Anticancer Class
Abemaciclib
Brand: Verzenio
Subclass: CDK4/6 inhibitor
PK:
t½ 18 hours | Clearance: hepatic
Max Dose: 300 day
Max Dose: 300 day
severe
AE: Diarrhoea, neutropenia, fatigue
AE: Diarrhoea, neutropenia, fatigue
Ado-Trastuzumab Emtansine
Brand: Kadcyla (global) / T-DM1 (IN/BD)
Subclass: HER2 ADC (trastuzumab + DM1)
PK:
t½ 96 hours | Clearance: hepatic
Max Dose: 10 day
Max Dose: 10 day
severe
AE: Hepatotoxicity, thrombocytopenia, peripheral neuropathy, pneumonitis
AE: Hepatotoxicity, thrombocytopenia, peripheral neuropathy, pneumonitis
Afatinib
Brand: Giotrif (global) / Afatinib (IN/BD)
Subclass: EGFR/HER2 irreversible TKI
PK:
t½ 37 hours | Clearance: renal
Max Dose: 50 day
Max Dose: 50 day
moderate
AE: Rash, diarrhoea, stomatitis
AE: Rash, diarrhoea, stomatitis
Alectinib
Brand: Alecensa (global)
Subclass: ALK inhibitor (2nd generation)
PK:
t½ 32.5 hours | Clearance: hepatic
Max Dose: 1200 day
Max Dose: 1200 day
moderate
AE: Constipation, myalgia, elevated CPK, hepatotoxicity
AE: Constipation, myalgia, elevated CPK, hepatotoxicity
Atezolizumab
Brand: Tecentriq (global) / Atezolizumab (IN/BD)
Subclass: PD-L1 Immune Checkpoint Inhibitor
PK:
t½ 648 hours | Clearance: hepatic
Max Dose: 1200 day
Max Dose: 1200 day
life-threatening
AE: Immune-mediated pneumonitis, colitis, hepatitis, endocrinopathies
AE: Immune-mediated pneumonitis, colitis, hepatitis, endocrinopathies
Avelumab
Brand: Bavencio (global) / Avelumab (IN/BD)
Subclass: PD-L1 Immune Checkpoint Inhibitor
PK:
t½ 156 hours | Clearance: other
Max Dose: 10 day
Max Dose: 10 day
life-threatening
AE: Immune pneumonitis, hepatitis, colitis; infusion reactions common
AE: Immune pneumonitis, hepatitis, colitis; infusion reactions common
Bevacizumab
Brand: Avastin (global) / Bevacizumab (IN/BD)
Subclass: VEGF monoclonal antibody
PK:
t½ 480 hours | Clearance: hepatic
Max Dose: 15 day
Max Dose: 15 day
life-threatening
AE: Hypertension, proteinuria, arterial thromboembolism, GI perforation
AE: Hypertension, proteinuria, arterial thromboembolism, GI perforation
Binimetinib
Brand: Mektovi (global)
Subclass: MEK inhibitor
PK:
t½ 9 hours | Clearance: hepatic
Max Dose: 90 day
Max Dose: 90 day
severe
AE: Retinal pigment epithelial detachment, CPK elevations, hepatotoxicity, diarrhea
AE: Retinal pigment epithelial detachment, CPK elevations, hepatotoxicity, diarrhea
Brigatinib
Brand: Alunbrig (global)
Subclass: ALK inhibitor (2nd gen)
PK:
t½ 26 hours | Clearance: hepatic
Max Dose: 180 day
Max Dose: 180 day
severe
AE: Pneumonitis (early onset), hypertension, visual disturbances, hyperglycemia, myalgia
AE: Pneumonitis (early onset), hypertension, visual disturbances, hyperglycemia, myalgia
Capecitabine
Brand: Xeloda (global)
Subclass: Antimetabolite (oral prodrug of 5-FU)
PK:
t½ 0.75 hours | Clearance: hepatic
severe
AE: Diarrhea, hand-foot syndrome, mucositis, fatigue, cardiotoxicity (rare)
AE: Diarrhea, hand-foot syndrome, mucositis, fatigue, cardiotoxicity (rare)
