GlobalRPh Renal Dosing Masterv6.6
Evidence addition

Decitabine - DACOGEN and labeled IV single-agent formulations

DACOGEN / decitabine intravenous

READ THE SOURCE-SPECIFIC ANSWER

Renal guidance at a glance

Cautions / source differences (1)
Review first - source-specific qualification

A serum-creatinine cycle-hold trigger is not a clearance cutoff

Selected IV sources agree on unstudied pre-existing renal impairment and a subsequent-cycle toxicity hold at serum creatinine >=2 mg/dL.

Before applying: Do not derive a CrCl threshold or transfer this instruction to oral decitabine/cedazuridine.

Evidence for this qualification

Selected-source qualification; independent clinician review pending.

Confirm the product, indication and renal measure. The selected summary is not a complete prescribing monograph.

Choose a source to read (2)

Display order is not a clinical ranking. Date of retrieval is not the label revision date. Sources are never merged into one regimen. Other sources and conflicts remain below.

Official source

Decitabine for injection - Accord Healthcare 50 mg single-dose vial

Product / population
Single-agent IV decitabine for labeled MDS regimens; not oral decitabine/cedazuridine (INQOVI). Exact preparation remains product-specific.
Renal measure
Serum creatinine in mg/dL; no clearance equation attached to the toxicity trigger
Before using this finding

Separate pre-existing renal evidence gaps from new toxicity, blood-count recovery and exact IV product instructions.

Selected named sections only; not a complete monograph or independent clinical approval.

Selected exact-product labeling sections read. Original-source bytes and complete revision histories were not retained or reconciled; retrieval does not establish current product availability.

Renal dosing, restrictions and evidence limits

The Accord IV label states that pre-existing renal impairment was not studied; weigh treatment risks and benefits. Obtain baseline serum creatinine, CBC/platelets and hepatic testing. Delay subsequent treatment for serum creatinine >=2 mg/dL and do not resume until the toxicity resolves. Hematologic toxicity, infection and hepatic criteria remain separate. This is a subsequent-cycle toxicity instruction, not evidence for a renal dose calculation or an oral INQOVI substitution.

Source revision: 9/2023 | Retrieved: 2026-09-10. Retrieval date is not the revision date.

Source: https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=b46df7d7-d98e-4c7e-b1ee-e03e258781c4

Scope: Selected source text imported locally; independent clinical review pending. Not a complete prescribing monograph. GlobalRPh v6.6.

Full source card / provenance

All sources, comparison tools and evidence navigation
Source-specific interpretation

What the dialysis evidence actually supports

Removal information alone does not define a maintenance dose, supplemental dose or dialysis schedule. A reported regimen still requires its product, indication, renal measure and dialysis assumptions to match the patient.

Decitabine for injection - Accord Healthcare 50 mg single-dose vial

Authored v6.0; retrieved 2026-09-10 - retained source, not freshly reviewed in this release

No dialysis regimen established in selected content

Read the source and its limits

GlobalRPh RX List - DACOGEN

Authored v6.0; retrieved 2026-09-10 - retained source, not freshly reviewed in this release

No dialysis regimen established in selected content

Read the source and its limits

These manual classifications apply only to the identified selected sections, not every retained source or the entire prescribing information. They are not dosing clearance.

Source-first renal review

Evidence sources and renal implications

Choose a source to jump directly to its locally stored result. Qualitative precautions and evidence gaps remain visible even when no numerical clearance schedule is supplied.

Read 1 source difference / applicability notes

Official product label

Decitabine for injection - Accord Healthcare 50 mg single-dose vial

Limited or unstudied renal evidence. Not studied does not mean no adjustment is required.
Before using this finding

Separate pre-existing renal evidence gaps from new toxicity, blood-count recovery and exact IV product instructions.

Dialysis evidence: No dialysis regimen established in selected content

Single-agent IV decitabine for labeled MDS regimens; not oral decitabine/cedazuridine (INQOVI). Exact preparation remains product-specific.

Renal method: Serum creatinine in mg/dL; no clearance equation attached to the toxicity trigger
Retrieved: 2026-09-10

GlobalRPh RX List

GlobalRPh RX List - DACOGEN

Limited or unstudied renal evidence. Not studied does not mean no adjustment is required.
Before using this finding

Apply the toxicity hold in its cycle context; do not translate serum creatinine 2 mg/dL into a universal renal-function threshold.

Dialysis evidence: No dialysis regimen established in selected content

Single-agent IV decitabine for labeled MDS regimens; not oral decitabine/cedazuridine (INQOVI). Exact preparation remains product-specific.

Renal method: Serum creatinine in mg/dL for treatment-emergent toxicity; no derived eGFR cutoff
Retrieved: 2026-09-10

Source presence is not independent validation. A label mirror is not a second independent source; review the original reference and exact formulation.

