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Home » Cancer Management: A Multidisciplinary Approach

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CANCER MANAGEMENT: 14TH EDITION 

Chemotherapeutic Agents and Their Uses, Dosages, and Toxicities

By Emiliano Calvo, MD, PhD1, Antonio Calles, MD1 | December 31, 2011
1Division of Medical Oncology, Centro Integral Oncológico, Clara Campal

E–N

Epirubicin

Use: Breast cancer

Dosage: 100 mg/m2 IV on D 1 or 60 mg/m2 IV on D 1 and 8 in combination therapy

Toxicities: Bone marrow depression, cardiotoxicity, stomatitis, alopecia

Eribulin mesylate

Use: Breast cancer (relapse)

Dosage: 1.4 mg/m2 on D 1 and 8 every 21 days

Toxicities: Neutropenia, anemia, asthenia/fatigue, alopecia, peripheral neuropathy, nausea, constipation

Erlotinib

Use: NSCLC, pancreas

Dosage: 150 mg/d PO; 100 mg/d PO (pancreatic cancer)

Toxicities: Acneiform skin rash, diarrhea, anorexia, fatigue, dyspnea

Estramustine

Use: Prostate, renal cell carcinomas

Dosage: 14 mg/kg/d PO in 3–4 equally divided doses; 300 mg/d IV for 3–4 wk, followed by 300–450 mg/wk IV over 3–8 wk

Toxicities: Bone marrow depression, ischemic heart disease, thromboembolism, thrombophlebitis, gynecomastia, nausea and vomiting, hepatotoxicity

Etoposide

Use: Testicular cancer (refractory) SCLC, HL, NHL, AML, gestational trophoblastic tumors (For both indications, given with combination therapy and repeated every 3–4 wk)

Dosage: Testicular: 50–100 mg/m2/d IV for 5 d or 100 mg/m2/d IV on Days 1, 3, and 5

Lung: 35–50 mg/m2/d IV for 5 d or 100 mg/m2/d PO for 5 d

Toxicities: Bone marrow depression, nausea and vomiting, diarrhea, fever, hypotension with rapid infusion, alopecia, rash, AML (late effect)

Everolimus

Use: Renal cell carcinoma (progression to TKI), pancreatic neuroendocrine tumors (PNET), subependymal giant cell astrocytoma (SEGA)

Dosage: 10 mg/d PO

SEGA: initial dose based on body surface area with subsequent titration to attain trough concentrations of 5–10 ng/mL

Toxicities: Stomatitis, infections, asthenia, diarrhea, pneumonitis, dyslipidemia, hyperglycemia, elevated serum creatinine

Floxuridine

Use: GI adenocarcinomas metastatic to liver, including oral, pancreatic, biliary, colon, and hepatic cancers, and metastatic breast cancer

Dosage: 0.1–0.6 mg/kg/d over several days via continuous arterial infusion supplying well-defined tumor; treatments given over 1–6 wk

Toxicities: Stomatitis and GI ulcers, bone marrow depression, abdominal pain, nausea and vomiting, diarrhea, liver dysfunction (transient)

Fludarabine

Use: CLL, AML, NHL (low-grade)

Dosage: 25 mg/m2/d IV over 30 min for 5 d; repeat every 28 d

Toxicities: Bone marrow depression, nausea and vomiting, fever, malaise, pulmonary infiltrates, tumor lysis syndrome, CNS effects (high dose)

Fluorouracil

Use: Colon, rectal, stomach, pancreatic, breast, head and neck, renal cell, prostate, and ovarian cancers, squamous cell carcinomas of esophagus, basal and squamous cell carcinoma of skin (topical), hepatic cancer (intra-arterial)

Dosage: Loading dose: 300–500 mg/m2; or 12 mg/kg IV daily for 3–5 d, followed by weekly maintenance

Maintenance: 10–15 mg/kg IV weekly, as toxicity permits Infusion: 20–25 mg/kg by continuous IV over 24 h for 4–5 d, every 4 wk

Toxicities: Stomatitis and GI ulcers (infusion), bone marrow depression (bolus), diarrhea, nausea and vomiting, esophagitis, angina, cerebellar ataxia, radiosensitizer

Gefitinib

Use: NSCLC

Dosage: 250 mg/d PO

Toxicities: Acneiform skin rash, diarrhea, transaminitis, asthenia, nausea/vomiting, interstitial lung disease