Capmatinib
Brand: Tabrecta (global)
Subclass: MET inhibitor
PK:
t½ 6.5 hours | Clearance: hepatic
Max Dose: 800 day
Max Dose: 800 day
moderate
AE: Peripheral edema, nausea, fatigue, photosensitivity, ILD/pneumonitis
AE: Peripheral edema, nausea, fatigue, photosensitivity, ILD/pneumonitis
Carboplatin
Brand: Paraplatin (global)
Subclass: Platinum compound (DNA crosslinker)
PK:
t½ 5 hours | Clearance: renal
moderate
AE: Myelosuppression (especially thrombocytopenia), nausea/vomiting, less nephrotoxicity than cisplatin
AE: Myelosuppression (especially thrombocytopenia), nausea/vomiting, less nephrotoxicity than cisplatin
Cemiplimab
Brand: Libtayo (global)
Subclass: PD-1 monoclonal antibody
PK:
t½ 19 days | Clearance: hepatic
severe
AE: Immune mediated pneumonitis, colitis, hepatitis, endocrinopathies
AE: Immune mediated pneumonitis, colitis, hepatitis, endocrinopathies
Ceritinib
Brand: Zykadia (global)
Subclass: ALK inhibitor (2nd generation)
PK:
t½ 1.7 days | Clearance: hepatic
Max Dose: 450 day
Max Dose: 450 day
moderate
AE: Severe GI toxicity (diarrhea, nausea), hepatotoxicity, QT prolongation, hyperglycemia
AE: Severe GI toxicity (diarrhea, nausea), hepatotoxicity, QT prolongation, hyperglycemia
Cisplatin
Brand: Platinol (global)
Subclass: Platinum compound (DNA crosslinker)
PK:
t½ 70 hours | Clearance: renal
severe
AE: Nephrotoxicity, ototoxicity, peripheral neuropathy, severe nausea/vomiting
AE: Nephrotoxicity, ototoxicity, peripheral neuropathy, severe nausea/vomiting
Cobimetinib
Brand: Cotellic (global)
Subclass: MEK inhibitor
PK:
t½ 44 hours | Clearance: hepatic
Max Dose: 60 day
Max Dose: 60 day
severe
AE: Rhabdomyolysis, CPK elevation, serous retinopathy, diarrhea
AE: Rhabdomyolysis, CPK elevation, serous retinopathy, diarrhea
Crizotinib
Brand: Xalkori (global)
Subclass: ALK / ROS1 inhibitor (1st gen)
PK:
t½ 42 hours | Clearance: hepatic
Max Dose: 500 day
Max Dose: 500 day
moderate
AE: Visual disturbances (common), QT prolongation, hepatotoxicity, GI upset, bradycardia
AE: Visual disturbances (common), QT prolongation, hepatotoxicity, GI upset, bradycardia
Cytarabine
Brand: DepoCyt (liposomal) / Cytarabine generic
Subclass: Antimetabolite (pyrimidine analogue)
PK:
t½ 1.5 hours | Clearance: hepatic
severe
AE: Myelosuppression, cerebellar toxicity (high dose), conjunctivitis
AE: Myelosuppression, cerebellar toxicity (high dose), conjunctivitis
Dabrafenib
Brand: Tafinlar (global)
Subclass: BRAF inhibitor (V600E/K)
PK:
t½ 8 hours | Clearance: hepatic
Max Dose: 300 day
Max Dose: 300 day
moderate
AE: Fever, hyperglycemia, skin reactions, uveitis
AE: Fever, hyperglycemia, skin reactions, uveitis
Dasatinib
Brand: Sprycel (US/EU) / Dasatinib (IN/BD)
Subclass: BCR-ABL Tyrosine Kinase Inhibitor
PK:
t½ 4 hours | Clearance: hepatic
Max Dose: 140 day
Max Dose: 140 day
severe
AE: Myelosuppression, pleural effusion, pulmonary hypertension
AE: Myelosuppression, pleural effusion, pulmonary hypertension
