ISOPLATE- sodium chloride, sodium gluconate, sodium acetate, potassium chloride, magnesium chloride, sodium phosphate, dibasic and potassium phosphate, monobasic solution
B. Braun Medical Inc.
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HIGHLIGHTS OF PRESCRIBING INFORMATION
These highlights do not include all the information needed to use Isoplate™ Solution Platelet Additive Solution [PAS-F] safely and effectively. See full prescribing information for Isoplate™ Solution Platelet Additive Solution [PAS-F].
Isoplate™ Solution Platelet Additive Solution [PAS-F] Initial U.S. Approval: 2013 INDICATIONS AND USAGEIsoplate™ Solution Platelet Additive Solution [PAS-F] is an isotonic solution to replace a portion of the plasma to store Platelet Pheresis, Leukocytes Reduced PAS products collected using a hyperconcentrated collection on Terumo BCT’s Trima Accel® System. The solution should never be infused directly to the patient. Platelet Pheresis, Leukocytes Reduced Platelet Additive Solution [PAS] products are stored in a mix of 65% Isoplate™ and 35% plasma. Platelets in Isoplate™ Solution can be stored at a concentration range of 700-2100 x 106/mL for up to 5 days at 20-24°C with continuous agitation in the EXCEL® container.(1) DOSAGE AND ADMINISTRATIONIsoplate™ Solution Platelet Additive Solution [PAS-F] may only be used with the Trima Accel® automated blood cell separator device. For full instructions on the use of Isoplate™ Solution Platelet Additive Solution [PAS-F] with the Trima Accel® see the Trima Accel® Operator's Manual. (2) Directions for Connecting the Isoplate™ Solution Container to the Trima Accel® System At the prompt to connect the platelet additive solution to the Trima Accel® tubing set: 1. Remove the overwrap by pulling down at notch and remove solution container. 2. Before use, perform the following checks:
3. Remove the protective cap from the port on the Isoplate™ Solution Platelet Additive Solution [PAS-F] container. 4. Connect the Isoplate™ container to the Trima Accel® set using aseptic technique and hang the solution. 5. Proceed per the Trima Accel® Operator’s Manual. DOSAGE FORMS AND STRENGTHS
CONTRAINDICATIONSThere are no known contraindications. (4) WARNINGS AND PRECAUTIONS
ADVERSE REACTIONS
To report SUSPECTED ADVERSE REACTIONS, contact B. Braun Medical Inc. at 1-800-227-2862 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch. DRUG INTERACTIONS
Revised: 03/2013 |
FULL PRESCRIBING INFORMATION: CONTENTS *1 INDICATIONS AND USAGE2 DOSAGE AND ADMINISTRATION2.1 General Dosing Information2.2 Directions for Connecting the Isoplate™ Solution Container to the Trima Accel® System3 DOSAGE FORMS AND STRENGTHS4 CONTRAINDICATIONS5 WARNINGS AND PRECAUTIONS6 ADVERSE REACTIONS6.1 Clinical Trials Experience7 DRUG INTERACTIONS9 DRUG ABUSE AND DEPENDENCE10 OVERDOSAGE11 DESCRIPTION12 CLINICAL PHARMACOLOGY12.1 Mechanism of Action14 CLINICAL STUDIES15 REFERENCES16 HOW SUPPLIED/STORAGE AND HANDLING
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Isoplate™ Solution Platelet Additive Solution [PAS-F] is an isotonic solution to replace a portion of the plasma to store Platelet Pheresis, Leukocytes Reduced PAS products collected using a hyperconcentrated collection on Terumo BCT’s Trima Accel® System. The solution should never be infused directly to the patient. Platelet Pheresis, Leukocytes Reduced Platelet Additive Solution [PAS] products are stored in a mix of 65% Isoplate™ and 35% plasma. Platelets in Isoplate™ Solution can be stored at a concentration range of 700-2100 x 106/mL for up to 5 days at 20-24°C with continuous agitation in the EXCEL® container.
Isoplate™ Solution Platelet Additive Solution [PAS-F] may only be used with the Trima Accel® automated blood cell separator device. For full instructions on the use of Isoplate™ Solution Platelet Additive Solution [PAS-F] with the Trima Accel® see the Trima Accel® Operator's Manual.
At the prompt to connect the platelet additive solution to the Trima Accel® tubing set:
Isoplate™ Solution Platelet Additive Solution [PAS-F] in the EXCEL® Container
NDC | Cat. No. | Volume |
---|---|---|
0264-7771-10 | L7771 | 500 mL |
Isoplate™ Solution Platelet Additive Solution [PAS-F] is added to Platelet Pheresis, Leukocytes Reduced PAS products after completion of a hyperconcentrated Trima Accel® apheresis collection procedure. It is not for direct intravenous infusion. Isoplate™ Solution Platelet Additive Solution [PAS-F] is not expected to cause adverse events other than those normally associated with platelet transfusion.
Isoplate™ Solution Platelet Additive Solution [PAS-F] is used as a storage solution for hyperconcentrated platelets and it is not intended for direct intravenous infusion. There are no known drug interactions in its use as a platelet storage solution.
