Jevtana®
Consumer Medicine Information (CMI) summary
The full CMI on the next page has more details. If you are worried about using this medicine,
speak to your doctor or pharmacist.
Jevtana contains the active ingredient cabazitaxel. Jevtana is used to treat prostate
cancer that has progressed after having had other chemotherapy. For more information,
see Section 1. Why am I using Jevtana? in the full CMI.
Do not use if you have ever had an allergic reaction to cabazitaxel or any of the
ingredients listed at the end of the CMI.
Do not use if the number of your white blood cells is too low, you have a liver disease or if you have recently received or are about to receive a vaccine against yellow fever.
Talk to your doctor if you have any other medical conditions, take any other medicines, or if your partner is pregnant, plans to become pregnant or breastfeed. For more information, see Section 2. What should I know before I use Jevtana? in the full CMI.
Do not use if the number of your white blood cells is too low, you have a liver disease or if you have recently received or are about to receive a vaccine against yellow fever.
Talk to your doctor if you have any other medical conditions, take any other medicines, or if your partner is pregnant, plans to become pregnant or breastfeed. For more information, see Section 2. What should I know before I use Jevtana? in the full CMI.
Some medicines may interfere with Jevtana and affect how it works. A list of these
medicines is in Section 3. What if I am taking other medicines? in the full CMI.
Jevtana will be given by infusion into one of your veins (intravenous use). The infusion
will last approximately 1 hour during which you will be in the hospital.
You usually receive your infusion once every 3 weeks.
More instructions can be found in Section 4.How is Jevtana given? in the full CMI.
Things you should do
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Remind any doctor, dentist, pharmacist or nurse you visit that you are using Jevtana.
Use a condom during sex if your partner is or could become pregnant.
You are advised not to father a child during and up to 6 months after treatment and
to seek advice on conservation of sperm prior to treatment because Jevtana may alter
male fertility.
Call your doctor immediately if your partner becomes pregnant while you are being
given this medicine
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Things you should not do
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Do not stop using this medicine unless your doctor tells you to
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Driving or using machines
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Be careful before you drive or use any machines or tools until you know how Jevtana
affects you.
If you experience symptoms such as fatigue or dizziness, do not drive or use any tools
or machines until they have fully resolved.
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Looking after your medicine
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Jevtana is stored in the pharmacy or on the ward. Do not store at home.
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For more information, see Section 5. What should I know while using Jevtana ? in the full CMI.
Very common side effects include: feeling tired, weak or lack of energy; symptoms
of anaemia like tiredness, and inability to perform daily tasks (due to a decrease
in the number of red blood cells); increased bleeding (due to a decrease in the number
of platelets); loss of appetite (anorexia); alteration in sense of taste; shortness
of breath; cough; stomach upsets including nausea, vomiting and diarrhoea, constipation;
abdominal pain; short term hair loss (in most cases normal hair growth should return
after treatment has stopped); back pain; joint pain; blood in the urine. Serious side
effects include: symptoms of allergic reaction; fever; dehydration (possibly following
severe or long-lasting diarrhoea, or vomiting; signs of infection such as fever, chills,
sweats, feeling tired or fatigued. For more information, including what to do if you
have any side effects, see Section 6. Are there any side effects? in the full CMI.
Jevtana®
(jev-ta-na)
Active ingredient(s):
cabazitaxel (ca-ba-zi-tax-el)
Consumer Medicine Information (CMI)
This leaflet provides important information about using Jevtana. You should also speak to your doctor or pharmacist if you would like further information
or if you have any concerns or questions about using Jevtana.
Where to find information in this leaflet:
Jevtana contains the active ingredient cabazitaxel. It belongs to a group of medicines called 'taxanes' used to treat cancers.
Jevtana is used to treat prostate cancer that has progressed after having had other
chemotherapy.
It works by stopping cells from growing and multiplying.
Warnings
Do not receive Jevtana if:
the number of your white blood cells is too low (neutrophil counts of 1,500 per cubic
millimetre, or less - your doctor will advise you on this),
you have a liver disease
you have recently received or are about to receive a vaccine against yellow fever
you are allergic to cabazitaxel, or any of the ingredients listed at the end of this
leaflet.
Always check the ingredients to make sure you can use this medicine.