Daunorubicin
Brand: Cerubidine (global) / Daunoblastin (IN/BD)
Subclass: Anthracycline (topoisomerase II inhibitor)
PK:
t½ 19 hours | Clearance: hepatic
life-threatening
AE: Myelosuppression, cardiomyopathy, mucositis, red/orange urine
AE: Myelosuppression, cardiomyopathy, mucositis, red/orange urine
Docetaxel
Brand: Taxotere (global) / Daxotel (IN/BD)
Subclass: Taxane (microtubule stabilizer)
PK:
t½ 11 hours | Clearance: hepatic
severe
AE: Neutropenia, peripheral edema/fluid retention, mucositis, nail changes
AE: Neutropenia, peripheral edema/fluid retention, mucositis, nail changes
Durvalumab
Brand: Imfinzi (global) / Durvalumab (IN/BD)
Subclass: PD-L1 Immune Checkpoint Inhibitor
PK:
t½ 432 hours | Clearance: hepatic
Max Dose: 1500 day
Max Dose: 1500 day
life-threatening
AE: Immune pneumonitis, hepatitis, colitis, endocrinopathy
AE: Immune pneumonitis, hepatitis, colitis, endocrinopathy
Encorafenib
Brand: Braftovi (global)
Subclass: BRAF inhibitor (V600E/K)
PK:
t½ 6 hours | Clearance: hepatic
Max Dose: 450 day
Max Dose: 450 day
moderate
AE: QT prolongation, ocular toxicity, hepatotoxicity, fatigue
AE: QT prolongation, ocular toxicity, hepatotoxicity, fatigue
Entrectinib
Brand: Rozlytrek (global)
Subclass: NTRK / ROS1 inhibitor
PK:
t½ 20 hours | Clearance: hepatic
Max Dose: 600 day
Max Dose: 600 day
moderate
AE: Edema, dizziness, cognitive changes, weight gain, hepatotoxicity, CHF risk
AE: Edema, dizziness, cognitive changes, weight gain, hepatotoxicity, CHF risk
Epirubicin
Brand: Ellence (global)
Subclass: Anthracycline (topoisomerase II inhibitor)
PK:
t½ 30 hours | Clearance: hepatic
life-threatening
AE: Myelosuppression, cardiotoxicity, mucositis, alopecia
AE: Myelosuppression, cardiotoxicity, mucositis, alopecia
Erlotinib
Brand: Tarceva (US/EU) / Erlotinib (IN/BD)
Subclass: EGFR Tyrosine Kinase Inhibitor
PK:
t½ 36 hours | Clearance: hepatic
Max Dose: 150 day
Max Dose: 150 day
severe
AE: Rash, diarrhoea, hepatotoxicity, interstitial lung disease (rare)
AE: Rash, diarrhoea, hepatotoxicity, interstitial lung disease (rare)
Fluorouracil
Brand: Adrucil (global) / 5-FU (standard generic)
Subclass: Antimetabolite (pyrimidine analogue)
PK:
t½ 0.25 hours | Clearance: hepatic
severe
AE: Myelosuppression, mucositis, cardiotoxicity (rare), diarrhea, hand-foot syndrome
AE: Myelosuppression, mucositis, cardiotoxicity (rare), diarrhea, hand-foot syndrome
Gefitinib
Brand: Iressa (US/EU/IN)
Subclass: EGFR Tyrosine Kinase Inhibitor
PK:
t½ 48 hours | Clearance: hepatic
Max Dose: 250 day
Max Dose: 250 day
moderate
AE: Rash, diarrhoea, hepatotoxicity
AE: Rash, diarrhoea, hepatotoxicity
Gemcitabine
Brand: Gemzar (global) / Gemcitabine (IN/BD generic)
Subclass: Antimetabolite (pyrimidine analogue)
PK:
t½ 0.7 hours | Clearance: renal
moderate
AE: Myelosuppression, flu-like syndrome, hepatotoxicity, pulmonary toxicity (rare)
AE: Myelosuppression, flu-like syndrome, hepatotoxicity, pulmonary toxicity (rare)
Idarubicin
