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Uses
VELETRI is indicated for the treatment of pulmonary arterial hypertension (PAH) (WHO Group 1) to improve exercise capacity. Studies establishing effectiveness included predominantly patients with NYHA Functional Class III-IV symptoms and etiologies of idiopathic or heritable PAH or PAH associated with connective tissue diseases.
History
There is currently no drug history available for this drug.
Other Information
Epoprostenol sodium is a sterile sodium salt formulated for intravenous (IV) administration. Each vial of VELETRI contains epoprostenol sodium equivalent to 1.5 mg (1,500,000 ng) epoprostenol, 50 mg arginine, and 50 mg mannitol. Sodium hydroxide is added to adjust pH.
Epoprostenol (PGI2, PGX, prostacyclin), a metabolite of arachidonic acid, is a naturally occurring prostaglandin with potent vasodilatory activity and inhibitory activity of platelet aggregation.
Epoprostenol is (5Z,9a,lla,13E,15S)-6,9-epoxy-11,15-dihydroxyprosta-5,13-dien-l-oic acid. Epoprostenol sodium has a molecular weight of 374.45 and a molecular formula of C20H31NaO5. The structural formula is:
VELETRI is a white to off-white lyophilized material that may be translucent. It is reconstituted with Sterile Water for Injection, USP, or Sodium Chloride 0.9% Injection, USP.
The reconstituted solution of VELETRI has a pH of >11.0 and is increasingly unstable at a lower pH.
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Veletri Manufacturers
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Actelion Pharmaceuticals Us, Inc.
Veletri | Actelion Pharmaceuticals Us, Inc.
Important Note: Reconstitute VELETRI only as directed with Sterile Water for Injection, USP, or Sodium Chloride 0.9% Injection, USP. Do not dilute reconstituted solutions of VELETRI or administer it with other parenteral solutions or medications [see Warnings and Precautions (5.1)].
2.1 DosagePrepare continuous chronic infusion of VELETRI as directed, and administer through a central venous catheter. Temporary peripheral intravenous infusion may be used until central access is established. Initiate chronic infusion of VELETRI at 2 ng/kg/min and increase in increments of 2 ng/kg/min every 15 minutes or longer until a tolerance limit to the drug is established or further increases in the infusion rate are not clinically warranted. If dose-limiting pharmacologic effects occur, then decrease the infusion rate until VELETRI is tolerated. In clinical trials, the most common dose-limiting adverse events were nausea, vomiting, hypotension, sepsis, headache, abdominal pain, or respiratory disorder (most treatment-limiting adverse events were not serious). If the initial infusion rate of 2 ng/kg/min is not tolerated, use a lower dose.
In the controlled 12-week trial in PAH/SSD, for example, the dose increased from a mean starting dose of 2.2 ng/kg/min. During the first 7 days of treatment, the dose was increased daily to a mean dose of 4.1 ng/kg/min on day 7 of treatment. At the end of week 12, the mean dose was 11.2 ng/kg/min. The mean incremental increase was 2 to 3 ng/kg/min every 3 weeks.
2.2 Dosage AdjustmentsBase changes in the chronic infusion rate on persistence, recurrence, or worsening of the patient's symptoms of pulmonary hypertension and the occurrence of adverse events due to excessive doses of VELETRI. In general, expect increases in dose from the initial chronic dose.
Consider increments in dose if symptoms of pulmonary hypertension persist or recur. Adjust the infusion by 1- to 2-ng/kg/min increments at intervals sufficient to allow assessment of clinical response; these intervals should be at least 15 minutes. In clinical trials, incremental increases in dose occurred at intervals of 24 to 48 hours or longer. Following establishment of a new chronic infusion rate, observe the patient, and monitor standing and supine blood pressure and heart rate for several hours to ensure that the new dose is tolerated.
