PMID- 38396377 OWN - NLM STAT- MEDLINE DCOM- 20240226 LR - 20240227 IS - 2045-7634 (Electronic) IS - 2045-7634 (Linking) VI - 13 IP - 3 DP - 2024 Feb TI - Guidelines for outpatient administration of naxitamab: Experience from Atrium Health Levine Children's Hospital. PG - e7045 LID - 10.1002/cam4.7045 [doi] LID - e7045 AB - AIM: In this publication, we will share our experience of AE management, provide guidance for appropriate staffing, and the discuss the importance of patient education when treating patients with R/R HR neuroblastoma using naxitamab. BACKGROUND: Approved treatments for patients with refractory and/or relapsed (R/R) high-risk (HR) neuroblastoma are limited, and there is a high unmet need for new treatment combinations. Naxitamab is a disialoganglioside 2 (GD2)-binding antibody that was approved by the United States Food and Drug Administration in 2020 for use in combination with granulocyte-macrophage colony-stimulating factor for the treatment of patients with R/R HR neuroblastoma in the bone and/or bone marrow and who have demonstrated a partial response, minor response, or stable disease with prior therapy. METHODS: The pediatric oncology team at Atrium Health Levine Children's Hospital has successfully treated several patients with naxitamab both alone and in combination with chemotherapy, with no patients requiring unplanned overnight hospitalization and few severe adverse events (AEs). To accomplish this, the team at Levine Children's Hospital established standard operating procedures for naxitamab, a therapy defined as high acuity due to the potential for acute AEs with rapid onset and that benefits from continuous monitoring by a nursing team and a dedicated provider. CONCLUSIONS: This will provide a practical guide for institutions offering naxitamab to their patients, and ensure successful administration of this high acuity treatment in the outpatient setting. CI - (c) 2024 The Authors. Cancer Medicine published by John Wiley & Sons Ltd. FAU - Trovillion, Erin Murphy AU - Trovillion EM AUID- ORCID: 0000-0002-1762-0324 AD - Atrium Health Levine Children's Hospital, Charlotte, North Carolina, USA. FAU - Michael, Meghan AU - Michael M AD - Atrium Health Levine Children's Hospital, Charlotte, North Carolina, USA. FAU - Jordan, Cathryn C AU - Jordan CC AD - Atrium Health Levine Children's Hospital, Charlotte, North Carolina, USA. FAU - Brown, Lauren AU - Brown L AD - Atrium Health Levine Children's Hospital, Charlotte, North Carolina, USA. FAU - Phillips, Katlin AU - Phillips K AD - Atrium Health Levine Children's Hospital, Charlotte, North Carolina, USA. FAU - Oesterheld, Javier AU - Oesterheld J AD - Atrium Health Levine Children's Hospital, Charlotte, North Carolina, USA. FAU - Saulnier-Sholler, Giselle AU - Saulnier-Sholler G AUID- ORCID: 0000-0002-5599-4757 AD - Atrium Health Levine Children's Hospital, Charlotte, North Carolina, USA. LA - eng PT - Journal Article PL - United States TA - Cancer Med JT - Cancer medicine JID - 101595310 RN - 0 (naxitamab-gqgk) RN - 0 (Antibodies, Monoclonal) RN - 0 (Glycolipids) RN - 0 (Antibodies, Monoclonal, Humanized) SB - IM MH - Child MH - Humans MH - *Antibodies, Monoclonal MH - Outpatients MH - *Neuroblastoma/drug therapy MH - Hospitals MH - *Glycolipids MH - *Antibodies, Monoclonal, Humanized PMC - PMC10891358 OTO - NOTNLM OT - immunotherapy OT - naxitamab OT - neuroblastoma COIS- Erin Trovillion has served on an advisory board for Y-mAbs Therapeutics, Inc. Meghan Michael has no disclosures. Cathryn Jordan has no disclosures. Lauren Brown has no disclosures. Katlin Phillips has no disclosures. Javier Oesterheld has served on an advisory board for Y-mAbs Therapeutics, Inc., and Servier Pharmaceuticals. Giselle Saulnier-Sholler has served as a speaker for Y-mAbs Therapeutics, Inc. EDAT- 2024/02/24 11:44 MHDA- 2024/02/26 06:45 PMCR- 2024/02/23 CRDT- 2024/02/24 00:52 PHST- 2024/01/02 00:00 [revised] PHST- 2023/08/25 00:00 [received] PHST- 2024/02/13 00:00 [accepted] PHST- 2024/02/26 06:45 [medline] PHST- 2024/02/24 11:44 [pubmed] PHST- 2024/02/24 00:52 [entrez] PHST- 2024/02/23 00:00 [pmc-release] AID - CAM47045 [pii] AID - 10.1002/cam4.7045 [doi] PST - ppublish SO - Cancer Med. 2024 Feb;13(3):e7045. doi: 10.1002/cam4.7045.