| Half-life | 432 hours |
| Clearance Route | hepatic |
| Active Metabolites | no |
| Notes | Fixed dose: 840 mg loading → 420 mg IV every 21 days. Use with trastuzumab; no RAW70 needed. |
Severity: Severe
Adverse Effects:
Diarrhoea, rash, neutropenia, infusion reactions; potential cardiotoxicity (esp. with trastuzumab); embryo-fetal toxicity
Contraindications:
Severe heart failure; pregnancy
Precautions:
Baseline & periodic LVEF monitoring; effective contraception during and after therapy
• Half-life ≈ 18 days → 432 hours
• Dosing is fixed: 840 mg loading, then 420 mg IV q3 weeks