Duvyzat(Givinostat)
Acetylcysteine Injection, FLUIMUCIL, Acetylcysteine InjectionAcetylcysteine Injection, FLUIMUCIL, Acetylcysteine InjectionAcetylcysteine Injection, FLUIMUCIL, Acetylcysteine Injection
Reference price:
Manufacturer:
ITALFARMACO SPA
Formulation:
SUSPENSION
Validity period:
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DUVYZAT (givinostat) is a histone deacetylase inhibitor approved for treating Duchenne muscular dystrophy (DMD) in patients aged 6 years and older. It modulates gene expression, potentially slowing disease progression by reducing muscle degeneration. The drug is administered orally as a weight-based suspension twice daily with food. Key safety considerations include monitoring for thrombocytopenia, hypertriglyceridemia, and QTc prolongation.  

Clinical trials demonstrated efficacy in delaying functional decline, with a 1.78-second improvement in 4-stair climb time versus placebo over 18 months. Common adverse reactions include diarrhea, abdominal pain, and hematological changes. DUVYZAT requires rigorous adherence to dosing guidelines and regular laboratory monitoring to mitigate risks.

Generic name

Duvyzat(Givinostat)
English name
Givinostat
Alternative Names
Duvyzat
Drug prices
Indications

DUVYZAT is indicated for the treatment of Duchenne muscular dystrophy (DMD) in patients 6 years of age and older.

Therapeutic Target
Histone deacetylase (HDAC) inhibitor. The precise mechanism by which DUVYZAT exerts its effect in patients with DMD is unknown.
Active Ingredients
Givinostat hydrochloride monohydrate
Dosage form
SUSPENSION
specifications
8.86 mg/mL*140 mL/box
Description

DUVYZAT (givinostat) oral suspension contains givinostat hydrochloride monohydrate, a histone deacetylase inhibitor. Givinostat hydrochloride monohydrate is designated chemically as: [6-(diethylaminomethyl)naphthalen-2-yl]methyl[4(hydroxycarbamoyl) phenyl] carbamate hydrochloride monohydrate. The molecular formula is C₂₄H₂₇N₃O₄•HCl•H₂O and the molecular weight is 475.97 g/mol.

Givinostat hydrochloride monohydrate is a white to off-white, non-hygroscopic, crystalline powder that is very slightly to slightly soluble in aqueous media and slightly soluble in ethanol.

DUVYZAT contains givinostat 8.86 mg/mL (equivalent to givinostat hydrochloride monohydrate 10 mg/mL) and the following inactive ingredients: cream flavor, glycerin, non-crystallizing sorbitol solution, peach flavor, polysorbate 20, purified water, saccharin sodium, sodium benzoate, sodium hydroxide, tartaric acid, and tragacanth.

Dosage and Administration

The recommended dosage of DUVYZAT is based on body weight and administered orally twice daily with food:

10 kg to less than 20 kg: 22.2 mg (2.5 mL) twice daily;

20 kg to less than 40 kg: 31 mg (3.5 mL) twice daily;

40 kg to less than 60 kg: 44.3 mg (5 mL) twice daily;

60 kg or more: 53.2 mg (6 mL) twice daily.

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