Jevtana (generic: cabazitaxel) is a prescription medication used to treat prostate cancer in adults. Jevtana belongs to a group of drugs called microtubule inhibitors, which slow and stop the growth of cancer cells.
This medication comes in an injectable form to be given directly into the vein (IV) by a healthcare provider once every 3 weeks.
Common side effects of Jevtana include low red blood cell count, low blood platelet count, and tiredness. Do not drink grapefruit juice while taking Jevtana.
Jevtana is used to treat people with prostate cancer that has worsened after treatment with other anti-cancer medicines, including docetaxel. Jevtana is designed to be used with a steroid medication called prednisone.
This medication may be prescribed for other uses. Ask your doctor or pharmacist for more information.
Jevtana may cause serious side effects including:
- See "Drug Precautions"
Common side effects of Jevtana include:
- Low red blood cell count (anemia). Your doctor will regularly check your red blood cell count. Symptoms of anemia include shortness of breath and tiredness.
- Low blood platelet count. Tell your doctor if you have any unusual bruising or bleeding.
- blood in the urine. Tell your doctor or nurse if you see blood in your urine.
- back pain
- decreased appetite
- shortness of breath
- stomach (abdominal) pain
- change in your sense of taste
- joint pain
- hair loss
- numbness, tingling, burning or decreased sensation in your hands or feet
Tell your doctor if you have any side effect that bothers you or that does not go away.
These are not all the possible side effects of Jevtana. For more information, ask your doctor or pharmacist.
Tell your doctor about all the medicines you take including prescription and non-prescription medicines, vitamins, and herbal supplements. Especially tell your doctor if you take:
This is not a complete list of Jevtana drug interactions. Ask your doctor or pharmacist for more information.
Jevtana may cause serious side effects including:
- Low white blood cells. Low white blood cells can cause you to get serious infections, and may lead to death. People who are 65 years or older may be more likely to have these problems. Your doctor:
Tell your doctor right away if you have any of these symptoms of infection while receiving Jevtana:
Also, tell your doctor if you have any diarrhea during the time that your white blood cell count is low. Your doctor may prescribe treatment for you as needed.
- will do blood tests regularly to check your white blood cell counts during your treatment with Jevtana.
- may lower your dose of Jevtana, change how often you receive it, or stop Jevtana until your doctor decides that you have enough white blood cells.
- may prescribe a medicine for you called G-CSF, to help prevent complications if your white blood cell count is too low.
- fever. Take your temperature often during treatment with Jevtana.
- burning on urination
- muscle aches
- Severe allergic reactions. Severe allergic reactions can happen within a few minutes after your infusion of Jevtana starts, especially during the first and second infusions. Your doctor should prescribe medicines before each infusion to help prevent severe allergic reactions.
Tell your doctor or nurse right away if you have any of these symptoms of a severe allergic reaction during or soon after an infusion of Jevtana:
- rash or itching
- skin redness
- feeling dizzy or faint
- breathing problems
- chest or throat tightness
- swelling of face
- Gastrointestinal symptoms. Vomiting and diarrhea can happen when you take Jevtana. Severe vomiting and diarrhea with Jevtana can lead to loss of too much body fluid (dehydration), or too much of your body salts (electrolytes). Death has happened from having severe diarrhea and losing too much body fluid or body salts with Jevtana. Tell your doctor if you have vomiting or diarrhea. Your doctor will prescribe medicines to prevent or treat vomiting and diarrhea, as needed with Jevtana. Tell your doctor if your symptoms get worse or do not get better. You may need to go to the hospital for treatment.
- Kidney failure. Kidney failure may happen with Jevtana, because of severe infection, loss of too much body fluid (dehydration), and other reasons, which may lead to death. Your doctor will check you for this problem and treat you if needed. Tell your doctor if you develop:
- swelling of your face or body
- decrease in the amount of urine that your body makes each day.
Do not receive Jevtana if:
- your white blood cell (neutrophil count) is too low
- you have had a severe allergic reaction to cabazitaxel or other medicines that contain polysorbate 80. Ask your doctor if you are not sure.
Grapefruit and grapefruit juice may interact with Jevtana and lead to potentially dangerous effects. Discuss the use of grapefruit products with your doctor.Grapefruit and grapefruit juice may interact with Jevtana and lead to potentially dangerous effects. Discuss the use of grapefruit products with your doctor.
Before receiving Jevtana, tell your doctor if you:
- had allergic reactions in the past
- have kidney or liver problems
- are over the age of 65
- have any other medical conditions
- if you are a female and:
- are pregnant or plan to become pregnant. Jevtana can harm your unborn baby. Talk to your doctor about the best way for you to prevent pregnancy while you are receiving Jevtana.
- are breastfeeding or plan to breastfeed. It is not known if Jevtana passes into your breast milk. You and your doctor should decide if you will take Jevtana or breastfeed. You should not do both.
Tell your doctor about all the medicines you take, including prescription and non-prescription medicines, vitamins, and herbal supplements. Jevtana can interact with many other medicines. Do not take any new medicines without asking your doctor first. Your doctor will tell you if it is safe to take the new medicine with Jevtana.
Tell your doctor if you are pregnant or plan to become pregnant. Jevtana can harm your unborn baby. Talk to your doctor about the best way for you to prevent pregnancy while you are receiving Jevtana.
Tell your doctor if you are breastfeeding or plan to breastfeed. It is not known if Jevtana passes into your breast milk. You and your doctor should decide if you will take Jevtana or breastfeed. You should not do both.
- Jevtana will be given to you by an intravenous (IV) infusion into your vein.
- Your treatment will take about 1 hour.
- Jevtana is usually given every 3 weeks. Your doctor will decide how often you will receive Jevtana .
- Your doctor will also prescribe another medicine called prednisone, for you to take by mouth every day during treatment with Jevtana. Your doctor will tell you how and when to take your prednisone.
It is important that you take prednisone exactly as prescribed by your doctor. If you forget to take your prednisone, or do not take it on schedule, make sure to tell your doctor or nurse. Before each infusion of Jevtana, you may receive other medicines to prevent or treat side effects.
The Jevtana dose your doctor recommends will be based on calculation of your body surface area, using your height and weight. The dose may be adjusted depending on how you respond to this medication. Your doctor will prescribe prednisone for you to take, by mouth, during Jevtana treatment. Jevtana is usually given once every three weeks.
Jevtana is usually administered by a healthcare provider in a medical setting making it unlikely for an overdose to occur. However, if overdose is suspected, seek emergency medical attention.
Active ingredient: cabazitaxel
Inactive ingredient: polysorbate 80
Keep all medical and laboratory appointments. This medication works best if received on schedule.
Neutropenic deaths have been reported. In order to monitor the occurrence of neutropenia, frequent blood cell counts should be performed on all patients receiving Jevtana. Jevtana should not be given to patients with neutrophil counts of ≤1,500 cells/mm3.
Severe hypersensitivity reactions can occur and may include generalized rash/erythema, hypotension and bronchospasm. Severe hypersensitivity reactions require immediate discontinuation of the Jevtana infusion and administration of appropriate therapy. Patients should receive premedication. Jevtana must not be given to patients who have a history of severe hypersensitivity reactions to Jevtana or to other drugs formulated with polysorbate 80.