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Thyrogen (thyrotropin alfa for injection) Product Monograph

Listed below are the contents of the Thyrogen® Monograph:

I. Introduction

II. Well-differentiated thyroid cancer

Incidence and prevalence

Natural history affects management

Treatment and management of thyroid cancer

Monitoring for cancer recurrences or metastases

III. Description and pharmacology of Thyrogen

Description

Clinical pharmacology

IV. Overview of preclinical and clinical development of Thyrogen

Preclinical studies

Clinical studies

V. Phase III clinical trials

Overview

Study designs

Efficacy results of WBS in the first phase III study

Refinements to the second Phase III study design based on the first phase III

VI. Second Phase III clinical trial

Study design

Pharmacokinetic results

Scan review

Efficacy results of WBS alone

Efficacy results of WBS in combination with Tg testing

Efficacy results of Tg testing alone

Results of hypothyroid symptom evaluation and quality-of-life assessment

VII. Safety and tolerability profile

VIII. Reconstitution and administration

Recommended dosing regimen

IX. Guidelines for use

Suggested WBS protocol

X. Clinical management strategies

Management strategies using Thyrogen

Guidelines for Monitoring with Thyrogen

XI. References

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Safety Information
Thyrogen® (thyrotropin alfa for injection) is indicated for use as an adjunctive diagnostic tool for serum thyroglobulin (Tg) testing with or without radioiodine whole-body scan (WBS) in the follow-up of patients with well-differentiated thyroid cancer. It is a prescription product injected into the muscle. Thyrogen® may not be appropriate for all patients. The most commonly reported adverse events are headache, nausea, weakness and vomiting. Even with a Thyrogen®-stimulated Tg testing and WBS, a risk remains of missing a diagnosis of thyroid cancer or of underestimating the extent of disease. Adverse events should be reported promptly to Genzyme Medical Information at 1-800-745-4447. For more information on Thyrogen®, please see full prescribing information (PDF), contact the Medical Information department or contact Genzyme toll free at 1-88-THYROGEN (1-888-497-6436).
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