During chronic infusion, the occurrence of dose-limiting pharmacological events may necessitate a decrease in infusion rate, but the adverse event may occasionally resolve without dosage adjustment. Make dosage decreases gradually in 2-ng/kg/min decrements every 15 minutes or longer until the dose-limiting effects resolve. Avoid abrupt withdrawal of VELETRI or sudden large reductions in infusion rates. Except in life-threatening situations (e.g., unconsciousness, collapse, etc.), infusion rates of VELETRI should be adjusted only under the direction of a physician.
In patients receiving lung transplants, doses of epoprostenol were tapered after the initiation of cardiopulmonary bypass.
2.3 AdministrationVELETRI, once prepared as directed [see Reconstitution (2.4)], is administered by continuous intravenous infusion via a central venous catheter using an ambulatory infusion pump. During initiation of treatment, VELETRI may be administered peripherally.
The ambulatory infusion pump used to administer VELETRI should: (1) be small and lightweight, (2) be able to adjust infusion rates in 2-ng/kg/min increments, (3) have occlusion, end-of-infusion, and low-battery alarms, (4) be accurate to ±6% of the programmed rate, and (5) be positive pressure-driven (continuous or pulsatile) with intervals between pulses not exceeding 3 minutes at infusion rates used to deliver VELETRI. The reservoir should be made of polyvinyl chloride, polypropylene, or glass. The infusion pump used in the most recent clinical trials was the CADD-1 HFX 5100 (SIMS Deltec). A 60-inch microbore non-DEHP extension set with proximal antisyphon valve, low priming volume (0.9 mL), and in-line 0.22 micron filter was used during clinical trials.
To avoid potential interruptions in drug delivery, the patient should have access to a backup infusion pump and intravenous infusion sets. Consider a multi-lumen catheter if other intravenous therapies are routinely administered.
2.4 ReconstitutionVELETRI is stable only when reconstituted as directed using Sterile Water for Injection, USP, or Sodium Chloride 0.9% Injection, USP. Do not reconstitute or mix VELETRI with any other parenteral medications or solutions prior to or during administration. Each vial is for single use only; discard any unused solution.
Use after storage of the reconstituted solution
Prior to use, VELETRI solutions reconstituted with 5 mL diluent must be protected from light and can be refrigerated at 2° to 8°C (36° to 46°F) for as long as 5 days or held at up to 25°C (77°F) for up to 48 hours prior to use. Do not freeze reconstituted solutions of VELETRI. Discard any reconstituted solution that has been frozen. Discard any reconstituted solution if it has been refrigerated for more than 5 days, or if held at room temperature for more than 48 hours.
Before administration, reconstituted solutions are further diluted to the final concentration.
During use, a single reservoir of diluted solution of 15000 ng/mL or above of VELETRI prepared as directed can be administered at room temperature for up to 24 hours. (If lower concentrations are chosen, pump reservoirs should be changed every 12 hours when administered at room temperature.) Do not expose this solution to direct sunlight.
Use after reconstitution and immediate dilution to final concentration
VELETRI solution reconstituted with 5 mL of Sterile Water for Injection, USP or Sodium Chloride 0.9% Injection, and immediately diluted to the final concentration in the drug delivery reservoir can be administered per the conditions of use as outlined in Table 1.
Table 1: Maximum duration of administration (hours) at room temperature (25°C/ 77°F) of fully diluted solutions in the drug delivery reservoir Final concentration range Immediate administration If stored at 2° to 8°C (36° to 46°F) for 1 day If stored at 2° to 8°C (36° to 46°F) for 7 days ≥3,000 ng/mL and <6,000 ng/mL 12 hours "Do not use" "Do not use" ≥ 6,000 ng/mL and < 9,000 ng/mL 24 hours 12 hours "Do not use" ≥ 9,000 ng/mL and < 12,000 ng/mL 24 hours 12 hours 12 hours ≥12,000 ng/mL and < 30,000 ng/mL 24 hours 24 hours 12 hours ≥30,000 ng/mL 72 hours 48 hours 24 hoursDo not expose this solution to direct sunlight.
