Nab-Xelpac
100mg/vialRx৳ 25,000/unit
Pack: ৳ 25,000
৳ 25,000/unit
Pack: ৳ 25,000
At a glance
Nanoparticle Albumin-Bound (NAB) Paclitaxel is a chemotherapy drug used for metastatic breast cancer, non-small cell lung cancer and pancreatic adenocarcinoma. It prevents depolymerization of cellular microtubules to stop cell division.
Indications
- Metastatic breast cancer (after anthracycline failure)
- Locally advanced or metastatic non-small cell lung cancer (with carboplatin)
- Metastatic adenocarcinoma of the pancreas (with gemcitabine)
Pharmacology
NAB-Paclitaxel is an albumin-conjugated formulation that prevents depolymerization of cellular microtubules, resulting in inhibition of DNA, RNA and protein synthesis. Albumin improves paclitaxel delivery to tumor cells through SPARC protein.
Dosage
Breast Cancer: 260 mg/m² IV over 30 min, every 3 weeks
NSCLC: 100 mg/m² IV over 30 min on Days 1, 8, 15 of 21-day cycle + Carboplatin AUC 6
Pancreatic Cancer: 125 mg/m² IV over 30-40 min on Days 1, 8, 15 of 28-day cycle + Gemcitabine 1000 mg/m²
Side effects
Common Side Effects (>10%):
- Alopecia (90%)
- Neutropenia (80%)
- Sensory neuropathy (71%)
- Abnormal EKG (60%)
- Asthenia (47%)
- Myalgia/arthralgia (44%)
- AST increased (39%)
- Anemia (33%)
- Nausea (30%)
- Diarrhea (27%)
- Dyspnea (12%)
Serious: Sepsis, pneumonitis, hypersensitivity reactions
Use in pregnancy
Use in Pregnancy: NAB-Paclitaxel is highly unsafe during pregnancy (Category D); definite evidence of severe fetal harm. Avoid pregnancy.
Pregnancy Category: D — always consult a doctor before taking during pregnancy.
Precautions & warnings
- Causes myelosuppression; monitor CBC
- Sensory neuropathy occurs frequently; may require dose reduction or treatment interruption
- Biliary obstruction or stent are risk factors for severe sepsis
- Increased toxicity in hepatic impairment
- May cause fetal harm; avoid in pregnant women
- Men should not father a child during treatment
Overdose effects
Overdose may cause myelosuppression and neuropathy; symptomatic treatment.
Storage conditions
Store below 25°C; protect from light; keep out of reach of children.