Introduction
Oxator 100 mg (Oxaliplatin) Injection represents an advanced formulation in the treatment of colorectal cancer, offering a higher concentration option for optimal dosing flexibility. This platinum-based antineoplastic agent, manufactured by Eskayef Pharmaceuticals Ltd. and distributed by Orio Pharma, delivers precise and potent therapy for both adjuvant treatment of stage III colon cancer and management of advanced colorectal cancer. The 100 mg strength provides efficiency in preparation and administration, particularly for patients requiring higher doses based on body surface area calculations. With Orio Pharma’s commitment to worldwide delivery within 3-7 working days, healthcare providers gain timely access to this essential oncology medication, enhancing treatment outcomes for colorectal cancer patients globally.
Clinical Applications
Oxator is specifically indicated for use in combination with infusional 5-fluorouracil/leucovorin in two primary clinical scenarios:
Adjuvant Treatment of Stage III Colon Cancer
- For patients who have undergone complete resection of the primary tumor
- Provides critical post-surgical therapy to eliminate microscopic disease
- Significantly reduces the risk of disease recurrence
- Improves disease-free survival and overall survival metrics
- Standard component of post-surgical care for eligible patients
Advanced Colorectal Cancer Management
- Effective treatment for metastatic or locally advanced disease
- Delivers meaningful improvement in progression-free survival
- Essential component of first-line and subsequent treatment regimens
- Maintains quality of life while addressing disease progression
- Demonstrates effective tumor response rates in combination therapy
Mechanism of Action
Oxator’s therapeutic efficacy stems from its sophisticated platinum-based mechanism:
- Platinum Complex Design: Structurally similar to cisplatin but with improved toxicity profile
- Alkylating Properties: Creates cross-links within and between DNA strands
- Cellular Activation: Undergoes intracellular hydrolysis to become biologically active
- DNA Binding: Forms both inter- and intra-strand DNA cross-links
- Replication Inhibition: Prevents DNA replication and transcription processes
- Apoptosis Induction: Triggers programmed cell death in affected cancer cells
This multi-step mechanism makes Oxator particularly effective against rapidly dividing colorectal cancer cells while working synergistically with fluoropyrimidines like 5-fluorouracil in combination regimens.
Dosage and Administration Guidelines
Precise administration of Oxator 100 mg is essential for optimal therapeutic outcomes:
Adjuvant Therapy for Stage III Colon Cancer
- Standard Dose: 85 mg/m² administered intravenously every 2 weeks for 12 cycles
- Administration Method: IV infusion over 2-6 hours, dissolved in 250-500 ml of 5% glucose solution
- Toxicity Management: Reduce to 75 mg/m² after recovery from significant toxicity
- Treatment Sequence: Administer before fluoropyrimidines in combination protocols
Advanced Colorectal Cancer Treatment
- Standard Dose: 85 mg/m² administered intravenously every 2 weeks
- Duration: Continue until disease progression or unacceptable toxicity
- Administration Method: IV infusion over 2-6 hours, dissolved in 250-500 ml of 5% glucose solution
- Toxicity Management: Reduce to 65 mg/m² after recovery from significant toxicity
- Treatment Sequence: Administer before fluoropyrimidines in combination protocols
The higher concentration 100 mg vial provides efficiency in preparation, particularly for patients with larger body surface areas, reducing the number of vials needed per dose.
Important Clinical Considerations
Contraindications
Oxator is contraindicated in the following situations:
- Pregnancy (Category D)
- Peripheral neuropathy with functional impairment
- Severe renal impairment
Drug Interactions
Healthcare providers should be mindful of these potential interactions:
- May decrease plasma levels of digoxin
- Increased risk of toxicity when combined with nephrotoxic medications
- When used with taxane derivatives (docetaxel, paclitaxel), sequential administration is recommended with taxanes given before Oxator
Adverse Effects Profile
Common adverse reactions include:
- Neurological: Peripheral neuropathy, dizziness, headache, pharyngolaryngeal dysesthesia
- Gastrointestinal: Nausea, diarrhea, vomiting, abdominal pain, constipation, anorexia, stomatitis
- Hematological: Anemia, thrombocytopenia, leukopenia, neutropenia
- Hepatic: Elevated liver enzymes (AST, ALT), increased bilirubin
- Constitutional: Fatigue, fever, pain, insomnia
- Dermatological: Rash, alopecia, hand-foot syndrome
- Respiratory: Dyspnea, cough, rhinitis, epistaxis
- Other: Electrolyte disturbances, injection site reactions, arthralgia
Clinical Precautions
Oxator administration requires significant clinical vigilance:
- Specialized Oversight: Should be administered under the supervision of physicians experienced in cancer chemotherapy
- Safe Handling: Follow appropriate precautions for handling and disposal of cytotoxic agents
- Neurological Monitoring: Regular assessment of neurological status with dose adjustments for prolonged or severe symptoms
- Hematological Management: Monitor blood counts during treatment with appropriate delays until recovery
- Equipment Selection: Avoid aluminum-containing needles or IV administration sets as aluminum may degrade platinum compounds
- Special Populations: Use with caution in elderly patients and those with moderate renal impairment
- Lactation: Not recommended during breastfeeding due to potential risks
Preparation and Storage
Proper preparation and storage are critical for maintaining Oxator’s efficacy:
Reconstitution Protocol
- For 100 mg vial: Reconstitute with 20 ml of water for injection or 5% dextrose
- Further Dilution: Reconstituted solution must be further diluted with 250-500 ml of 5% dextrose injection before administration
Storage Requirements
- Intact Vials: Store at 15-30°C; do not freeze
- Reconstituted Solution: May be stored at 2-8°C for up to 24 hours
- Diluted Solutions: Stable for up to 6 hours at 20-25°C or up to 24 hours under refrigeration (2-8°C)
Manufacturing Excellence
Oxator 100 mg is manufactured by Eskayef Pharmaceuticals Ltd., a premier pharmaceutical company with over three decades of excellence in medication production. Since its inception in 1990, when Eskayef acquired the Bangladesh operation of SK&F, USA, the company has established itself as a leader in pharmaceutical manufacturing. Their commitment to stringent quality control and adherence to international standards ensures that each vial of Oxator 100 mg meets the highest benchmarks for efficacy, safety, and reliability.
Supplier
Orio Pharma serves as the dedicated supplier for Oxator 100 mg, specializing exclusively in high-quality oncology medications. Founded in 2019, Orio Pharma is driven by core values of compassion, integrity, innovation, and collaboration. Their commitment to worldwide delivery within 3-7 working days addresses the critical time-sensitive nature of cancer treatment, ensuring that healthcare providers can initiate and maintain treatment protocols without delays. Orio Pharma’s specialized focus on oncology products ensures expert handling and support throughout the supply chain.
Conclusion
Oxator 100 mg (Oxaliplatin) Injection represents a significant advancement in colorectal cancer treatment. Its higher concentration formulation provides efficiency in dose preparation while delivering the proven efficacy of oxaliplatin in both adjuvant therapy for stage III colon cancer and treatment of advanced colorectal cancer. Manufactured to exacting standards by Eskayef Pharmaceuticals and supplied with dedication by Orio Pharma, Oxator 100 mg delivers the quality, reliability, and therapeutic efficacy that healthcare professionals and patients depend on. With comprehensive dosing guidelines, detailed safety information, and global availability through rapid delivery services, Oxator 100 mg stands as an essential component in modern colorectal cancer treatment protocols, offering hope and improved outcomes for patients battling this challenging disease.
For complete prescribing information, clinical support, or to place an order, healthcare professionals are encouraged to contact Orio Pharma’s specialized oncology team today.