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Perjeta (pertuzumab) – Package leaflet - L01XC13

Updated on site: 09-Oct-2017

Medication namePerjeta
ATC CodeL01XC13
Substancepertuzumab
ManufacturerRoche Registration Limited  

Package Leaflet: Information for the user

Perjeta 420 mg concentrate for solution for infusion

Pertuzumab

This medicine is subject to additional monitoring. This will allow quick identification of new safety information. You can help by reporting any side effects you may get. See the end of section 4 for how to report side effects.

Read all of this leaflet carefully before you start being given this medicine because it contains important information for you.

Keep this leaflet. You may need to read it again.

If you have any further questions, ask your doctor or nurse.

If you get any side effects, talk to your doctor or nurse. This includes any possible side effects not listed in this leaflet. See section 4.

What is in this leaflet:

1.What Perjeta is and what it is used for

2.What you need to know before you are given Perjeta

3.How you are given Perjeta

4.Possible side effects

5.How to store Perjeta

6.Contents of the pack and other information

1.What Perjeta is and what it is used for

Perjeta contains the active substance pertuzumab and is used to treat adult patients with breast cancer when:

The breast cancer has been identified to be of the “HER2-positive” form – your doctor will test you for this.

The cancer has spread to other parts of the body (metastasised) and has not previously been treated with anticancer medicines (chemotherapy) or other medicines designed to attach to HER2, or else the cancer has come back in the breast after previous treatment.

The cancer has not spread to other parts of the body and treatment is going to be given before surgery takes place (treatment before surgery is called neoadjuvant therapy)

As well as Perjeta you will also receive trastuzumab and the chemotherapy medicine docetaxel for advanced (metastatic) breast cancer. If you are having Perjeta before surgery, you may also receive other chemotherapy as part of your overall treatment. Information about these medicines is described in separate package leaflets. Ask your doctor or nurse to give you information about these other medicines.

How Perjeta works

Perjeta is a type of medicine called a “monoclonal antibody” which attaches itself to specific targets in your body and on the cancer cells.

Perjeta recognises and attaches to a target called “human epidermal growth factor receptor 2” (HER2). HER2 is found in large amounts on the surface of some cancer cells where it stimulates their growth. When Perjeta attaches to the HER2 cancer cells, it may slow or stop the cancer cells from growing, or may kill them.

2. What you need to know before you are given Perjeta

You must not be given Perjeta

If you are allergic to pertuzumab, or to any of the other ingredients of this medicine (listed in section 6).

If you are not sure, talk to your doctor or nurse before you are given Perjeta.

Warnings and precautions

Talk to your doctor or nurse before you are given Perjeta if:

You have ever had heart problems (such as heart failure, treatment for serious irregular heartbeats, uncontrolled high blood pressure, recent heart attack) – your doctor will run tests to check if your heart is working properly.

You have ever had heart problems during previous treatment with trastuzumab.

You have ever had a chemotherapy medicine from the class called anthracyclines, e.g. doxorubicin or epirubicin – these medicines can damage heart muscle and increase the risk of heart problems with Perjeta.

If any of the above applies to you (or you are not sure), talk to your doctor or nurse before you are given Perjeta.

Infusion reactions

Infusion reactions, allergic or anaphylactic (more severe allergic) reactions can happen. Your doctor or nurse will check for side effects during your infusion and for 30 to 60 minutes afterwards. If you get any serious reaction, your doctor may stop treatment with Perjeta. See section 4 “Serious side effects” for more details about infusion reactions to look out for during the infusion and thereafter.

Heart problems

Treatment with Perjeta may affect the heart. Therefore, your heart function will be checked before and during treatment with Perjeta. See section 4 “Serious side effects” for more details about signs of heart problems to look out for.

Febrile neutropenia (Low white blood cells with fever)

When Perjeta is given with other cancer treatments (trastuzumab and chemotherapy), the number of white blood cells may drop and fever (raised temperature) may develop. If you have inflammation of the digestive tract (e.g.sore mouth or diarrhoea) you may be more likely to develop this side effect.

Diarrhoea

Treatment with Perjeta may cause severe diarrhoea. Diarrhoea is a condition where your body produces more watery stools than normal. If you experience severe diarrhoea while receiving your anti-cancer treatment, your doctor may start you on anti-diarrhoeal treatment and may stop your treatment with Perjeta until the diarrhoea is under control.

Use in children and adolescents

Perjeta should not be given to patients under the age of 18 years because there is no information on how it works in this age group.

Other medicines and Perjeta

Tell your doctor or nurse if you are taking, have recently taken or might take any other medicines. This includes medicines obtained without a prescription and herbal medicines.