Gemcitabine

Use: Pancreatic, lung, breast, ovarian, and bladder cancers

Dosage: 1,000 mg/m2 IV over 30 min, once weekly for up to 7 wk (or until toxicity necessitates reducing or withholding a dose), followed by 1 wk of rest Subsequent cycles: Infusions once weekly for 3 consecutive wk out of every 4 wk

Toxicities: Bone marrow depression, transient fever, flu-like syndrome, skin rash, mild nausea and vomiting

Gliadel wafers

Use: Glioblastoma multiforme

Dosage: Up to 8 in brain cavity created by tumor removal

Toxicities: Fever, pain, and abnormal healing

Hydroxyurea

Use: CML, acute leukemia (emergent treatment), head and neck cancer, ovarian cancer, melanoma, essential thrombocytosis, polycythemia vera

Dosage: Intermittent: 80 mg/kg PO every third day Continuous: 20–30 mg/kg PO daily

Toxicities: Bone marrow depression, mild nausea and vomiting, skin rashes, radiosensitizer

Ibritumomab

Use: CD20+ low grade follicular B-cell NHL (relapse)

Dosage: Dosimetric step: Rituximab(Drug information on rituximab) 250 mg/m2 IV; 5 mCi In-111 Ibritumomab on D 1 Therapeutic step: D 7, 8, or 9 rituximab 250 mg/m2 IV; 0.4–0.3 mCi/kg Y-90 ibritumomab

Toxicities: Myelosuppression, infection, GI symptoms, myelodysplastic syndromes (MDS)/AML

Idarubicin

Use: AML, CML (blast phase), ALL

Dosage: 12 mg/m2/d IV for 3 d every 3 wk in combination therapy

Toxicities: Bone marrow depression, nausea and vomiting, stomatitis, alopecia, cardiotoxicity

Ifosfamide

Use: Germ-cell testicular cancer, sarcoma, NHL, lung cancer

Dosage: 1.2 g/m2/d via slow IV infusion for 5 consecutive days; repeat every 3 wk; give with mesna(Drug information on mesna)

Toxicities: Bone marrow depression, hemorrhagic cystitis, confusion, somnolence

Imatinib

Use: CML, gastrointestinal stromal tumor (GIST), Ph+ ALL, dermatofibrosarcoma protuberans, mastocytosis, MDS/MPD

Dosage: 400 mg/d PO in chronic-phase CML and GIST and 600 mg/d PO for CML in accelerated phase or blast crisis/800 mg/d PO (DFSP)

Toxicities: Nausea and vomiting, edema and fluid retention, myalgias, diarrhea, myelosuppression, transaminitis

Ipilimumab

Use: Melanoma

Dosage: 3 mg/kg IV over 90 minutes every 3 weeks for a total of 4 doses

Toxicities: Fatigue, immune-mediated adverse reactions (diarrhea/colitis, pruritus, rash, hepatitis/elevated liver function tests, hypopituitarism, hypo-/hyperthyroidism, uveitis, pneumonitis, nephritis, pancreatitis, aseptic meningitis, neuromuscular disorders)

Irinotecan

Use: Colorectal cancer, lung, ovarian, and cervical cancers

Dosage: 125 mg/m2 IV over 90 min once weekly for 4 wk; then 2 wk rest or 350 mg/m2 every 21 d or 180 mg/m2 every 2 wk

Toxicities: Bone marrow depression, diarrhea, nausea and vomiting, anorexia, weight loss

Ixabepilone

Use: Breast cancer (relapse)

Dosage: 40 mg/m2 IV over 3 hours every 3 weeks

Toxicities: Myelosuppression, peripheral sensory neuropathy, fatigue/asthenia, myalgia/arthralgia, alopecia, nausea, vomiting, stomatitis/mucositis, diarrhea, musculoskeletal pain, abdominal pain, palmar-plantar erythrodysesthesia syndrome, hypersensitivity reaction

Lapatinib

Use: HER2-positive metastatic breast cancer, or in combination with letrozole(Drug information on letrozole) for postmenopausal women with hormone receptor-positive breast cancer for whom hormonal therapy is indicated

