Immunotherapy

Toxicities:

MHRA alert: Atezolizumab (Tecentriq) and other immune-stimulatory anti-cancer drugs: risk of severe cutaneous adverse reactions (SCARs) (June 2021) (www.gov.uk).

ATEZOLIZUMAB

Important: Therapy notes

MHRA advice: Atezolizumab (Tecentriq) and other immune-stimulatory anti-cancer drugs: risk of severe cutaneous adverse reactions (SCARs) (June 2021) (www.gov.uk).
NICE Guidance: Atezolizumab in combination for treating metastatic non-squamous non-small-cell lung cancer (June 2019) (www.nice.org.uk).


Risk minimisation materials

Important: Formulation and dosage details

Formulation:

Concentrate solution for infusion 840mg/14mL (hospital use only)

Dosage:

See SMC advice SMC2267, SMC2379, SMC2492

Important: Formulation and dosage details

Formulation:

Concentrate solution for infusion 1200mg/20mL (hospital use only)

Dosage:

See SMC advice 1336/18 and SMC2279SMC2349, SMC2379, SMC2492.

AVELUMAB

Important: Therapy notes


Risk minimisation materials

Important: Formulation and dosage details

Formulation:

Concentrate for solution for infusion 200mg/10mL (hospital use only)

 

Dosage:

See SMC advice 1315/182248 and 2359.

CEMIPLIMAB

Important: Therapy notes


Risk minimisation materials

Important: Formulation and dosage details

Formulation:

Solution for infusion 350mg (specialist use only)

Dosage:

See SMC advice 2216.

DOSTARLIMAB

Important: Therapy notes

Risk minimisation materials

Important: Formulation and dosage details

Formulation:

Concentrate for solution for infusion 500mg (hospital use only)

Dosage:

See SMC advice 2404.

DURVALUMAB

Important: Therapy notes

Important: Formulation and dosage details

Formulation:

Solution for infusion 50mg/ml (specialist use only)

Dosage:

See SMC advice 2156.

IPILIMUMAB

Important: Therapy notes

Important: Formulation and dosage details

Formulation:

Concentrate for solution for infusion 5mg/mL (specialist use only)

Dosage:

See SMC advice 779/12, 997/14 and 2094.

NIVOLUMAB

Important: Therapy notes

MHRA advice: Nivolumab (Opdivo): reports of cytomegalovirus (CMV) gastrointestinal infection or reactivation (October 2019) (www.gov.uk).
MHRA advice: Nivolumab (Opdivo). pembrolizumab (Keytruda): reports of organ transplant rejection (July 2017) (www.gov.uk).

Risk minimisation materials

Important: Formulation and dosage details

Formulation:

Concentrate for solution for infusion 10mg/mL (hospital use only)

Dosage:

First choice for indication as per SMC advice 2112.
See SMC advice 1120/16,  1180/161187/161240/17, 1261/17, 1188/16215323622385239424292458 and 2503.

Important: Formulation and dosage details

Formulation:

Solution for injection 40mg/4mL, 100mg/10mL (specialist use only)

Dosage:

See SMC advice 1144/16.

PEMBROLIZUMAB

Important: Therapy notes

MHRA advice: Nivolumab (Opdivo). pembrolizumab (Keytruda): reports of organ transplant rejection (July 2017) (www.gov.uk).

Risk management materials

Important: Formulation and dosage details

Formulation:

Concentrate for solution for infusion 25mg/mL (hospital use only)

Dosage:

See SMC advice 1086/15, 1204/17, 1239/171291/181296/182144, 2187220722572247237523802420246024742479 and 2501.

Important: Formulation and dosage details

Formulation:

Powder for concentrate for solution for infusion 50mg (hospital use only)

Dosage:

See SMC advice 1296/18 and 2207.