Pregnancy and breast-feeding

Before starting treatment, you must tell your doctor or nurse if you are pregnant or breast-feeding, or if you think you may be pregnant or are planning to have a baby. They will advise you about the benefits and risks for you and your baby of taking Perjeta while you are pregnant.

Tell your doctor straight away, if you get pregnant during treatment with Perjeta or during the 6 months after stopping treatment.

Ask your doctor about whether you can breast-feed during or after treatment with Perjeta.

Perjeta may harm the unborn baby. You should use effective contraception during treatment with Perjeta and for 6 months after stopping treatment. Talk to your doctor about the best contraception for you.

Driving and using machines

Perjeta is unlikely to affect you being able to drive or use machines. However, if you get any infusion reactions, allergic or anaphylactic reactions, wait until these have gone away before driving or using machines.

3. How you are given Perjeta

Being given this medicine

Perjeta will be given to you by a doctor or nurse in a hospital or clinic.

It is given by a drip into a vein (intravenous infusion) once every three weeks.

The amount of medicine you are given and how long the infusion will last are different for the first dose and following doses.

The number of infusions you will be given depends on how you respond to treatment and whether you are receiving treatment before surgery (neoadjuvant therapy) or for disease which has spread.

Perjeta is given with other cancer treatments (trastuzumab andchemotherapy).

For the first infusion:

You will be given 840 mg of Perjeta over 60 minutes. Your doctor or nurse will check for side effects during your infusion and for 60 minutes afterwards.

You will also be given trastuzumab and chemotherapyl.

For all following infusions, if the first infusion was well tolerated:

You will be given 420 mg of Perjeta over 30 to 60 minutes. Your doctor or nurse will check for side effects during your infusion and for 30 to 60 minutes afterwards.

You will also be given trastuzumab and chemotherapy.

For further information on dosing of trastuzumab and chemotherapy (both of which can cause side effects as well), please refer to the package leaflet for these products in order to understand the use of these medicines. If you have questions about these medicines, please ask your doctor or nurse.

If you forget to have Perjeta

If you forget or miss your appointment to receive Perjeta make another appointment as soon as possible. If it has been 6 weeks or more since your last visit a higher Perjeta dose of 840 mg will be given to you.

If you stop having Perjeta

Do not stop having this medicine without talking to your doctor first. It is important that you are given all the infusions that have been recommended.

If you have any further questions on the use of this medicine, ask your doctor or nurse.

4.Possible side effects

Like all medicines, this medicine can cause side effects, although not everybody gets them.

Serious side effects

Tell a doctor or nurse straight away, if you notice any of the following side effects:

The most common side effects which may occur in about 2 out of 3 patients are diarrhoea, hair loss and a decrease in the number of your white blood cells (shown in a blood test) with or without fever.

In approximately 13 out of 100 patients infusion reactions can occur, which may include feeling sick (nausea), fever, chills, feeling tired, headache, loss of appetite. Allergic and anaphylactic (more severe allergic) reactions can happen in about 1 out of 10 patients. These may include swelling of your face and throat, with difficulty in breathing.

Symptoms of heart problems (heart failure) have been observed in about 5 out of 100 patients and can include cough, shortness of breath when sleeping flat and swelling (fluid retention) in your legs or arms.

Tell a doctor or nurse straight away, if you notice any of the side effects above.

Other side effects include:

Very common (may affect more than 1 in 10 people):

Fever

Not being able to sleep

Decrease in the number of red blood cells – shown in a blood test

Sore throat, red, sore or runny nose, flu-like symptoms and fever

Weak, numb, tingling or prickling sensations mainly affecting the feet and legs

Nail problems

Loss of or altered taste

Feeling sick or being sick

Reduced appetite

Constipation

Rash

Joint or muscle pain, muscle weakness

Pain (bone, neck, chest, abdominal pain)

Inflammation of your digestive tract (e.g. sore mouth)

Swollen ankles or other body parts due to your body retaining too much water

Common (may affect up to 1 in 10 people):

Feeling dizzy

Shortness of breath

Producing more tears

Dry, itchy or acne like skin

Fluid on the lungs causing difficulty in breathing

Inflammation of the nail bed where the nail and skin meet

Condition in which the left ventricle of the heart is functionally impaired with or without symptoms

Uncommon (may affect up to 1 in 100 people):

Chest symptoms such as a dry cough or breathlessness (possible signs of interstitial lung disease, a condition of damage to the tissues around the air sacs in the lungs)

Reporting of side effects

If you get any side effects, talk to your doctor or nurse. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the national reporting system listed in Appendix V. By reporting side effects you can help provide more information on the safety of this medicine.