Isoplate™ Solution Platelet Additive Solution [PAS-F] is used as a storage solution for leukoreduced hyperconcentrated platelets and has no pharmacological effect.
Multiple transfusions of Isoplate™-stored platelets may lead to overdosage of potassium, magnesium and gluconate. Monitor changes in electrolyte concentration and acid-base balance when multiple transfusions of Isoplate™-stored platelets are administered. In the event of overdose, discontinue transfusion immediately and institute appropriate corrective treatment.
The signs and symptoms of potassium overdose include paresthesias of the extremities, areflexia, muscular or respiratory paralysis, mental confusion, weakness, hypotension, cardiac arrhythmias, heart block, electrocardiographic abnormalities and cardiac arrest. Treatment of hyperkalemia includes the following;
Gluconate overdose may cause metabolic alkalosis. Treatment of metabolic alkalosis may include administration of an acidifying agent such as ammonium chloride.
Signs of magnesium overdose include flushing, sweating, hypotension, depressed reflexes, flaccid paralysis, hypothermia, circulatory collapse, cardiac and CNS depression proceeding to respiratory paralysis. Disappearance of the patellar reflex is a useful clinical sign to detect the onset of magnesium overdose. In the event of overdosage artificial ventilation may be required until a calcium salt can be injected intravenously to antagonize the effects of magnesium.
Isoplate™ Solution Platelet Additive Solution [PAS-F] is sterile, nonpyrogenic, and contains no bacteriostatic or antimicrobial agents. Isoplate™ Solution Platelet Additive Solution [PAS-F] is indicated as a platelet additive solution for the 5 day storage of Platelet Pheresis, Leukocytes Reduced PAS products collected using a hyperconcentrated collection on Terumo BCT's Trima Accel® System. Platelets in Isoplate™ Solution Platelet Additive Solution [PAS-F] can be stored at a concentration range of 700-2100 x 106/mL for up to 5 days at 20-24 °C with agitation.
The formulas of the active ingredients are provided in Table 1.
Ingredients | Molecular Formula | Molecular Weight |
---|---|---|
Sodium Chloride USP | NaCI | 58.44 |
Sodium Acetate Trihydrate USP | CH3COONa•3H2O | 136.08 |
Potassium Chloride USP | KCI | 74.55 |
Magnesium Chloride Hexahydrate USP | MgCl2•6H2O | 203.30 |
Dibasic Sodium Phosphate Heptahydrate USP | Na2HPO4•7H2O | 268.07 |
Monobasic Potassium Phosphate NF | KH2PO4 | 136.09 |
Sodium Gluconate USP | 218.14 |
Each 100 mL of Isoplate™ Solution Platelet Additive Solution [PAS-F] contains:
Sodium Chloride USP 0.53 g; Sodium Gluconate USP 0.5 g; Sodium Acetate Trihydrate USP 0.37 g; Potassium Chloride USP 0.037 g; Magnesium Chloride Hexahydrate USP 0.03 g; Dibasic Sodium Phosphate Heptahydrate USP 0.012 g; Monobasic Potassium Phosphate NF 0.00082 g; Water for Injection USP qs
pH may be adjusted with Glacial Acetic Acid USP or Sodium Hydroxide NF
pH: 7.4 (7.0–7.8)
Calculated Osmolarity: 295 mOsmol/liter
Concentration of Electrolytes (mEq/liter): Sodium 141; Potassium 5; Magnesium 3; Chloride 98; Phosphate (HPO) 1 (0.5 mmole P/liter); Acetate (CH3COO–) 27; Gluconate (HOCH2(CHOH)4COO–) 23
The EXCEL® Container is Latex-free, PVC-free, and Di(2-ethylhexyl)phthalate (DEHP)-free.
The plastic container is made from a multilayered film. It contains no plasticizers and exhibits virtually no leachables. The solution contact layer is a rubberized copolymer of ethylene and propylene. The container is nontoxic and biologically inert. The container-solution unit is a closed system and is not dependent upon entry of external air during administration. The container is overwrapped to provide protection from the physical environment and to provide an additional moisture barrier when necessary.
Isoplate™ Solution Platelet Additive Solution [PAS-F] contains the following key components to maintain platelet function:
Isoplate™ Solution Platelet Additive Solution [PAS-F] is used as a storage solution for leukoreduced hyperconcentrated platelets and it is not for direct intravenous infusion. This solution has no pharmacological effect; the solution provides the appropriate components for platelet function while allowing for a lower volume of plasma in the platelet product during storage.
In Vivo radiolabeled recovery and survival
A paired study was completed to verify that in vivo radiolabeled recovery and survival of hyperconcentrated leukocyte reduced platelets collected on the Trima Accel® System, diluted in Isoplate™ Solution Platelet Additive Solution [PAS-F], and stored for five days (Test) meet FDA acceptance criteria in comparison with fresh autologous platelets (Control). Table 2 summarizes the in vivo radiolabeled platelet recovery and survival data.