Brand: Idamycin (global)
Subclass: Anthracycline (topoisomerase II inhibitor)
PK:
t½ 22 hours | Clearance: hepatic
life-threatening
AE: Cardiotoxicity, myelosuppression, nausea/vomiting, mucositis
AE: Cardiotoxicity, myelosuppression, nausea/vomiting, mucositis
Imatinib
Brand: Gleevec (US/EU) / Imatinib (IN/BD)
Subclass: BCR-ABL Tyrosine Kinase Inhibitor
PK:
t½ 18 hours | Clearance: hepatic
Max Dose: 800 day
Max Dose: 800 day
moderate
AE: Fluid retention, edema, N/V, rash, cytopenias
AE: Fluid retention, edema, N/V, rash, cytopenias
Ipilimumab
Brand: Yervoy (global) / Ipilimumab (IN/BD)
Subclass: CTLA-4 Immune Checkpoint Inhibitor
PK:
t½ 360 hours | Clearance: other
Max Dose: 3 day
Max Dose: 3 day
life-threatening
AE: Severe immune-mediated colitis, hepatitis, dermatitis, endocrine failure
AE: Severe immune-mediated colitis, hepatitis, dermatitis, endocrine failure
Lapatinib
Brand: Tykerb (global)
Subclass: HER2 / EGFR dual TKI
PK:
t½ 14 hours | Clearance: hepatic
Max Dose: 1250 day
Max Dose: 1250 day
moderate
AE: Diarrhoea, hepatotoxicity, rash, cardiotoxicity
AE: Diarrhoea, hepatotoxicity, rash, cardiotoxicity
Larotrectinib
Brand: Vitrakvi (global)
Subclass: NTRK selective inhibitor
PK:
t½ 3 hours | Clearance: hepatic
Max Dose: 200 day
Max Dose: 200 day
moderate
AE: Dizziness, fatigue, nausea, hepatotoxicity
AE: Dizziness, fatigue, nausea, hepatotoxicity
Lenalidomide
Brand: Revlimid (global)
Subclass: Immunomodulatory agent (IMiD)
PK:
t½ 3 hours | Clearance: renal
severe
AE: Myelosuppression, thrombosis, fatigue, rash
AE: Myelosuppression, thrombosis, fatigue, rash
Lorlatinib
Brand: Lorbrena (global)
Subclass: ALK inhibitor (3rd gen)
PK:
t½ 24 hours | Clearance: hepatic
Max Dose: 100 day
Max Dose: 100 day
moderate
AE: Cognitive/mood changes, hyperlipidemia, neuropathy, edema, weight gain
AE: Cognitive/mood changes, hyperlipidemia, neuropathy, edema, weight gain
Methotrexate
Brand: Trexall (global) / Methotrexate (IN/BD generic)
Subclass: Antimetabolite (antifolate)
PK:
t½ 8 hours | Clearance: renal
severe
AE: Myelosuppression, hepatotoxicity, mucositis, nephrotoxicity at high dose
AE: Myelosuppression, hepatotoxicity, mucositis, nephrotoxicity at high dose
Neratinib
Brand: Nerlynx (global)
Subclass: HER2 irreversible TKI
PK:
t½ 17 hours | Clearance: hepatic
Max Dose: 240 day
Max Dose: 240 day
severe
AE: Severe diarrhoea, hepatotoxicity, nausea, stomatitis
AE: Severe diarrhoea, hepatotoxicity, nausea, stomatitis
Nilotinib
Brand: Tasigna (US/EU) / Nilotinib (IN/BD)
Subclass: BCR-ABL Tyrosine Kinase Inhibitor
PK:
t½ 17 hours | Clearance: hepatic
Max Dose: 800 day
Max Dose: 800 day
life-threatening
AE: QT prolongation, sudden death risk, hyperglycemia, hepatic toxicity
AE: QT prolongation, sudden death risk, hyperglycemia, hepatic toxicity
Niraparib
Brand: Zejula (global) / Niraparib (IN/BD)
Subclass: PARP inhibitor
PK:
t½ 36 hours | Clearance: hepatic
Max Dose: 300 day
Max Dose: 300 day
moderate