A concentration for the solution of VELETRI should be selected that is compatible with the infusion pump being used with respect to minimum and maximum flow rates, reservoir capacity, and the infusion pump criteria listed above. VELETRI, when administered chronically, should be prepared in a drug delivery reservoir appropriate for the infusion pump. Outlined in Table 2 are directions for preparing different concentrations of VELETRI for up to a 72-hour period. Each vial is for single use only; discard any unused solution.
Table 2: Reconstitution and Dilution Instructions To make 100 mL of solution with Final Concentration (ng/mL) of: Directions: * Higher concentrations may be prepared for patients who receive VELETRI long-term. 3,000 ng/ml Dissolve contents of one 1.5 mg vial with 5 mL of Sterile Water for Injection, USP or Sodium Chloride 0.9% Injection, USP.
Withdraw 1 mL of the vial contents and add to a sufficient volume of the identical diluent to make a total of 100 mL. 6,000 ng/mL Dissolve contents of one 1.5 mg vial with 5 mL of Sterile Water for Injection, USP, or Sodium Chloride 0.9% Injection, USP.
Withdraw 2 mL of the vial contents and add to a sufficient volume of the identical diluent to make a total of 100 mL. 9,000 ng/ml Dissolve contents of one 1.5 mg vial with 5 mL of Sterile Water for Injection, USP, or Sodium Chloride 0.9% Injection, USP.
Withdraw 3 mL of the vial contents and add to a sufficient volume of the identical diluent to make a total of 100 mL. 12,000 ng/ml Dissolve contents of one 1.5 mg vial with 5 mL of Sterile Water for Injection, USP, or Sodium Chloride 0.9% Injection, USP.
Withdraw 4 mL of the vial contents and add to a sufficient volume of the identical diluent to make a total of 100 mL. 15,000 ng/mL* Dissolve contents of one 1.5 mg vial with 5 mL of Sterile Water for Injection, USP, or Sodium Chloride 0.9% Injection, USP.
Withdraw entire vial contents and add to a sufficient volume of the identical diluent to make a total of 100 mL. 30,000 ng/mL* Dissolve contents of two 1.5 mg vials each with 5 mL of Sterile Water for Injection, USP, or Sodium Chloride 0.9% Injection, USP.
Withdraw entire vial contents and add to a sufficient volume of the identical diluent to make a total of 100 mL.Infusion rates may be calculated using the following formula:
Infusion Rate (mL/hr) = [Dose (ng/kg/min) × Weight (kg) × 60 min/hr] Final Concentration (ng/mL)Tables 3 to 8 provide infusion delivery rates for doses up to 16 ng/kg/min based upon patient weight, drug delivery rate, and concentration of the solution of VELETRI to be used. These tables may be used to select the most appropriate concentration of VELETRI that will result in an infusion rate between the minimum and maximum flow rates of the infusion pump and that will allow the desired duration of infusion from a given reservoir volume. For infusion/dose rates lower than those listed in Tables 3 to 8, it is recommended that the pump rate be set by a healthcare professional such that steady state is achieved in the patient, keeping in mind the half life of epoprostenol is no more than six minutes. Higher infusion rates, and therefore, more concentrated solutions may be necessary with long-term administration of VELETRI.