Check with your doctor if you:
have any other medical conditions, especially:
a fever (during treatment with Jevtana, it is more likely that your white blood cell
count may be reduced). Your doctor will monitor your blood and general condition for
signs of infections.
any allergies, especially to ingredients listed at the end of this leaflet
lung, liver or kidney problems
any stomach problems past or present (including ulcers)
severe or long-lasting diarrhoea, nausea or vomiting. Any of these events could cause
dehydration. Your doctor may need to treat you.
have a feeling of numbness, tingling, burning or decreased sensation in your hands
or feet
have any bleeding from the gut that may cause changes in the colour of your stool
or stomach pain.
suffer from alcoholism, liver disease or epilepsy/seizures. Jevtana contains alcohol
(13% w/w ethanol, equivalent to 14 ml of beer or 6 ml of wine)
take any medicines for any other condition, especially medicines used to prevent blood
clots and oral non-steroidal anti-inflammatories (NSAIDS).
have previously received radiation therapy. Inflammation of the bladder may also occur.
Tell your doctor, nurse or pharmacist if you have burning sensation when passing urine.
plan to have surgery.
During treatment, you may be at risk of developing certain side effects. It is important
you understand these risks and how to monitor for them. See additional information
under Section 6. Are there any side effects?
Pregnancy and breastfeeding
Jevtana could adversely affect your baby. Tell your doctor if your partner is pregnant
or breastfeeding. Tell your doctor if your partner intends to become pregnant or breastfeed.
Jevtana might be present in your semen and may affect the foetus. Therefore, the use
of a condom is always recommended during sexual intercourse if your partner is or
could become pregnant. You are advised not to father a child during and up to 6 months
after treatment and to seek advice on conservation of sperm prior to treatment because
Jevtana may alter male fertility.
Tell your doctor or pharmacist if you are taking any other medicines, including any
medicines, vitamins or supplements that you buy without a prescription from your pharmacy,
supermarket or health food shop.
Some medicines may interfere with Jevtana and affect how it works. These include:
medicines used to treat bacterial, fungal or viral infections (e.g. clarithromycin,
ketoconazole, rifampicin)
medicines used to treat seizures or epilepsy (e.g. carbamazepine, phenobarbital, phenytoin)
herbal remedy for depression and other conditions (St John's Wort (Hypericum perforatum)
Check with your doctor or pharmacist if you are not sure about what medicines, vitamins
or supplements you are taking and if these affect Jevtana.
How much is given?
Jevtana will be given by infusion into one of your veins (intravenous use). The infusion
will last approximately 1 hour during which you will be in the hospital.
The dose will depend on your height and weight. Your doctor will calculate your body
surface area in square meters (m2) and will determine the dose you should receive.
The standard dose of Jevtana is 20 mg per square meter. Your doctor may decide on
an alternative dose depending on your condition.
Follow any instructions provided by your doctor.
Duration of treatment
You should usually receive your infusion once every 3 weeks.
Each 3 week period is called one cycle of chemotherapy. Your doctor will decide how
many of these cycles you will need.
Additional medications
As part of your treatment for prostate cancer, you will also take an oral corticosteroid
medicine (prednisone or prednisolone) daily.
Half an hour before you receive Jevtana, you will be given the following medications
to reduce your chance of developing an allergic reaction or nausea:
antihistamine (diphenhydramine or equivalent)
corticosteroid (dexamethasone or equivalent)
H2 antagonist (ranitidine or equivalent)
anti-nausea medication (if required)
If you are given too much Jevtana
As Jevtana is given to you under the supervision of your doctor, it is very unlikely
that you will receive too much. However, if you experience any unexpected or worrying
side effects after being given Jevtana, you should immediately:
phone the Poisons Information Centre
(by calling 13 11 26), or
(by calling 13 11 26), or
contact your doctor, or
go to the Emergency Department at your nearest hospital.
You should do this even if there are no signs of discomfort or poisoning.
If you receive too much Jevtana, you may experience one or more of the following symptoms:
fever, nausea, diarrhoea, vomiting, constipation, abdominal pain, including upper
abdominal pain, indigestion, and reflux.
Things you should do
Use a condom during sex if your partner is or could become pregnant.
Jevtana could be present in your semen and may affect the foetus. You are advised
not to father a child during and up to 6 months after treatment and to seek advice
on conservation of sperm prior to treatment because Jevtana may alter male fertility.
