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ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS › ANTINEOPLASTIC AGENTS › MONOCLONAL ANTIBODIES AND ANTIBODY DRUG CONJUGATES › EGFR (Epidermal Growth Factor Receptor) inhibitors
necitumumab
L01FE03
Forms & Strengths
- 800 mg/50 mL solution for intravenous infusion
- Intravenous formulation
Adult Dosing
- 840 mg administered as an intravenous infusion over 60 minutes on days 1 and 8 of a 21-day cycle
- Dose reduction to 650 mg or 500 mg for adverse reactions
Pediatric Dosing
- Safety and efficacy not established in pediatric patients
- No dosing recommendations available for patients under 18 years
Indications
- First-line treatment of patients with squamous non-small cell lung cancer (NSCLC)
- Used in combination with gemcitabine and cisplatin
Mechanism of Action
- Human IgG1 monoclonal antibody targeting the epidermal growth factor receptor (EGFR)
- Blocks the ligand-binding site of EGFR, preventing receptor activation and downstream signaling
Contraindications
- Hypersensitivity to necitumumab or any of its components
- No contraindications in the presence of EGFR mutations
Adverse Reactions
- Dermatologic toxicities, including rash and acne-like rash
- Hypomagnesemia, hypocalcemia, and venous thromboembolic events
- Increased risk of cardiac arrest and other cardiac complications
Drug Interactions
- Increased risk of bleeding when used with anticoagulants or antiplatelet agents
- Monitor for electrolyte imbalances when used with other medications that alter electrolyte levels
Curated Content: Needs Vetting Before Put to Clinical Use