HomeAll TherapiesUnituxin

Unituxin

dinutuximab
GD2-Directed AntibodyFDA Approved 2015United Therapeutics
Route
IV
Half-Life
~10 days
FDA Approved
2015
Manufacturer
United Therapeutics
1. Indications and Usage

Pediatric patients with high-risk neuroblastoma who achieve at least partial response to prior first-line multiagent therapy, with GM-CSF, IL-2, and isotretinoin.

2. Dosage and Administration

17.5 mg/m2/day IV over 10-20 hours for 4 consecutive days per cycle, up to 5 cycles. Premedicate with opioid analgesics.

3. Dosage Forms and Strengths

Injection: 17.5 mg/5 mL (3.5 mg/mL) single-dose vial

4. Contraindications

History of anaphylaxis to dinutuximab.

5. Warnings and Precautions
  • Pain: Severe neuropathic pain very common. Premedicate with IV morphine.
  • Infusion Reactions: Including anaphylaxis. Premedicate and monitor.
  • Capillary Leak Syndrome: Life-threatening cases reported.
  • Hypotension: Manage with fluids and vasopressors.
  • Neurological Toxicity: Including peripheral neuropathy.
6. Adverse Reactions
Most Common Adverse Reactions

Pain (85%), Pyrexia (72%), Thrombocytopenia (66%), Lymphopenia (62%), Infusion Reactions (52%), Hypotension (46%), Hypokalemia (43%), Increased ALT (40%), Anemia (39%)

Pain
85%
Pyrexia
72%
Thrombocytopenia
66%
Lymphopenia
62%
Infusion Reactions
52%
Hypotension
46%
Hypokalemia
43%
Increased ALT
40%
Anemia
39%

Consult the complete prescribing information for a comprehensive list of adverse reactions and their frequencies.

7. Drug Interactions

No formal drug interaction studies conducted.

8. Use in Specific Populations
Pregnancy

Consult the full prescribing information for pregnancy-related considerations.

Lactation

Refer to prescribing information for lactation guidance.

Pediatric Use

Pediatric safety and efficacy information is detailed in the full label.

Hepatic/Renal Impairment

Dose modifications for organ impairment are specified in the complete prescribing information.

12. Clinical Pharmacology
Mechanism of Action

Dinutuximab is a chimeric monoclonal antibody binding disialoganglioside GD2, highly expressed on neuroblastoma cells, inducing cell lysis through CDC and ADCC.

Pharmacokinetics

Half-life: ~10 days. Volume of distribution: ~5.4 L.

14. Clinical Studies

Clinical efficacy and safety data supporting the approval are available in the full prescribing information and from the clinical trials listed below.

Pivotal Clinical Trials
Additional Resources
FDA-Approved Tumor Types

Consult the prescribing information for complete indication details and associated tumor types.

External Resources
Important Notice: This page is intended as a navigational reference to the FDA-approved prescribing information for Unituxin. It does not replace the full prescribing information. Healthcare professionals should consult the complete package insert available at DailyMed before making prescribing decisions. Patient-specific factors should always guide clinical decision-making.

Frequently Asked Questions

What is Unituxin (dinutuximab) approved for?

Unituxin (dinutuximab) is an FDA-approved oncology agent. Refer to the full prescribing information for complete indication details.

How is Unituxin (dinutuximab) administered?

Refer to the full prescribing information for dosing schedules, administration instructions, and dose modifications.

How does Unituxin (dinutuximab) work?

Dinutuximab is a chimeric monoclonal antibody binding disialoganglioside GD2, highly expressed on neuroblastoma cells, inducing cell lysis through CDC and ADCC.

What are the most common side effects?

Pain (85%), Pyrexia (72%), Thrombocytopenia (66%), Lymphopenia (62%), Infusion Reactions (52%), Hypotension (46%), Hypokalemia (43%), Increased ALT (40%), Anemia (39%) Pain 85% Pyrexia 72% Thrombocytopenia 66% Lymphopenia 62% Infusion Reactions 52% Hypotension 46% Hypokalemia 43% Increased ALT 40% A