If you experience any of the above symptoms after treatment with Perjeta has been stopped, you should consult your doctor immediately and inform him or her that you have previously been treated with Perjeta.

Some of the side effects which you get may be due to your breast cancer. If you are given Perjeta with trastuzumab and chemotherapy at the same time, some side effects may also be due to these other medicines.

5.How to store Perjeta

Perjeta will be stored by the health professionals at the hospital or clinic. The storage details are as follows:

Keep this medicine out of the sight and reach of children.

Do not use this medicine after the expiry date which is stated on the outer carton after EXP. The expiry date refers to the last day of that month.

Store in a refrigerator (2°C-8°C).

Do not freeze.

Keep the vial in the outer carton in order to protect from light.

Do not use this medicine if you notice any particles in the liquid or it is the wrong colour (please see section 6).

Do not throw away any medicines via wastewater or household waste. Ask your pharmacist how to throw away medicines you no longer use. These measures will help to protect the environment.

6. Contents of the pack and other information

What Perjeta contains

The active substance is pertuzumab. Each vial contains a total of 420 mg pertuzumab at a concentration of 30 mg/ml

The other ingredients are glacial acetic acid, L-histidine, sucrose, polysorbate 20 and water for injections

What Perjeta looks like and contents of the pack

Perjeta is a concentrate for solution for infusion. It is a clear to slightly pearly (opalescent), colourless to pale yellow liquid. It is supplied in a glass vial containing 14 ml concentrate.

Each pack contains one vial.

Marketing Authorisation Holder

Roche Registration Limited

6 Falcon Way

Shire Park

Welwyn Garden City

AL7 1TW

United Kingdom

Manufacturer

Roche Pharma AG

Emil-Barell-Strasse 1

D-79639 Grenzach-Wyhlen

Germany

For any information about this medicine, please contact the local representative of the Marketing Authorisation Holder:

België/Belgique/Belgien

Lietuva

N.V. Roche S.A.

UAB “Roche Lietuva”

Tél/Tel: +32 (0) 2 525 82 11

Tel: +370 5 2546799

България

Luxembourg/Luxemburg

Рош България ЕООД

(Voir/siehe Belgique/Belgien)

Тел: +359 2 818 44 44

 

Česká republika

Magyarország

Roche s. r. o.

Roche (Magyarország) Kft.

Tel: +420 - 2 20382111

Tel: +36 - 23 446 800

Danmark

Malta

Roche a/s

(See United Kingdom)

Tlf: +45 - 36 39 99 99

 

Deutschland

Nederland

Roche Pharma AG

Roche Nederland B.V.

Tel: +49 (0) 7624 140

Tel: +31 (0) 348 438050

Eesti

Norge

Roche Eesti OÜ

Roche Norge AS

Tel: + 372 - 6 177 380

Tlf: +47 - 22 78 90 00

Ελλάδα

Österreich

Roche (Hellas) A.E.

Roche Austria GmbH

Τηλ: +30 210 61 66 100

Tel: +43 (0) 1 27739

España

Polska

Roche Farma S.A.

Roche Polska Sp.z o.o.

Tel: +34 - 91 324 81 00

Tel: +48 - 22 345 18 88

France

Portugal

Roche

Roche Farmacêutica Química, Lda

Tél: +33 (0)1 47 61 40 00

Tel: +351 - 21 425 70 00

Hrvatska

România

Roche d.o.o.

Roche România S.R.L.

Tel: + 385 1 47 22 333

Tel: +40 21 206 47 01

Ireland

Slovenija

Roche Products (Ireland) Ltd.

Roche farmacevtska družba d.o.o.

Tel: +353 (0) 1 469 0700

Tel: +386 - 1 360 26 00

Ísland

Slovenská republika

Roche a/s

Roche Slovensko, s.r.o.

c/o Icepharma hf

Tel: +421 - 2 52638201

Sími: +354 540 8000

 

Italia

Suomi/Finland

Roche S.p.A.

Roche Oy

Tel: +39 - 039 2471

Puh/Tel: +358 (0) 10 554 500

Kύπρος

Sverige

Γ.Α.Σταμάτης & Σια Λτδ.

Roche AB

Τηλ: +357 - 22 76 62 76

Tel: +46 (0) 8 726 1200

Latvija

United Kingdom

Roche Latvija SIA

Roche Products Ltd.

Tel: +371 - 6 7039831

Tel: +44 (0) 1707 366000

This leaflet was last revised in.

Detailed information on this medicine is available on the European Medicines Agency web site: http://www.ema.europa.eu

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