Cerianna
(Fluoroestradiol F 18)Dosage & Administration
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Cerianna Prescribing Information
CERIANNA is indicated for use with positron emission tomography (PET) imaging for the detection of estrogen receptor (ER)-positive lesions as an adjunct to biopsy in patients with recurrent or metastatic breast cancer.
- Recommended dose is 222 MBq (6 mCi), with a range of 111 MBq to 222 MBq (3 mCi to 6 mCi), administered as an intravenous injection over 1 to 2 minutes. ()
2.2 Recommended Dosage and Administration InstructionsRecommended DosageThe recommended amount of radioactivity to be administered for PET imaging is 222 MBq (6 mCi), with a range of 111 MBq to 222 MBq (3 mCi to 6 mCi), administered as a single intravenous injection of 10 mL or less over 1 to 2 minutes.
Preparation and Administration- For patient preparation instructions, see Dosage and Administration 2.3.
- Use aseptic technique and radiation shielding when withdrawing and administering CERIANNA.
- Visually inspect the radiopharmaceutical solution. Do not use if it contains particulate matter or if it is cloudy or discolored (CERIANNA is a clear, colorless solution).
- CERIANNA may be diluted with 0.9% Sodium Chloride Injection, USP.
- Assay the dose in a suitable dose calibrator prior to administration.
Post-Administration Instructions- Follow the CERIANNA injection with an intravenous flush of 0.9% Sodium Chloride injection, USP.
- Dispose of any unused CERIANNA in compliance with applicable regulations.
- Recommended imaging start time is 80 minutes (range 20 minutes to 80 minutes) after drug administration. ()
2.4 Image AcquisitionPosition the patient supine with arms above the head, if possible. The recommended start time for image acquisition is 80 minutes after the intravenous administration of CERIANNA. Scan duration adapted from the range of 20 minutes to 30 minutes and imaging start times adapted within the range of 20 minutes to 80 minutes may be customized according to the equipment used and patient and tumor characteristics for optimal image quality.
- See full prescribing information for additional preparation, administration, imaging, and radiation dosimetry information. ()
2 DOSAGE AND ADMINISTRATION- Recommended dose is 222 MBq (6 mCi), with a range of 111 MBq to 222 MBq (3 mCi to 6 mCi), administered as an intravenous injection over 1 to 2 minutes.
- Recommended imaging start time is 80 minutes (range 20 minutes to 80 minutes) after drug administration.
- See full prescribing information for additional preparation, administration, imaging, and radiation dosimetry information.
2.1 Radiation Safety - Drug HandlingCERIANNA is a radioactive drug. Only authorized persons qualified by training and experience should receive, use, and administer CERIANNA. Handle CERIANNA with appropriate safety measures to minimize radiation exposure during administration
[see Warnings and Precautions (5.2)]. Use waterproof gloves and effective radiation shielding, including syringe shields, when preparing and handling CERIANNA.2.2 Recommended Dosage and Administration InstructionsRecommended DosageThe recommended amount of radioactivity to be administered for PET imaging is 222 MBq (6 mCi), with a range of 111 MBq to 222 MBq (3 mCi to 6 mCi), administered as a single intravenous injection of 10 mL or less over 1 to 2 minutes.
Preparation and Administration- For patient preparation instructions, see Dosage and Administration 2.3.
- Use aseptic technique and radiation shielding when withdrawing and administering CERIANNA.
- Visually inspect the radiopharmaceutical solution. Do not use if it contains particulate matter or if it is cloudy or discolored (CERIANNA is a clear, colorless solution).
- CERIANNA may be diluted with 0.9% Sodium Chloride Injection, USP.
- Assay the dose in a suitable dose calibrator prior to administration.
Post-Administration Instructions- Follow the CERIANNA injection with an intravenous flush of 0.9% Sodium Chloride injection, USP.
- Dispose of any unused CERIANNA in compliance with applicable regulations.
2.3 Patient PreparationAssessment for Drug InteractionsBefore administering CERIANNA, discontinue drugs that bind to ER (e.g., selective estrogen receptor modulators (SERMs) and selective estrogen receptor down-regulators (SERDs))
[see Drug Interactions (7)].Patient Hydration and VoidingInstruct patients to drink water to ensure adequate hydration prior to administration of CERIANNA and to continue drinking and voiding frequently during the first hours following administration to reduce radiation exposure.
Pregnancy StatusAssessment of pregnancy status is recommended in females of reproductive potential before administering CERIANNA.
2.4 Image AcquisitionPosition the patient supine with arms above the head, if possible. The recommended start time for image acquisition is 80 minutes after the intravenous administration of CERIANNA. Scan duration adapted from the range of 20 minutes to 30 minutes and imaging start times adapted within the range of 20 minutes to 80 minutes may be customized according to the equipment used and patient and tumor characteristics for optimal image quality.