Table 2 – In Vivo Radiolabeled Platelet Recovery and Survival Data (N = 23) | ||||||
Recovery | Survival | |||||
Test | Control | Test/Control | Test | Control | Test/Control | |
% | % | % | Days | Days | % | |
Average | 51.1 | 60.2 | 85 | 6.6 | 8.7 | 76 |
St. Dev. | 10.9 | 10.2 | 10 | 1.2 | 0.9 | 12 |
Min | 32.6 | 40.4 | 66 | 4.5 | 6.4 | 52 |
Max | 84.1 | 82.8 | 102 | 8.8 | 10.0 | 104 |
The primary outcomes for this study were:
Recovery: | Test minus 66% Control is equal to or greater than zero with one-sided 97.5% confidence limit | |
Survival: | Test minus 58% Control is equal to or greater than zero with one-sided 97.5% confidence limit |
Both primary outcomes were met for hyperconcentrated leukocyte reduced platelets collected by apheresis and stored in Isoplate™ Solution Platelet Additive Solution [PAS-F].
In Vitro Platelet Quality Study
A paired study was completed to verify that in vitro platelet quality (functional assays) of hyperconcentrated leukocyte reduced platelets collected on the Trima Accel® System, diluted in Isoplate™ Solution Platelet Additive Solution [PAS-F], and stored for five days (Test) meet FDA acceptance criteria in comparison to plasma-stored platelets (Control).
Table 3 summarizes the in vitro platelet quality data.
Table 3 – In Vitro Platelet Quality Data (N = 66) | ||
---|---|---|
Functional Assay | Isoplate™ Stored Apheresis Platelets (Test) Average (Standard Deviation) | Plasma Stored Apheresis Platelets (Control) Average (Standard Deviation) |
pH | 7.4 (0.2) | 7.5 (0.1) |
CD62 Expression; P-Selectin (%) | 22.8 (15.6) | 15.0 (9.8) |
Morphology Score (Max Score 400) | 289 (49) | 292 (47) |
Hypotonic Shock Response (%) | 53.3 (12.4) | 55.9 (10.9) |
Extent of Shape Change (%) | 23.2 (5.0) | 25.0 (6.0) |
The primary outcome for this study was:
pH: | 95% or more of test units will have a pH (22°C) greater than 6.2 with a one sided confidence interval of 95% |
All 66 platelet products collected in this study had pH > 6.2 therefore the primary outcome for pH was met for hyperconcentrated platelets collected by apheresis and stored in Isoplate™ Solution Platelet Additive Solution [PAS-F].
Isoplate™ Solution Platelet Additive Solution [PAS-F] is supplied sterile and nonpyrogenic In EXCEL® Containers. The 500 mL containers are packaged 24 per case.
Rx only
Issued: March 2013
EXCEL is a registered trademark and Isoplate is a trademark of B. Braun Medical Inc. Trima Accel is a registered trademark of Terumo BCT Inc.
B. Braun Medical Inc.
Irvine, CA 92614-5895 USA
Made in USA
Y36-002-738
PRINCIPAL DISPLAY PANEL - 500 mL Bag Label
Isoplate™ Solution
Platelet Additive Solution [PAS-F]
REF L7771
NDC 0264-7771-10
500 mL
EXCEL® CONTAINER
Electrolytes (mEq/liter):
Na+ 141
K+ 5
Mg++ 3
CI– 98
Acetate 27
Gluconate 23
Phosphate (HPO) 1 (0.5 mmole P/L)
Each 100 mL contains: Sodium Chloride USP 0.53 g;
Sodium Gluconate USP 0.5 g; Sodium Acetate•3H20 USP 0.37 g;
Potassium Chloride USP 0.037 g; Magnesium Chloride•6H20 USP 0.03 g;
Dibasic Sodium Phosphate•7H20 USP 0.012 g; Monobasic Potassium
Phosphate NF 0.00082 g; Water for Injection USP qs
pH may be adjusted with Glacial Acetic Acid USP or Sodium
Hydroxide NF
pH: 7.4 (7.0-7.8) Calc. Osmolarity: 295 mOsmol/liter
Sterile, nonpyrogenic. Single use container.
Use only if solution is clear and container and seals are intact.
Warnings: Not for direct intravenous infusion.
Recommended Storage: Store at 20°C to 25°C (68°F to 77°F),
excursions permitted between 15°C and 30°C (between 59°F and 86°F).
[See USP Controlled RoomTemperature.] See Package Insert.
Rx only
The EXCEL Container is Latex-free, PVC-free, and DEHP-free.
EXCEL is a registered trademark and Isoplate is a trademark of B.Braun
Medical Inc.
B. Braun Medical Inc.
Irvine, CA 92614-5895 USA
Made in USA
Y94-002-912
Do not remove overwrap until ready for use. After removing the
overwrap, check for minute leaks by squeezing container firmly.
If leaks are found, discard solution as sterility may be impaired.
EXP
LOT
ISOPLATE
sodium chloride, sodium gluconate, sodium acetate, potassium chloride, magnesium chloride, sodium phosphate, dibasic, and potassium phosphate, monobasic solution |
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Labeler - B. Braun Medical Inc. (002397347) |