Difference between revisions of "Pertuzumab (Perjeta)"

From HemOnc.org - A Hematology Oncology Wiki
Jump to navigation Jump to search
m
Line 7: Line 7:
  
 
==Diseases for which it is used==
 
==Diseases for which it is used==
*[[Breast cancer]]
+
*[[Breast_cancer,_HER-2_positive|HER2+ breast cancer]]
 
 
==Clinical trials==
 
*[http://www.nejm.org/doi/full/10.1056/NEJMoa1113216 CLEOPATRA trial]<ref>Baselga J, Cortés J, Kim SB, Im SA, Hegg R, Im YH, Roman L, Pedrini JL, Pienkowski T, Knott A, Clark E, Benyunes MC, Ross G, Swain SM; CLEOPATRA Study Group. Pertuzumab plus trastuzumab plus docetaxel for metastatic breast cancer. N Engl J Med. 2012 Jan 12;366(2):109-19. Epub 2011 Dec 7. [http://www.nejm.org/doi/full/10.1056/NEJMoa1113216 link to original article] [https://www.ncbi.nlm.nih.gov/pubmed/22149875 PubMed]</ref>
 
*[http://www.sciencedirect.com/science/article/pii/S1470204511703369 NeoSphere trial]<ref>Gianni L, Pienkowski T, Im YH, Roman L, Tseng LM, Liu MC, Lluch A, Staroslawska E, de la Haba-Rodriguez J, Im SA, Pedrini JL, Poirier B, Morandi P, Semiglazov V, Srimuninnimit V, Bianchi G, Szado T, Ratnayake J, Ross G, Valagussa P. Efficacy and safety of neoadjuvant pertuzumab and trastuzumab in women with locally advanced, inflammatory, or early HER2-positive breast cancer (NeoSphere): a randomised multicentre, open-label, phase 2 trial. Lancet Oncol. 2012 Jan;13(1):25-32. Epub 2011 Dec 6. [http://www.sciencedirect.com/science/article/pii/S1470204511703369 link to original article] [https://www.ncbi.nlm.nih.gov/pubmed/22153890 PubMed]</ref>
 
  
 
==Patient drug information==
 
==Patient drug information==
Line 23: Line 19:
  
 
==Also known as==
 
==Also known as==
2C4, Omnitarg, Rhumab 2C4.
+
*'''Code names:''' 2C4, Rhumab 2C4.
 +
*'''Brand names:''' Omnitarg, Perjeta
  
 
==References==
 
==References==
Line 29: Line 26:
  
 
[[Category:Drug index]]
 
[[Category:Drug index]]
[[Category:Chemotherapy]]
 
 
[[Category:Intravenous medications]]
 
[[Category:Intravenous medications]]
 +
[[Category:Protein expression-specific medications]]
  
 
[[Category:Antibody medications]]
 
[[Category:Antibody medications]]
[[Category:Anti-HER2 medications]]
+
[[Category:Anti-HER2 antibodies]]
 +
 
 
[[Category:Breast cancer medications]]
 
[[Category:Breast cancer medications]]
 
[[Category:Drugs FDA approved in 2012]]
 
[[Category:Drugs FDA approved in 2012]]

Revision as of 00:02, 27 October 2017

General information

Class/mechanism: Humanized monoclonal antibody that binds to the extracellular dimerization subdomain II of HER2, preventing dimerization with other HER receptors (i.e. EGFR/HER1, HER3, and HER4). Pertuzumab inhibits ligand-initiated intracellular signaling via the MAP (mitogen-activated protein) kinase and PI3K (phosphoinositide 3-kinase) pathways, which results in cell growth arrest and apoptosis. Also stimulates antibody-dependent cell-mediated cytotoxicity (ADCC).[1][2][3]
Route: IV
Extravasation: no information

For conciseness and simplicity, HemOnc.org currently will focus on treatment regimens and not list information such as: renal/hepatic dose adjustments, metabolism (including CYP450), excretion, monitoring parameters (although this will be considered for checklists), or manufacturer. Instead, for the most current information, please refer to your preferred pharmacopeias such as Micromedex, Lexicomp, UpToDate (courtesy of Lexicomp), or the package insert.[1]

Diseases for which it is used

Patient drug information

History of changes in FDA indication

  • 6/8/2012: FDA approved "for use in combination with trastuzumab and docetaxel for the treatment of patients with HER2-positive metastatic breast cancer who have not received prior anti-HER2 therapy or chemotherapy for metastatic disease."

Also known as

  • Code names: 2C4, Rhumab 2C4.
  • Brand names: Omnitarg, Perjeta

References