CLADRIBINE (cla'dri-been) Leustatin Classifications: antineoplastic; antimetabolite, purine antagonist; Therapeutic: antineoplastic; antimetabolite Prototype: 6-mercaptopurine Pregnancy Category: D |
1 mg/mL injection
Cladribine is a synthetic antineoplastic agent with selective toxicity toward certain normal and malignant lymphocytes and monocytes. It accumulates intracellularly, preventing repair of single-stranded DNA breaks and ultimately interfering with cellular metabolism and DNA synthesis.
Cladribine is cytotoxic to both actively dividing and quiescent lymphocytes and monocytes, inhibiting both DNa synthesis and repair.
Treatment of hairy cell leukemia, chronic lymphocytic leukemia, non-Hodgkin's lymphomas.
Advanced cutaneous T-cell lymphomas, acute myeloid leukemia, autoimmune hemolytic anemia, mycosis fungoides.
Hypersensitivity to cladribine; severe bone marrow suppression; pregnancy (category D).
Hepatic or renal impairment; previous radiation therapy or chemotherapy. Safety and efficacy in children not established.
Hairy Cell Leukemia Adult: IV 0.09 mg/kg/d by 7 d continuous infusion Chronic Lymphocytic Leukemia/Non-Hodgkin's Lymphoma Adult: IV 0.1 mg/kg/d by 7 d continuous infusion repeated monthly |
Intravenous PREPARE: IV Infusion (single daily dose): Add the required dose to 500 mL of NS. IV infusion (7-day dose): The calculated dose of cladribine is injected into an infusion reservoir using a 0.22 micron filter. An amount of bacteriostatic NS is added through a 0.22 micron filter to bring the total to 100 mL. (Note: Reservoir usually prepared by the pharmacist.) ADMINISTER: IV Infusion (single daily dose): Distribute evenly over ordered time (i.e., 2 h or 24 h). IV infusion (7-d dose): Give through a central line and control by a pump device (e.g., Deltec pump) to deliver 100 mL evenly over 7 d. INCOMPATIBILITIES Solution/additive: Do not mix with any other diluents or drugs. |
Assessment & Drug Effects
Patient & Family Education