Table 3: Infusion Rates for VELETRI at a Concentration of 3,000 ng/mL Dose or Drug Delivery Rate (ng/kg/min) Patient
weight
(kg) 2 3 4 5 Infusion Delivery Rate (mL/hr) 20 --- 1.2 1.6 2.0 30 1.2 1.8 2.4 3.0 40 1.6 2.4 3.2 4.0 50 2.0 3.0 4.0 60 2.4 3.6 70 2.8 80 3.2 90 3.6 100 4.0 Table 4: Infusion Rates for VELETRI at a Concentration of 6,000 ng/mL Dose or Drug Delivery Rate (ng/kg/min) Patient
weight
(kg) 2 3 4 5 Infusion Delivery Rate (mL/hr) 20 --- --- --- --- 30 --- --- 1.2 1.5 40 --- 1.2 1.6 2.0 50 1.0 1.5 2.0 2.5 60 1.2 1.8 2.4 3.0 70 1.4 2.1 2.8 3.5 80 1.6 2.4 3.2 4.0 90 1.8 2.7 3.6 100 2.0 3.0 4.0 Table 5: Infusion Rates for VELETRI at a Concentration of 9,000 ng/mL Dose or Drug Delivery Rate (ng/kg/min) Patient weight
(kg) 3 6 9 Infusion Delivery Rate (mL/hr) 20 --- --- --- 30 --- 1.2 1.8 40 --- 1.6 2.4 50 1.0 2.0 3.0 60 1.2 2.4 3.6 70 1.4 2.8 80 1.6 3.2 90 1.8 3.6 100 2.0 4.0 Table 6: Infusion Rates for VELETRI at a Concentration of 12,000 ng/mL Dose or Drug Delivery Rate (ng/kg/min) Patient
weight
(kg) 4 6 8 10 Infusion Delivery Rate (mL/hr) 20 --- --- --- --- 30 --- --- 1.2 1.5 40 --- 1.2 1.6 2.0 50 1.0 1.5 2.0 2.5 60 1.2 1.8 2.4 3.0 70 1.4 2.1 2.8 3.5 80 1.6 2.4 3.2 4.0 90 1.8 2.7 3.6 100 2.0 3.0 4.0 Table 7: Infusion Rates for VELETRI at a Concentration of 15,000 ng/mL Dose or Drug Delivery Rate (ng/kg/min) Patient
weight (kg) 4 6 8 10 12 14 16 Infusion Delivery Rate (mL/hr) 20 --- --- --- --- 1.0 1.1 1.3 30 --- --- 1.0 1.2 1.4 1.7 1.9 40 --- 1.0 1.3 1.6 1.9 2.2 2.6 50 --- 1.2 1.6 2.0 2.4 2.8 3.2 60 1.0 1.4 1.9 2.4 2.9 3.4 3.8 70 1.1 1.7 2.2 2.8 3.4 3.9 80 1.3 1.9 2.6 3.2 3.8 90 1.4 2.2 2.9 3.6 100 1.6 2.4 3.2 4.0 Table 8: Infusion Rates for VELETRI at a Concentration of 30,000 ng/mL Dose or Drug Delivery Rate (ng/kg/min) Patient
weight (kg) 6 8 10 12 14 16 30 --- --- --- --- --- 1.0 40 --- --- --- 1.0 1.1 1.3 50 --- --- 1.0 1.2 1.4 1.6 60 --- 1.0 1.2 1.4 1.7 1.9 70 --- 1.1 1.4 1.7 2.0 2.2 80 1.0 1.3 1.6 1.9 2.2 2.6 90 1.1 1.4 1.8 2.2 2.5 2.9 100 1.2 1.6 2.0 2.4 2.8 3.2 -
Actelion Pharmaceuticals Us, Inc.
Veletri | Actelion Pharmaceuticals Us, Inc.
Important Note: Reconstitute VELETRI only as directed with Sterile Water for Injection, USP, or Sodium Chloride 0.9% Injection, USP. Do not dilute reconstituted solutions of VELETRI or administer it with other parenteral solutions or medications [see Warnings and Precautions (5.1)].
2.1 DosagePrepare continuous chronic infusion of VELETRI as directed, and administer through a central venous catheter. Temporary peripheral intravenous infusion may be used until central access is established. Initiate chronic infusion of VELETRI at 2 ng/kg/min and increase in increments of 2 ng/kg/min every 15 minutes or longer until a tolerance limit to the drug is established or further increases in the infusion rate are not clinically warranted. If dose-limiting pharmacologic effects occur, then decrease the infusion rate until VELETRI is tolerated. In clinical trials, the most common dose-limiting adverse events were nausea, vomiting, hypotension, sepsis, headache, abdominal pain, or respiratory disorder (most treatment-limiting adverse events were not serious). If the initial infusion rate of 2 ng/kg/min is not tolerated, use a lower dose.