Product / population check

Confirm the exact formulation before using a renal source

These links compare product identities, not interchangeable doses. A selected summary is not a complete prescribing monograph.

Source-specific review points

Read the attributed comparison notes and source cards below. No conflict has been silently adjudicated.

Source-quality holds
Find text within this drug
Find a term without leaving this drug

Search the stored clinical text

Locate a word or phrase within this drug's source summaries. Choose all sources or one source to focus the search. The selection never hides warnings or source text, changes a dose, or proves that a renal finding is absent.

Find:

Enter at least two characters. Searches stay on this page and are not saved or sent.

All source summaries, original wording and provenance
Before applying a renal protocol

Check the setting. Compare whole sources.

No patient-specific dose is calculated. Context choices only display reminders; they do not validate, hide or change any regimen.

Share a reproducible source review

Choose sources below, then open a print-ready comparison with product scope, renal method, dates and cautions. Links can pin the exact local cards; they never contain patient values or choose a dose.

Open / share selected sources

Select two distinct source versions. The complete stored summaries will appear below.

Build a source-review outline for documentation

This creates a blank decision outline with the source identities you select, not a dose recommendation or completed clinical assessment. No patient fields are collected, saved or sent. Complete the clinical decisions in your approved documentation system.

Choose one or two sources above or use the source checkboxes below.

Renal-context checklist: population, kidney trend and dialysis

These prompts are a reading aid, not a prescription checklist or proof that all requirements have been met. No selections are stored or sent to a server.

Read the exact source scope, renal metric and date before selecting a row. No applicability assessment has been performed.

See source-specific renal methods and the clinical interpretation guide for the supporting context.

Read before choosing a regimen

Source differences and product cautions

Search differences across all drugs

These are specific issues found during source review, not an automated judgment that one source is universally correct. A label mirror and its original label are not independent evidence.

toxicity trigger versus renal dose band

A serum-creatinine cycle-hold trigger is not a clearance cutoff

Selected IV sources agree on unstudied pre-existing renal impairment and a subsequent-cycle toxicity hold at serum creatinine >=2 mg/dL.

How to use this: Do not derive a CrCl threshold or transfer this instruction to oral decitabine/cedazuridine.

Source-specific interpretation; independent clinician adjudication pending.

Go directly to the relevant source section

Renal dosing and precautions

Choose a source, then jump to its renal or dialysis section. These links locate stored text; they do not merge regimens or certify that sources agree.

New source summary - independent clinical review pending. Summaries of the identified label sections are included locally. Source import and numeric transcription checks are not independent two-reference validation. Do not treat this card as an approved institutional dosing protocol.

No dialysis or renal heading shown? Read the complete source summary. Absence of a heading is not evidence that dose adjustment is unnecessary.

Compare or copy source versions

All content below is stored locally. Read a whole source version; do not combine its dose with another source's interval, renal metric or dialysis assumptions.

Choose two source checkboxes below.
Exact product and population matter. This added page contains locally stored, source-specific clinical summaries. Historical handbook information, when present, is identified separately and may conflict with U.S. labeling. Confirm indication, population, kidney-function method, monitoring and the full prescribing information before applying a regimen.
Locally stored source content

Exact product and population

Product identity selected for the separately displayed source protocols below. Reference: https://globalrph.com/rx-list/dacogen-drug/

Exact product and population

Single-agent IV decitabine for labeled MDS regimens; not oral decitabine/cedazuridine (INQOVI). Exact preparation remains product-specific.

RDM60-SCOPE-decitabine-iv-dacogen · Source section: Selected source product scopeRenal section finder
Separate U.S. product-label layer

FDA / DailyMed dosing and renal information

Official

Decitabine for injection - Accord Healthcare 50 mg single-dose vial

Open original reference

Open / share this exact local source

DailyMed / Accord Healthcare Inc. · Single-agent IV decitabine for labeled MDS regimens; not oral decitabine/cedazuridine (INQOVI). Exact preparation remains product-specific.

Renal method: Serum creatinine in mg/dL; no clearance equation attached to the toxicity trigger
Source date: 9/2023
Retrieved: 2026-09-10

Limited or unstudied renal evidence. Not studied does not mean no adjustment is required.
Before using this finding

Separate pre-existing renal evidence gaps from new toxicity, blood-count recovery and exact IV product instructions.

Dialysis evidence: No dialysis regimen established in selected content

Selected source text imported locally; independent clinical review pending. Not a complete prescribing monograph.