2.5 Image InterpretationUptake of fluoroestradiol F 18 depends on ER density and function in tumors and physiologic tissue, including in liver, ovary, and uterus. Detection of ER-positive tumors should be based on comparison with tissue background outside of organs with high physiologic uptake and regions with high activity due to hepatobiliary and urinary excretion.
2.6 Radiation DosimetryRadiation absorbed dose estimates are shown in Table 1 for organs and tissues of adults from intravenous administration of CERIANNA. The radiation effective dose resulting from administration of 222 MBq (6 mCi) of CERIANNA to an adult weighing 70 kg is estimated to be 4.9 mSv. Critical organs include the liver, gallbladder, and uterus. When PET/CT is performed, exposure to radiation will increase by an amount dependent on the settings used for the CT acquisition.
Table 1. Estimated Radiation Absorbed Doses in Various Organs/Tissues in Adults Who Received FLUOROESTRADIOL F 18 Organ Mean Absorbed Dose Per Unit of Activity Administered (mGy/MBq) Adrenals 0.023 Brain 0.01 Breasts 0.009 Gallbladder 0.102 Lower large intestine 0.012 Small intestine 0.027 Stomach 0.014 Upper large intestine 0.03 Heart wall 0.026 Kidney 0.035 Liver 0.126 Lungs 0.017 Muscle 0.021 Ovaries 0.018 Pancreas 0.023 Red Marrow 0.013 Bone surface 0.014 Skin 0.005 Spleen 0.015 Testes 0.012 Thymus 0.014 Thyroid 0.012 Urinary bladder 0.05 Uterus 0.039 Lens 0.009 Effective dose = 0.022 mSv/MBq
Injection: clear, colorless solution in a multiple-dose vial containing 148 MBq/mL to 3,700 MBq/mL (4 mCi/mL to 100 mCi/mL) of fluoroestradiol F 18 at end of synthesis.
- Lactation: Interrupt breastfeeding. Advise a lactating woman to avoid breastfeeding for 4 hours after CERIANNA administration. ()
8.2 LactationRisk SummaryThere are no data on the presence of fluoroestradiol F 18 in human milk, or its effects on the breastfed infant or milk production. Lactation studies have not been conducted in animals. Advise a lactating woman to avoid breastfeeding for 4 hours after CERIANNA administration in order to minimize radiation exposure to a breastfed infant.
None
- Risk of Misdiagnosis. Do not use CERIANNA in lieu of biopsy when biopsy is indicated in patients with recurrent or metastatic breast cancer. Pathology or clinical characteristics that suggest a patient may benefit from systemic hormone therapy should take precedence over a discordant negative CERIANNA scan. ()
5.1 Risk of MisdiagnosisInadequate Tumor Characterization and Other ER-Positive PathologyBreast cancer may be heterogeneous within patients and across time. CERIANNA images ER and is not useful for imaging other receptors such as HER2 and PR. The uptake of fluoroestradiol F 18 is not specific for breast cancer and may occur in a variety of ER-positive tumors that arise outside of the breast, including from the uterus and ovaries. Do not use CERIANNA in lieu of biopsy when biopsy is indicated in patients with recurrent or metastatic breast cancer.
False Negative CERIANNA ScanA negative CERIANNA scan does not rule out ER-positive breast cancer
[see Clinical Studies (14)]. Pathology or clinical characteristics that suggest a patient may benefit from systemic hormone therapy should take precedence over a discordant negative CERIANNA scan. - Radiation Risks. Ensure safe drug handling and patient preparation procedures to protect patients and health care providers from unintentional radiation exposure. (,
2.1 Radiation Safety - Drug HandlingCERIANNA is a radioactive drug. Only authorized persons qualified by training and experience should receive, use, and administer CERIANNA. Handle CERIANNA with appropriate safety measures to minimize radiation exposure during administration
[see Warnings and Precautions (5.2)]. Use waterproof gloves and effective radiation shielding, including syringe shields, when preparing and handling CERIANNA.,2.3 Patient PreparationAssessment for Drug InteractionsBefore administering CERIANNA, discontinue drugs that bind to ER (e.g., selective estrogen receptor modulators (SERMs) and selective estrogen receptor down-regulators (SERDs))
[see Drug Interactions (7)].Patient Hydration and VoidingInstruct patients to drink water to ensure adequate hydration prior to administration of CERIANNA and to continue drinking and voiding frequently during the first hours following administration to reduce radiation exposure.
Pregnancy StatusAssessment of pregnancy status is recommended in females of reproductive potential before administering CERIANNA.
)5.2 Radiation RisksDiagnostic radiopharmaceuticals, including CERIANNA, expose patients to radiation
[see Dosage and Administration (2.6)]. Radiation exposure is associated with a dose-dependent increased risk of cancer. Ensure safe drug handling and patient preparation procedures to protect patients and health care providers from unintentional radiation exposure[see Dosage and Administration (2.1)and (2.3)].