In the controlled 12-week trial in PAH/SSD, for example, the dose increased from a mean starting dose of 2.2 ng/kg/min. During the first 7 days of treatment, the dose was increased daily to a mean dose of 4.1 ng/kg/min on day 7 of treatment. At the end of week 12, the mean dose was 11.2 ng/kg/min. The mean incremental increase was 2 to 3 ng/kg/min every 3 weeks.
2.2 Dosage AdjustmentsBase changes in the chronic infusion rate on persistence, recurrence, or worsening of the patient's symptoms of pulmonary hypertension and the occurrence of adverse events due to excessive doses of VELETRI. In general, expect increases in dose from the initial chronic dose.
Consider increments in dose if symptoms of pulmonary hypertension persist or recur. Adjust the infusion by 1- to 2-ng/kg/min increments at intervals sufficient to allow assessment of clinical response; these intervals should be at least 15 minutes. In clinical trials, incremental increases in dose occurred at intervals of 24 to 48 hours or longer. Following establishment of new chronic infusion rate, observe the patient, and monitor standing and supine blood pressure and heart rate for several hours to ensure that the new dose is tolerated.
During chronic infusion, the occurrence of dose-limiting pharmacological events may necessitate a decrease in infusion rate, but the adverse event may occasionally resolve without dosage adjustment. Make dosage decreases gradually in 2-ng/kg/min decrements every 15 minutes or longer until the dose-limiting effects resolve. Avoid abrupt withdrawal of VELETRI or sudden large reductions in infusion rates. Except in life-threatening situations (e.g., unconsciousness, collapse, etc.), infusion rates of VELETRI should be adjusted only under the direction of a physician.
In patients receiving lung transplants, doses of epoprostenol were tapered after the initiation of cardiopulmonary bypass.
2.3 AdministrationVELETRI, once prepared as directed [see Reconstitution (2.4)], is administered by continuous intravenous infusion via a central venous catheter using an ambulatory infusion pump. During initiation of treatment, VELETRI may be administered peripherally.
Infusion sets with an in-line 0.22 micron filter should be used.
The ambulatory infusion pump used to administer VELETRI should: (1) be small and lightweight, (2) be able to adjust infusion rates in 2-ng/kg/min increments, (3) have occlusion, end-of-infusion, and low-battery alarms, (4) be accurate to ±6% of the programmed rate, and (5) be positive pressure-driven (continuous or pulsatile) with intervals between pulses not exceeding 3 minutes at infusion rates used to deliver VELETRI. The reservoir should be made of polyvinyl chloride, polypropylene, or glass. The infusion pump used in the most recent clinical trials was the CADD-1 HFX 5100 (SIMS Deltec). A 60-inch microbore non-DEHP extension set with proximal antisyphon valve, low priming volume (0.9 mL), and in-line 0.22 micron filter was used during clinical trials.
To avoid potential interruptions in drug delivery, the patient should have access to a backup infusion pump and intravenous infusion sets. Consider a multi-lumen catheter if other intravenous therapies are routinely administered.
2.4 ReconstitutionVELETRI is stable only when reconstituted as directed using Sterile Water for Injection, USP, or Sodium Chloride 0.9% Injection, USP. Do not reconstitute or mix VELETRI with any other parenteral medications or solutions prior to or during administration. Each vial is for single use only; discard any unused solution.
Use after reconstitution and immediate dilution to final concentration
Use at room temperature (77°F/25°C)
VELETRI solution reconstituted with 5 mL of Sterile Water for Injection, USP or Sodium Chloride 0.9% Injection, and immediately diluted to the final concentration in the drug delivery reservoir can be administered at room temperature per the conditions of use as outlined in Table 1.