Dosage: 1,250 mg PO qd × 21 d in combination with capecitabine(Drug information on capecitabine) 2,000 mg/m2/d PO (divided doses) on D 1–14 of a repeating 21-d cycle

Toxicities: Diarrhea, hand-foot syndrome, nausea, rash, vomiting, fatigue, LVEF decrease, pneumonitis, QT prolongation

Lenalidomide

Use: Multiple myeloma (relapse)

Dosage: 10 mg/d PO

Toxicities: Birth defects, neutropenia and thrombocytopenia, thrombosis

Lomustine

Use: Brain tumors, HL, GI carcinomas, NSCLC

Dosage: 130 mg/m2 PO every 6 wk; adjust dose in combination chemotherapy

Toxicities: Delayed bone marrow depression, nausea and vomiting, reversible hepatotoxicity, pulmonary and renal damage, neurologic reactions, leukemia

Mechlorethamine

Use: HL, NHL, CML, CLL, mycosis fungoides, bronchogenic carcinoma, lymphosarcoma, polycythemia vera, malignant effusions (intracavitary)

Dosage: 0.4 mg/kg ideal body weight given as single dose or in divided doses of 0.1–0.2 mg/kg/d

Toxicities: Bone marrow depression, nausea and vomiting, local phlebitis, severe skin necrosis if extravasated, gonadal dysfunction

Melphalan

Use: Multiple myeloma, breast and ovarian cancers, sarcoma, testicular and lung cancers

Dosage: Continuous therapy: 6 mg PO daily for 2–3 wk, no therapy for 2–4 wk, then maintenance with 2–4 mg PO daily Pulse: 10 mg/m2 PO daily for 4 d every 4–6 wk

Toxicities: Bone marrow depression, anorexia, nausea and vomiting, gonadal testicular dysfunction, leukemia

Mercaptopurine

Use: ALL, CML, AML

Dosage: 1.5–2.5 mg/kg/d PO (100– 200 mg in average adult) until response or toxic effects are seen; may increase dose to 5 mg/kg/d; adjust for maintenance dose; reduce dose by 50%–75% if given with allopurinol(Drug information on allopurinol) or if renal or hepatic insufficiency ensues

Toxicities: Bone marrow depression, nausea and vomiting, anorexia, diarrhea, cholestasis

Methotrexate

Use: Breast, head and neck, GI, and lung cancers, ALL, CNS leukemia (intrathecal), gestational trophoblastic tumors, NHL (advanced stage), Burkitt lymphoma, osteosarcoma, mycosis fungoides

Dosage: Numerous dosing schedules with combination therapy.

Low dose: 2.5–5.0 mg PO daily; or 5–25 mg/m2 PO, IM, IV twice weekly; or 50 mg/m2 IV every 2–3 wk

High dose: 1–12 g/m2 IV with leucovorin rescue every 1–3 wk Intrathecal: 5–10 mg/m2 (up to 15 mg) every 3–7 d

Toxicities: Mucositis, GI ulceration (may produce hemorrhage or perforation), bone marrow depression, pulmonary fibrosis (previously irradiated area), nerve root irritation and convulsion (intrathecal), liver cirrhosis and osteoporosis (chronic therapy), renal damage (high dose), diarrhea, skin erythema

Mitomycin

Use: Gastric, colorectal, anal cancer, pancreatic adenocarcinomas, NSCLC, breast, uterine, cervical, and head and neck cancers

Dosage: 20 mg/m2 IV every 6–8 wk as a single agent or 5–10 mg/m2 IV every 6 wk in combination therapy

Toxicities: Bone marrow depression (cumulative), nausea and vomiting, anorexia, alopecia, stomatitis, fever, pulmonary fibrosis

Mitoxantrone

Use: AML, prostate, ALL, CML, breast and ovarian cancers

Dosage: Remission induction: 12 mg/m2/d IV for 3 d, in combination with Ara-C

Toxicities: Bone marrow depression, cardiotoxicity, alopecia, stomatitis, nausea and vomiting, blue urine and sclera

Nilotinib

Use: CML

Dosage: Newly diagnosed CML-chronic phase: 300 mg PO twice daily. Resistant or intolerant CML-chronic phase or accelerated phase: 400 mg PO twice daily

Toxicities: Myelosuppression, hyperbilirubinemia, rash, pruritus, nausea, headache, fatigue, constipation, elevated lipase, QTc prolongation

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