AE: Thrombocytopenia, hypertension, nausea, fatigue
AE: Thrombocytopenia, hypertension, nausea, fatigue
Olaparib
Brand: Lynparza (global) / Olaparib (IN/BD)
Subclass: PARP inhibitor
PK:
t½ 12 hours | Clearance: hepatic
Max Dose: 600 day
Max Dose: 600 day
moderate
AE: Anemia, neutropenia, nausea, fatigue
AE: Anemia, neutropenia, nausea, fatigue
Osimertinib
Brand: Tagrisso (global)
Subclass: EGFR TKI (3rd gen)
PK:
t½ 48 hours | Clearance: hepatic
Max Dose: 80 day
Max Dose: 80 day
severe
AE: QT prolongation, ILD/pneumonitis, diarrhea, rash
AE: QT prolongation, ILD/pneumonitis, diarrhea, rash
Oxaliplatin
Brand: Eloxatin (global)
Subclass: Platinum compound (DNA crosslinker)
PK:
t½ 14 hours | Clearance: renal
moderate
AE: Peripheral neuropathy (cold induced), nausea/vomiting, diarrhea, myelosuppression
AE: Peripheral neuropathy (cold induced), nausea/vomiting, diarrhea, myelosuppression
Paclitaxel
Brand: Taxol (global) / Paclitax (IN/BD)
Subclass: Taxane (microtubule stabilizer)
PK:
t½ 20 hours | Clearance: hepatic
severe
AE: Neutropenia, peripheral neuropathy, hypersensitivity reactions, alopecia
AE: Neutropenia, peripheral neuropathy, hypersensitivity reactions, alopecia
Palbociclib
Brand: Ibrance (US/EU) / Palbociclib (IN/BD)
Subclass: CDK4/6 inhibitor
PK:
t½ 29 hours | Clearance: hepatic
Max Dose: 125 day
Max Dose: 125 day
severe
AE: Neutropenia, infections, stomatitis, fatigue
AE: Neutropenia, infections, stomatitis, fatigue
Pembrolizumab
Brand: Keytruda (global)
Subclass: PD-1 Immune Checkpoint Inhibitor
PK:
t½ 528 hours | Clearance: hepatic
Max Dose: 200 day
Max Dose: 200 day
life-threatening
AE: Immune-mediated pneumonitis, colitis, hepatitis, endocrinopathies, thyroid dysfunction
AE: Immune-mediated pneumonitis, colitis, hepatitis, endocrinopathies, thyroid dysfunction
Pemetrexed
Brand: Alimta (global)
Subclass: Antimetabolite (multitargeted antifolate)
PK:
t½ 3.5 hours | Clearance: renal
moderate
AE: Myelosuppression, fatigue, rash, mucositis
AE: Myelosuppression, fatigue, rash, mucositis
Pertuzumab
Brand: Perjeta (global) / Pertuzumab (IN/BD)
Subclass: HER2 monoclonal antibody
PK:
t½ 432 hours | Clearance: hepatic
Max Dose: 420 day
Max Dose: 420 day
severe
AE: Diarrhoea, rash, neutropenia, infusion reactions; potential cardiotoxicity (esp. with trastuzumab); embryo-fetal toxicity
AE: Diarrhoea, rash, neutropenia, infusion reactions; potential cardiotoxicity (esp. with trastuzumab); embryo-fetal toxicity
Pomalidomide
Brand: Pomalyst (global)
Subclass: Immunomodulatory agent (IMiD)
PK:
t½ 7.5 hours | Clearance: hepatic
severe
AE: Myelosuppression, fatigue, thrombosis risk, rash
AE: Myelosuppression, fatigue, thrombosis risk, rash
Pralsetinib
Brand: Gavreto (global)
Subclass: RET inhibitor
PK:
t½ 22 hours | Clearance: hepatic
Max Dose: 400 day
Max Dose: 400 day
severe
AE: Interstitial lung disease/pneumonitis, hypertension, hepatotoxicity, neutropenia
AE: Interstitial lung disease/pneumonitis, hypertension, hepatotoxicity, neutropenia
