Zepzelca (Lurbinectedin)

Prescription medicineOnly Available By Prescription

What if I find a lower price with another pharmacy?

We guarantee the lowest price on all of our prescription products. If you find your medications cheaper at any other recognized licensed mail order pharmacy, we will not only match their price, we will beat it by 25% of the difference. It is our 125% price match guarantee!

Example: If you find a product on Canada Drugs Direct for $50.00 and find the same product for $40.00 at another mail order pharmacy, we will provide you with a $12.50 discount, bringing your total to $37.50.

To get the discount please make sure to mention the price match to the customer service team when they call to collect payment for your order. Or call toll free at 1-888-904-8467 to place the order through the phone.

Terms & Conditions of Program

  • Guaranteed lowest price is only valid at the time of sale.
  • We will only match the current advertised price.
  • Products must be identical and in stock at the time of placing an order with a licensed mail order pharmacy. They must be an online Canadian pharmacy with an address in Canada.
  • Products must be authentic in brand and size (same manufacturer, same country of manufacture, same pack size, same strength and same quantity).
  • Products must be new. We cannot match the price of any used, short expiry or expired product.
  • Price match can only be issued over the phone with our customer service team. Please note at this time we cannot offer price matching for the products Ozempic or Saxenda.
What is a Generic Drug?

A generic drug is a copy of the brand-name drug with the same dosage, safety, strength, quality, consumption method, performance, and intended use. Before generics become available on the market, the generic company must prove it has the same active ingredients as the brand-name drug and works in the same way and in the same amount of time in the body.

The only differences between generics and their brand-name counterparts is that generics are less expensive and may look slightly different (eg. different shape or color), as trademarks laws prevent a generic from looking exactly like the brand-name drug.

Generics are less expensive because generic manufacturers don't have to invest large sums of money to develop a drug. When the brand-name patent expires, generic companies can manufacture a copy of the brand-name and sell it at a substantial discount.

Description

Zepzelca (lurbinectedin) is an alkylating drug indicated for the treatment of adults with metastatic small cell lung cancer (SCLC) who have progressed after platinum-based chemotherapy. It is a synthetic analog of trabectedin and functions by binding to the minor groove of DNA, disrupting transcription and leading to apoptosis in tumor cells. Zepzelca offers a treatment option for a population with limited therapeutic alternatives and has shown clinically meaningful responses in patients with relapsed SCLC, particularly those with platinum-sensitive disease.

Fact Table

Formula

C41H44N4O10S

License

US FDA (2020)

Bioavailability

Not applicable (IV only)

Legal status

Prescription only

Chemical Name

Lurbinectedin

Elimination half-life

51 hours

Dosage (Strength)

4 mg vial (administered at 3.2 mg/m² IV every 21 days)

Pregnancy

Not recommended – may cause fetal harm

Brands

Zepzelca

Protein binding

99%

PubChem CID

25154874

MedlinePlus

a620047

ChEBI

61378

ATC code

L01CX10

DrugBank

DB12370

KEGG

D11879

Routes of administration

Intravenous (IV)

Directions

Zepzelca is administered intravenously at a recommended dose of 3.2 mg/m² over 60 minutes every 21 days. It should be given by a qualified healthcare provider in a facility equipped to manage chemotherapy administration and related complications. Dosing may require adjustment based on hepatic function, hematologic parameters, and tolerability. Premedication with antiemetics is advised to manage nausea and vomiting. Routine monitoring of complete blood count (CBC), liver function tests, and renal function is necessary throughout treatment.

Ingredients

Each single-dose vial of Zepzelca contains:

  • Lurbinectedin 4 mg
  • Other excipients include:
  • Sucrose, lactic acid, sodium hydroxide (for pH adjustment), and water for injection

Zepzelca must be reconstituted and diluted prior to intravenous infusion, following the manufacturer’s guidelines.

Contraindications

Zepzelca is contraindicated in patients with:

  • Known hypersensitivity to lurbinectedin or any component of the formulation
  • Severe hepatic impairment
  • Concurrent use with strong CYP3A4 inhibitors or inducers, unless benefits outweigh the risks

Cautions

Myelosuppression, particularly neutropenia and thrombocytopenia, is a significant risk and may necessitate dose reductions or treatment delays. Hepatotoxicity, including elevations in ALT and AST, is common and requires close monitoring. Zepzelca may cause fetal harm; effective contraception is advised during treatment and for 6 months after the final dose for women and 4 months for men. The safety of Zepzelca in patients with moderate to severe renal impairment has not been fully established.

Side Effects

Common and potential side effects include:

  • Fatigue
  • Nausea and vomiting
  • Neutropenia and leukopenia
  • Anemia and thrombocytopenia
  • Elevated liver enzymes (ALT, AST)
  • Constipation or diarrhea
  • Decreased appetite
  • Rare: febrile neutropenia, infections, hypersensitivity reactions

IMPORTANT NOTE: The information provided above is for general awareness and educational purposes only. It is not intended to diagnose, treat, or replace professional medical or veterinary advice. Always consult your physician, pharmacist, or veterinarian regarding the safety, suitability, and proper use of any medication for yourself or your pet.

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