Squamous cell cancer of the head and neck - combination treatment with platinum-based chemotherapy

Active Ingredient: Cetuximab

Indication for Cetuximab

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

Cetuximab is indicated for the treatment of patients with squamous cell cancer of the head and neck in combination with platinum-based chemotherapy for recurrent and/or metastatic disease.

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

400 mg/m² as initial dose for 1 week and thereafter 250 mg/m² once every week, or 500 mg/m² once every two weeks

For:

Dosage regimens

Regimen A :

Intravenous, 400 milligrams cetuximab per square meter of body surface, one dose, over the duration of 1 week. Afterwards, intravenous, 250 milligrams cetuximab per square meter of body surface, once weekly.

Regimen B :

Intravenous, 500 milligrams cetuximab, once every 2 weeks.

Detailed description

Prior to the first infusion, patients must receive premedication with an antihistamine and a corticosteroid at least 1 hour prior to administration of cetuximab. This premedication is recommended prior to all subsequent infusions.

In patients with recurrent and/or metastatic squamous cell cancer of the head and neck, cetuximab is used in combination with platinum-based chemotherapy followed by cetuximab as maintenance therapy until disease progression. Chemotherapy must not be administered earlier than 1 hour after the end of the cetuximab infusion.

Cetuximab may be administered in a weekly or every other week dose regimen.

Weekly dose regimen:

Cetuximab is administered once a week. The initial dose is 400 mg cetuximab per m² body surface area (BSA). All subsequent weekly doses are 250 mg/m² each.

Biweekly dose regimen:

Cetuximab is administered once every other week. Each dose is 500 mg cetuximab per m² body surface area.

No dose adjustment is required in older people, but the experience is limited in patients 75 years of age and above.

Dosage considerations

Cetuximab is administered intravenously with an infusion pump, gravity drip or a syringe pump. The initial dose should be given slowly to minimize risk of infusion related reactions.

Active ingredient

Cetuximab

Cetuximab is a chimeric monoclonal IgG1 antibody that is specifically directed against the epidermal growth factor receptor (EGFR). EGFR signalling pathways are involved in the control of cell survival, cell cycle progression, angiogenesis, cell migration and cellular invasion/metastasis. Cetuximab blocks binding of endogenous EGFR ligands resulting in inhibition of the function of the receptor.

Read more about Cetuximab

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