Renal dosing, restrictions and evidence limits

The Accord IV label states that pre-existing renal impairment was not studied; weigh treatment risks and benefits. Obtain baseline serum creatinine, CBC/platelets and hepatic testing. Delay subsequent treatment for serum creatinine >=2 mg/dL and do not resume until the toxicity resolves. Hematologic toxicity, infection and hepatic criteria remain separate. This is a subsequent-cycle toxicity instruction, not evidence for a renal dose calculation or an oral INQOVI substitution.

RDM60-official-decitabine-iv-dacogen-376d28a73d-C1 · Source locator: 2.1 baseline and pre-existing impairment; 2.2 nonhematologic toxicity

Source-specific limits

Selected named sections only; not a complete monograph or independent clinical approval.

Selected exact-product labeling sections read. Original-source bytes and complete revision histories were not retained or reconciled; retrieval does not establish current product availability.

Source identity and provenance
Source family
product_label
Source
https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=b46df7d7-d98e-4c7e-b1ee-e03e258781c4
Retrieved
2026-09-10
Exact label title
Decitabine for injection - Accord Healthcare 50 mg single-dose vial
DailyMed Set ID
b46df7d7-d98e-4c7e-b1ee-e03e258781c4
Labeler
Accord Healthcare Inc.
Label revision
9/2023
Renal-function method
Serum creatinine in mg/dL; no clearance equation attached to the toxicity trigger
Source date/version
9/2023
Hash meaning
SHA-256 of local authored summary only; not original HTML, PDF or SPL bytes.
Local summary SHA-256
e39284299d957674bdf7f0e3caacb6a23bba0f31476700b5a10a9bd61527b2b6
Locally imported selected renal sections

GlobalRPh RX List renal information

Rxlist

GlobalRPh RX List - DACOGEN

Open original reference

Open / share this exact local source

GlobalRPh-hosted RX List · Single-agent IV decitabine for labeled MDS regimens; not oral decitabine/cedazuridine (INQOVI). Exact preparation remains product-specific.

Renal method: Serum creatinine in mg/dL for treatment-emergent toxicity; no derived eGFR cutoff
Source date: Source revision date not established in selected retrieval.
Retrieved: 2026-09-10

Label mirror, not independent corroboration. This is selected locally stored RX List content. Full monograph import and current official-label review are not implied.
Limited or unstudied renal evidence. Not studied does not mean no adjustment is required.
Before using this finding

Apply the toxicity hold in its cycle context; do not translate serum creatinine 2 mg/dL into a universal renal-function threshold.

Dialysis evidence: No dialysis regimen established in selected content

Selected source text imported locally; independent clinical review pending. Not a complete prescribing monograph.

Renal dosing, restrictions and evidence limits

Pre-existing renal impairment was not studied in the mirror; evaluate risks and benefits before treatment. Its nonhematologic-toxicity instructions delay subsequent treatment at serum creatinine >=2 mg/dL until toxicity resolves. This serum-creatinine trigger is not a CrCl threshold, an initiation eligibility rule or a numerical renal-dose ladder. Hematologic recovery and other toxicity criteria are separately applicable. No dialysis supplement is established by the selected paragraphs.

RDM60-rxlist-decitabine-iv-dacogen-aad3f13120-C1 · Source locator: 2.1: pre-existing impairment; 2.2: nonhematologic toxicity; renal PK

Source-specific limits

Selected named sections only; not a complete monograph or independent clinical approval.

A label mirror is not independent corroboration of its underlying label. See the separately attributed official source; concordance is limited to selected sections.

Source identity and provenance
Source family
product_label_mirror
Source
https://globalrph.com/rx-list/dacogen-drug/
Retrieved
2026-09-10
Renal-function method
Serum creatinine in mg/dL for treatment-emergent toxicity; no derived eGFR cutoff
Source date/version
Source revision date not established in selected retrieval.
Hash meaning
SHA-256 of local authored summary only; not original HTML, PDF or SPL bytes.
Local summary SHA-256
99ee2c0fb86bbbc89ada610777daf6b0c27f648b136a39a444fdfadf506e1ff1

Provenance and preservation

Additional summaries stored on this page: 1 official-label, 1 RX List, 0 professional, 0 handbook. Empty additional-source groups are not shown. A missing layer is not a no-adjustment recommendation.

Original source
https://globalrph.com/rx-list/dacogen-drug/
Source retrieval
2026-09-10. This is not the source publication or label revision date.
Original source type
rxlist summary
Local text SHA-256
b1741d1f3353485911cfa3f8289014d0c5b3aad6942f57443255b8a66221560b
Import versus clinical validation
Source-section locators identify where retained content came from. A source-section identifier does not assert that every numeric statement has been independently corroborated. The local text hash is not a hash of original HTML, an FDA PDF or SPL XML.

This page is an additional exact-product entry, not a recovered GlobalRPh monograph. Its primary scope text and separately attributed clinical summaries are locally included.

Read the full coverage report