Table 1: Maximum duration of administration (hours) at room temperature (77°F/ 25°C) of fully diluted solutions in the drug delivery reservoir* Final concentration range Immediate administration If stored for up to 8 days at 36° to 46°F (2° to 8°C) * Short excursions at 104°F (40°C) are permitted for up to:
2 hours for concentrations below15,000 ng/mL
4 hours for concentrations between 15,000 ng/mL and 60,000 ng/mL
8 hours for concentrations above 60,000 ng/mL 0.5mg vial ≥3,000 ng/mL and <15,000 ng/mL 48 hours 24 hours 1.5mg vial ≥15,000 ng/mL and < 60,000 ng/mL 48 hours 48 hours ≥60,000 ng/mL 72 hours 48 hoursUse at higher temperatures >77°F up to 104°F (>25° to 40°C)
Temperatures greater than 77°F and up to 86 °F (>25°C to 30°C): A single reservoir of fully diluted solution of 60 000 ng/mL or above of VELETRI prepared as directed can be administered (either immediately or after up to 8 days storage at 36° to 46°F (2° to 8°C))for up to 48 hours. For diluted solutions of less than 60 000 ng/mL, pump reservoirs should be changed every 24 hours.
Temperatures up to 104°F (40°C): Fully diluted solutions of 60,000 ng/mL or above of VELETRI, prepared as directed, can be immediately administered for periods up to 24 hours.
Do not expose this solution to direct sunlight.
A concentration for the solution of VELETRI should be selected that is compatible with the infusion pump being used with respect to minimum and maximum flow rates, reservoir capacity, and the infusion pump criteria listed above. VELETRI, when administered chronically, should be prepared in a drug delivery reservoir appropriate for the infusion pump. Outlined in Table 2 are directions for preparing different concentrations of VELETRI. Each vial is for single use only; discard any unused solution.
Table 2: Reconstitution and Dilution Instructions To make 100 mL of solution with Final Concentration (ng/mL) of: Directions: * Higher concentrations may be prepared for patients who receive VELETRI long-term. Using the 0.5 mg vial 3,000 ng/ml Dissolve contents of one 0.5 mg vial with 5 mL of Sterile Water for Injection, USP or Sodium Chloride 0.9% Injection, USP. Withdraw 3 mL of the vial contents and add to a sufficient volume of the identical diluent to make a total of 100 mL. 5,000 ng/mL Dissolve contents of one 0.5 mg vial with 5 mL of Sterile Water for Injection, USP, or Sodium Chloride 0.9% Injection, USP. Withdraw entire vial contents and add to a sufficient volume of the identical diluent to make a total of 100 mL. 10,000 ng/ml Dissolve contents of two 0.5 mg vials each with 5 mL of Sterile Water for Injection, USP, or Sodium Chloride 0.9% Injection, USP.
Withdraw entire vial contents and add to a sufficient volume of the identical diluent to make a total of 100 mL. Using the 1.5 mg vial 15,000 ng/mL* Dissolve contents of one 1.5 mg vial with 5 mL of Sterile Water for Injection, USP, or Sodium Chloride 0.9% Injection, USP.
Withdraw entire vial contents and add to a sufficient volume of the identical diluent to make a total of 100 mL. 30,000 ng/mL* Dissolve contents of two 1.5 mg vials each with 5 mL of Sterile Water for Injection, USP, or Sodium Chloride 0.9% Injection, USP.
Withdraw entire vial contents and add to a sufficient volume of the identical diluent to make a total of 100 mL.Infusion rates may be calculated using the following formula:
Infusion Rate (mL/hr) = [Dose (ng/kg/min) × Weight (kg) × 60 min/hr] Final Concentration (ng/mL)Tables 3 to 7 provide infusion delivery rates for doses up to 16 ng/kg/min based upon patient weight, drug delivery rate, and concentration of the solution of VELETRI to be used. These tables may be used to select the most appropriate concentration of VELETRI that will result in an infusion rate between the minimum and maximum flow rates of the infusion pump and that will allow the desired duration of infusion from a given reservoir volume. For infusion/dose rates lower than those listed in Tables 3 to 7, it is recommended that the pump rate be set by a healthcare professional such that steady state is achieved in the patient, keeping in mind the half life of epoprostenol is no more than six minutes. Higher infusion rates, and therefore, more concentrated solutions may be necessary with long-term administration of VELETRI.