If you plan to have surgery that needs a general anaesthetic, tell your doctor or
dentist that you are being given this medicine.
Talk to your doctor before getting vaccinations while you are receiving Jevtana.
Keep all of your doctor’s appointments so that your progress can be checked. If you
do not complete the full course prescribed by your doctor, Jevtana may not work as
well as it's supposed to.
Call your doctor straight away if:
your partner becomes pregnant while you are being given this medicine
Remind any doctor, dentist or pharmacist you visit that you are using Jevtana.
Driving or using machines
Be careful before you drive or use any machines or tools until you know how Jevtana
affects you.
Jevtana may cause side effects such as fatigue or dizziness that may affect your ability
to drive and use machinery. Make sure you know how you react to Jevtana before you
drive a car, operate machinery, or do anything else that could be dangerous if you
feel dizzy or fatigued.
If you experience these symptoms, do not drive or use any tools or machines until
they have fully resolved.
All medicines can have side effects. If you do experience any side effects, most of
them are minor and temporary. However, some side effects may need medical attention.
See the information below and, if you need to, ask your doctor or pharmacist if you
have any further questions about side effects.
Less serious side effects
Less serious side effects
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What to do
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Gut-related
stomach pain or upsets including nausea, vomiting and diarrhoea, constipation
abdominal pain
uncomfortable feeling in the stomach or belching after eating
loss of appetite (anorexia)
gastro-oesophageal reflux or heartburn
haemorrhoids
rectal bleeding
pain in mouth or throat
Nervous system-related
ringing in the ear
trouble with balance
dizziness
headache
alteration in sense of taste
feeling of numbness, tingling, burning or decreased sensations in hands and feet
Blood-related
feeling tired, weak or lack of energy
symptoms of anaemia like tiredness, and inability to perform daily tasks (due to a
decrease in the number of red blood cells)
blood in the urine
increased bleeding (due to a decrease in the number of platelets)
Muscle and bone-related
back pain
joint pain
muscle spasm
muscle discomfort, aches or pain
Other reactions:
pain when passing urine
urinary incontinence
rapid or irregular heartbeat
redness of skin
skin feeling hot or flushed
swelling of the feet or legs
chills
shortness of breath
cough
short term hair loss (in most cases normal hair growth should return after treatment
has stopped)
sores in the mouth or on the lips
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Speak to your doctor if you have any of these less serious side effects and they worry
you.
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Serious side effects
Serious side effects
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What to do
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Allergic reaction-related:
swelling of the face, lips, mouth or throat, which may cause difficulty in swallowing
or breathing
hives
fainting
yellowing of the skin and eyes (jaundice)
skin rash
itching
shortness of breath
Other reactions:
fever (high temperature). This is very common (affects more than 1 in 10 patients)
severe loss of body fluids (dehydration). This is common (affects less than 1 in 10
patients). This can occur if you have severe diarrhoea (increase of more than 4 or
more stools more than usual a day) or long-lasting diarrhoea, or fever, or if you
are vomiting
urinary tract infection
fever and infection (associated with a reduction of white blood cells)
skin infections
lung infection
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Call your doctor straight away, or go straight to the Emergency Department at your
nearest hospital if you notice any of these serious side effects.
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Tell your doctor or pharmacist if you notice anything else that may be making you
feel unwell.
Other side effects not listed here may occur in some people.
Reporting side effects
After you have received medical advice for any side effects you experience, you can
report side effects to the Therapeutic Goods Administration online at www.tga.gov.au/reporting-problems . By reporting side effects, you can help provide more information on the safety of
this medicine.
Always make sure you speak to your doctor or pharmacist before you decide to stop
taking any of your medicines.
This medicine is only available with a doctor's prescription.
What Jevtana contains
Active ingredient
(main ingredient)
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Cabazitaxel
One ml of concentrate contains 40 mg cabazitaxel. Each vial of concentrate contains
60 mg cabazitaxel.
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Other ingredients
(inactive ingredients)
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polysorbate 80
citric acid
ethanol 96%
water for injections
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Potential allergens
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ethanol 13% w/w
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Jevtana does not contain gluten, sucrose, lactose, tartrazine or any other azo dyes.
Do not take this medicine if you are allergic to any of these ingredients.