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Important Safety and Prescribing Information

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Valcyte® valganciclovir HCI tablets

Valcyte® (valganciclovir) is an oral antiviral agent that is highly active against human herpesvirus 5, also known as cytomegalovirus (CMV). 4

Valcyte is used in immunocompromised patients to prevent CMV disease in kidney, heart and kidney-pancreas solid organ transplant (SOT) recipients at high risk and to treat CMV retinitis in people with acquired immunodeficiency syndrome (AIDS). It is a highly bioavailable orally administered prodrug of ganciclovir.


Valcyte in Solid Organ Transplantation
For the prevention of CMV disease in SOT recipients

Valcyte in HIV
For the treatment of CMV retinitis in AIDS patients
Roche Professional Product Information (PPI)
The Roche PPI department provides scientifically accurate and balanced Roche product-specific medical information.

Valcyte tablets are indicated for the treatment of cytomegalovirus (CMV) retinitis in patients with acquired immunodeficiency syndrome (AIDS)

Valcyte is indicated for the prevention of cytomegalovirus (CMV) disease in kidney, heart, and kidney-pancreas transplant patients at high risk (Donor CMV seropositive/Recipient CMV seronegative
[D+/R-]).

Valcyte is not indicated for use in liver transplant patients

The safety and efficacy of Valcyte for the prevention of CMV disease in other solid organ transplant patients such as lung transplant patients have not been established.

Safety Information:

WARNING: The clinical toxicity of Valcyte, which is metabolized to ganciclovir, includes granulocytopenia, anemia and thrombocytopenia. In animal studies, ganciclovir was carcinogenic, teratogenic and caused aspermatogenesis.

Valcyte tablets should not be administered if the absolute neutrophil count is less than 500 cells/µL, the platelet count is less than 25,000/µL, or the hemoglobin is less than 8 g/dL. Severe leukopenia, neutropenia, anemia, thrombocytopenia, pancytopenia, bone marrow depression, and aplastic anemia have been observed in patients treated with Valcyte tablets (and ganciclovir). Other adverse events reported with a frequency of ≥5% included diarrhea, tremors, fever, , nausea, headache, vomiting, insomnia, allograft rejection, abdominal pain, retinal detachment, peripheral neuropathy, hypertension and paresthesia.

In liver transplant patients, there was a significantly higher incidence of tissue-invasive CMV disease in the Valcyte-treated group compared with the oral ganciclovir group (see CLINICAL TRIALS in the complete product information).

For complete product information, click here.

Reference:

4Valcyte® [product information]. Nutley, NJ: Roche Laboratories Inc.; January 2006.

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