What is a Generic Drug?

A generic drug is a copy of the brand-name drug with the same dosage, safety, strength, quality, consumption method, performance, and intended use. Before generics become available on the market, the generic company must prove it has the same active ingredients as the brand-name drug and works in the same way and in the same amount of time in the body.

The only differences between generics and their brand-name counterparts is that generics are less expensive and may look slightly different (eg. different shape or color), as trademarks laws prevent a generic from looking exactly like the brand-name drug.

Generics are less expensive because generic manufacturers don't have to invest large sums of money to develop a drug. When the brand-name patent expires, generic companies can manufacture a copy of the brand-name and sell it at a substantial discount.

Vitrakvi (Larotrectinib)

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Brand

Vitrakvi (Larotrectinib)

Prescription Required

Strength
Qty
25mg
100mg

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  • Product Details

    Description

    Vitrakvi is a prescription medication for certain types of cancer. It is specifically indicated for metastatic solid tumors with neurotrophic receptor tyrosine kinase (NTRK) gene fusion, without a known acquired resistance mutation, and with no alternative treatments.

    Vitrakvi is a selective TRK inhibitor that targets and inhibits the activity of tropomyosin receptor kinases (TRKs), which are involved in the growth and proliferation of cancer cells with NTRK gene fusions. Vitrakvi stops cancer cells from growing and spreading by blocking TRK activity.

    Fact Table

    Formula

    C21H22F2N6O2

    License

    US FDA, EMA

    Bioavailability

    34%

    Legal status

    Prescription only (?)

    Chemical Name

    (3S)-N-{5-[(2,5-Difluorophenyl)methyl]-1H-pyrazol-3-yl}-3-(1-methylpyrazol-4-yl)benzamide

    Elimination half-life

    2.9 hours

    Dosage (Strength)

    25 mg, 100 mg capsules; 20 mg/mL oral solution

    Pregnancy

    Use with caution

    Brands

    Vitrakvi

    Protein binding

    70-80%

    PubChem CID

    50920634

    MedlinePlus

    a619025

    ChEBI

    CHEBI:133003

    ATC code

    L01XE56

    DrugBank

    DB11986

    KEGG

    D11019

    Routes of administration

    Oral

    Directions

    The typical dose for adults and pediatric patients is 100 mg orally twice daily. If necessary, your doctor may recommend an adjustment.

    Ingredients

    The active ingredient in Vitrakvi is larotrectinib.

    Interactions

    Common drug-drug interactions include:

    • Abametapir
    • Acalabrutinib
    • Alfentanil
    • Alprazolam
    • Amiodarone
    • Apalutamide
    • Aprepitant
    • Atazanavir
    • Avanafil
    • Avapritinib
    • Boceprevir
    • Bosentan
    • Bosutinib
    • Budesonide
    • Buprenorphine
    • Buspirone
    • Carbamazepine
    • Cenobamate
    • Ciprofloxacin
    • Clarithromycin
    • Clozapine
    • Cobicistat
    • Cobimetinib
    • Codeine
    • Conivaptan
    • Crizotinib
    • Cyclosporine
    • Darifenacin
    • Darunavir
    • Dasatinib
    • Dihydroergotamine
    • Diltiazem
    • Dronedarone
    • Efavirenz
    • Eletriptan
    • Entrectinib
    • Enzalutamide
    • Eplerenone
    • Erythromycin
    • Etravirine
    • Everolimus
    • Fedratinib
    • Felodipine
    • Fentanyl
    • Fexinidazole
    • Finerenone
    • Fluconazole
    • Fluticasone
    • Fosaprepitant
    • Fosnetupitant
    • Fosphenytoin
    • Ibrexafungerp
    • Ibrutinib
    • Idelalisib
    • Imatinib
    • Indinavir
    • Itraconazole
    • Ivabradine
    • Ivacaftor
    • Ketoconazole
    • Lemborexant
    • Letermovir
    • Lomitapide
    • Lopinavir
    • Lorlatinib
    • Lovastatin
    • Lumacaftor
    • Lurasidone
    • Maraviroc
    • Mavacamten
    • Methadone
    • Midazolam
    • Mitotane
    • Modafinil
    • Nafcillin
    • Naloxegol
    • Nefazodone
    • Nelfinavir
    • Netupitant
    • Nilotinib
    • Omaveloxolone
    • Oxycodone
    • Phenobarbital
    • Phenytoin
    • Posaconazole
    • Primidone
    • Quetiapine
    • Rifabutin
    • Rifampin
    • Ritonavir
    • Roflumilast
    • Saquinavir
    • Sildenafil
    • Simvastatin
    • Sirolimus
    • Sirolimus Protein-Bound
    • St John's Wort
    • Sufentanil
    • Tacrolimus
    • Telaprevir
    • Telithromycin
    • Temsirolimus
    • Ticagrelor
    • Tipranavir
    • Tolvaptan
    • Tramadol
    • Triazolam
    • Ubrogepant
    • Vardenafil
    • Venetoclax
    • Venlafaxine
    • Verapamil
    • Voclosporin
    • Voriconazole
    • Zolpidem

    Cautions

    Patients should be monitored for signs of neurological adverse reactions, such as dizziness and gait disturbance. If severe neurological adverse reactions occur, dose modification or discontinuation may be necessary.

    Tell your doctor if you have a history of liver problems before starting this drug.

    Side Effects

    The most common side effects include:

    • Abdominal pain
    • ALT/SGPT level raised
    • Aspartate aminotransferase serum level above reference range
    • Constipation
    • Cough
    • Diarrhea
    • Dizziness
    • Dyssomnia
    • Fatigue
    • Fever
    • Fracture of bone
    • Impaired cognition
    • Mood disorder
    • Musculoskeletal pain
    • Nausea
    • Vomiting

    References

    1. Vitrakvi [package insert]. Stamford, CT: Loxo Oncology; November 2018.


    IMPORTANT NOTE: The above information is intended to increase awareness of health information and does not suggest treatment or diagnosis. This information is not a substitute for individual medical attention and should not be construed to indicate that use of the drug is safe, appropriate, or effective for you. See your health care professional for medical advice and treatment.

    Product Code : 14206

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