Ribociclib
Brand: Kisqali
Subclass: CDK4/6 inhibitor
PK:
t½ 32 hours | Clearance: hepatic
Max Dose: 600 day
Max Dose: 600 day
severe
AE: Neutropenia, hepatotoxicity, QT prolongation
AE: Neutropenia, hepatotoxicity, QT prolongation
Rucaparib
Brand: Rubraca (global) / Rucaparib (IN/BD)
Subclass: PARP inhibitor
PK:
t½ 17 hours | Clearance: hepatic
Max Dose: 600 day
Max Dose: 600 day
moderate
AE: Nausea, vomiting, anemia, increased ALT/AST
AE: Nausea, vomiting, anemia, increased ALT/AST
Selpercatinib
Brand: Retevmo (global)
Subclass: RET inhibitor
PK:
t½ 32 hours | Clearance: hepatic
Max Dose: 320 day
Max Dose: 320 day
moderate
AE: Hypertension, hepatotoxicity, QT prolongation, dry mouth, edema
AE: Hypertension, hepatotoxicity, QT prolongation, dry mouth, edema
Talazoparib
Brand: Talzenna (global) / Talazoparib (IN/BD)
Subclass: PARP inhibitor
PK:
t½ 90 hours | Clearance: hepatic
Max Dose: 1 day
Max Dose: 1 day
moderate
AE: Anemia, neutropenia, thrombocytopenia, fatigue
AE: Anemia, neutropenia, thrombocytopenia, fatigue
Thalidomide
Brand: Thalomid (global)
Subclass: Immunomodulatory agent (IMiD)
PK:
t½ 6 hours | Clearance: hepatic
life-threatening
AE: Sedation, constipation, peripheral neuropathy, thrombosis risk
AE: Sedation, constipation, peripheral neuropathy, thrombosis risk
Trametinib
Brand: Mekinist (global)
Subclass: MEK inhibitor
PK:
t½ 4 days | Clearance: hepatic
Max Dose: 2 day
Max Dose: 2 day
severe
AE: Cardiomyopathy, retinopathy, diarrhea, hypertension, ILD
AE: Cardiomyopathy, retinopathy, diarrhea, hypertension, ILD
Trastuzumab
Brand: Herceptin (global) / Trastuzumab (IN/BD)
Subclass: HER2 monoclonal antibody
PK:
t½ 684 hours | Clearance: hepatic
Max Dose: 6 day
Max Dose: 6 day
severe
AE: Cardiomyopathy, infusion reactions, pulmonary toxicity
AE: Cardiomyopathy, infusion reactions, pulmonary toxicity
Tucatinib
Brand: Tukysa (global)
Subclass: HER2 selective TKI
PK:
t½ 13 hours | Clearance: hepatic
Max Dose: 600 day
Max Dose: 600 day
moderate
AE: Hepatotoxicity, diarrhoea, stomatitis, fatigue
AE: Hepatotoxicity, diarrhoea, stomatitis, fatigue
Vemurafenib
Brand: Zelboraf (global)
Subclass: BRAF inhibitor (V600E)
PK:
t½ 57 hours | Clearance: hepatic
Max Dose: 1920 day
Max Dose: 1920 day
moderate
AE: Photosensitivity, arthralgia, rash, QT prolongation
AE: Photosensitivity, arthralgia, rash, QT prolongation
Vinblastine
Brand: Velbe (global) / Cytoblastin (IN/BD)
Subclass: Vinca alkaloid (microtubule inhibitor)
PK:
t½ 25 hours | Clearance: hepatic
severe
AE: Myelosuppression, hair loss, nausea/vomiting
AE: Myelosuppression, hair loss, nausea/vomiting
Vincristine
Brand: Cytocristin (IN/BD) / Oncovin (global)
Subclass: Vinca alkaloid (microtubule inhibitor)
PK:
t½ 85 hours | Clearance: hepatic
severe
AE: Peripheral neuropathy, constipation/ileus, jaw pain, cranial nerve palsies
AE: Peripheral neuropathy, constipation/ileus, jaw pain, cranial nerve palsies