Malignant ascites with EpCAM-positive carcinomas

Active Ingredient: Catumaxomab

Indication for Catumaxomab

Population group: only adults (18 years old or older)
Therapeutic intent: Curative procedure

Catumaxomab is indicated for the intraperitoneal treatment of malignant ascites in adults with EpCAM-positive carcinomas where standard therapy is not available or no longer feasible.

For this indication, competent medicine agencies globally authorize below treatments:

10 mg at Day 0, 20 mg at Day 3, 50 mg at Day 7, 150 mg at Day 10

For:

Route of admnistration

Intraperitoneal

Defined daily dose

10 - 150 mg

Dosage regimen

From 10 To 150 mg once every 3 day(s) for 20 day(s)

Loading dose

10 mg

Detailed description

Prior to the intraperitoneal infusion, pre-medication with analgesic/antipyretic/non-steroidal antiphlogistic medicinal products is recommended.

Catumaxomab dosing schedule comprises the following four intraperitoneal infusions:

1st dose 10 micrograms on day 0
2nd dose 20 micrograms on day 3
3rd dose 50 micrograms on day 7
4th dose 150 micrograms on day 10

Catumaxomab has to be administered as constant rate intraperitoneal infusion with an infusion time of at least 3 hours. In clinical studies infusion times of 3 hours and 6 hours were investigated. For the first of the four doses an infusion time of 6 hours may be considered depending on the patient’s health condition.

An interval of at least two infusion free calendar days must elapse between infusion days. The interval between the infusion days can be prolonged in case of relevant adverse reactions. The overall treatment period should not exceed 20 days.

Monitoring

Adequate monitoring of the patient after end of catumaxomab infusion is recommended. In the pivotal study patients were monitored for 24 h after each infusion.

Dosage considerations

Catumaxomab must be administered as an intraperitoneal infusion only.

Catumaxomab must not be administered by intraperitoneal bolus or by any other route of administration.

Active ingredient

Catumaxomab

Catumaxomab is a trifunctional rat-mouse hybrid monoclonal antibody that is specifically directed against the epithelial cell adhesion molecule (EpCAM) and the CD3 antigen. The EpCAM antigen is overexpressed on most carcinomas. Due to catumaxomab’s binding properties, a concerted immunoreaction against tumour cells is induced which includes different mechanisms of action, resulting in destruction of tumour cells.

Read more about Catumaxomab

Related medicines

Develop a tailored medication plan for your case, considering factors such as age, gender, and health history

Ask the Reasoner

Liability Disclaimer : RxReasoner has utilized reasonable care in providing content and services that are accurate, complete and up to date. However, RxReasoner does not accept any responsibility or liability about it. The content and services of RxReasoner are for informational purposes only and they are not intended to be a substitute for the knowledge, expertise, skill, and judgment of physicians, pharmacists, nurses, or other healthcare professionals involved in patient care. RxReasoner offers no medical advice. Users are responsible for the use of the provided content. A shown indication or treatment should not be construed to indicate that the medication is safe, appropriate, or effective in any given patient or under any particular circumstances. The absence of an indication or treatment should not roule out the existence of other appropriate medications. Always seek the advice of a physician or other qualified health provider with any questions you may have regarding a medical condition or medicament. RxReasoner is not liable for any damages allegedly sustained arising out of the use of its content and services.