undergoing hemodialysis. Moderate to severe hepatic impairment. Embryo-fetal toxicity. Pregnancy: exclude status prior to initiating therapy. Advise females of reproductive potential to use effective contraception during therapy and for ≥6 months after last dose. Nursing mothers: not recommended (during and for 1 month after last dose).
Poly (ADP-ribose) polymerase (PARP) inhibitor.
Concomitant antihypertensives; dose adjustments of Zejula may be needed.
Nausea, fatigue, thrombocytopenia, anemia, vomiting, constipation, abdominal pain, musculoskeletal pain, decreased appetite, neutropenia, insomnia, headache, dyspnea, diarrhea, hypertension, cough, dizziness, hypomagnesemia, urinary tract infection, acute kidney injury, WBC count decreased.