Table 3: Infusion Rates for VELETRI at a Concentration of 3,000 ng/mL Dose or Drug Delivery Rate (ng/kg/min) Patient weight
(kg) 2 3 4 5 Infusion Delivery Rate (mL/hr) 20 --- 1.2 1.6 2.0 30 1.2 1.8 2.4 3.0 40 1.6 2.4 3.2 4.0 50 2.0 3.0 4.0 --- 60 2.4 3.6 --- --- 70 2.8 --- --- --- 80 3.2 --- --- --- 90 3.6 --- --- --- 100 4.0 --- --- --- Table 4: Infusion Rates for VELETRI at a Concentration of 5,000 ng/mL Dose or Drug Delivery Rate (ng/kg/min) Patient weight
(kg) 2 4 6 8 10 12 14 Infusion Delivery Rate (mL/hr) 20 --- 1.0 1.4 1.9 2.4 2.9 3.4 30 --- 1.4 2.2 2.9 3.6 --- --- 40 1.0 1.9 2.9 3.8 --- --- --- 50 1.2 2.4 3.6 --- --- --- --- 60 1.4 2.9 --- --- --- --- --- 70 1.7 3.4 --- --- --- --- --- 80 1.9 3.8 --- --- --- --- --- 90 2.2 --- --- --- --- --- --- 100 2.4 --- --- --- --- --- --- Table 5: Infusion Rates for VELETRI at a Concentration of 10,000 ng/mL Dose or Drug Delivery Rate (ng/kg/min) Patient weight
(kg) 4 6 8 10 12 14 16 Infusion Delivery Rate (mL/hr) 20 --- --- 1.0 1.2 1.4 1.7 1.9 30 --- 1.1 1.4 1.8 2.2 2.5 2.9 40 1.0 1.4 1.9 2.4 2.9 3.4 3.8 50 1.2 1.8 2.4 3.0 3.6 --- --- 60 1.4 2.2 2.9 3.6 --- --- --- 70 1.7 2.5 3.4 --- --- --- --- 80 1.9 2.9 3.8 --- --- --- --- 90 2.2 3.2 --- --- --- --- --- 100 2.4 3.6 --- --- --- --- --- Table 6: Infusion Rates for VELETRI at a Concentration of 15,000 ng/mL Dose or Drug Delivery Rate (ng/kg/min) Patient weight (kg) 4 6 8 10 12 14 16 Infusion Delivery Rate (mL/hr) 20 --- --- --- --- 1.0 1.1 1.3 30 --- --- 1.0 1.2 1.4 1.7 1.9 40 --- 1.0 1.3 1.6 1.9 2.2 2.6 50 --- 1.2 1.6 2.0 2.4 2.8 3.2 60 1.0 1.4 1.9 2.4 2.9 3.4 3.8 70 1.1 1.7 2.2 2.8 3.4 3.9 --- 80 1.3 1.9 2.6 3.2 3.8 --- --- 90 1.4 2.2 2.9 3.6 --- --- --- 100 1.6 2.4 3.2 4.0 --- --- --- Table 7: Infusion Rates for VELETRI at a Concentration of 30,000 ng/mL Dose or Drug Delivery Rate (ng/kg/min) Patient weight (kg) 6 8 10 12 14 16 30 --- --- --- --- --- 1.0 40 --- --- --- 1.0 1.1 1.3 50 --- --- 1.0 1.2 1.4 1.6 60 --- 1.0 1.2 1.4 1.7 1.9 70 --- 1.1 1.4 1.7 2.0 2.2 80 1.0 1.3 1.6 1.9 2.2 2.6 90 1.1 1.4 1.8 2.2 2.5 2.9 100 1.2 1.6 2.0 2.4 2.8 3.2
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