What is the recommended use and dosage of Ninotuzumab (nimotuzumab) for cancer treatment?

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Last updated: June 5, 2025View editorial policy

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From the Research

Ninotuzumab (nimotuzumab) is recommended for cancer treatment, specifically for head and neck cancers, at a dose of 200 mg weekly during radiation therapy, with a favorable safety profile and efficacy in inhibiting tumor growth and proliferation. The medication is an EGFR-targeting monoclonal antibody that works by blocking epidermal growth factor receptors on cancer cells, inhibiting tumor growth and proliferation 1.

Key Points

  • Nimotuzumab is typically administered at a dose of 200-400 mg intravenously every 1-2 weeks for various cancer types, though specific regimens vary by cancer type and treatment protocol.
  • For head and neck cancers, it's often given at 200 mg weekly during radiation therapy, while for gliomas, 200 mg every 1-2 weeks is common.
  • The medication has a favorable safety profile compared to other EGFR inhibitors, with fewer skin toxicities and hypersensitivity reactions 2.
  • Treatment duration depends on the patient's response and disease progression, typically continuing until disease progression or unacceptable toxicity occurs.
  • Nimotuzumab has been shown to induce NK cell activation, cytotoxicity, dendritic cell maturation, and expansion of EGFR-specific T cells in head and neck cancer patients 3.

Administration and Monitoring

  • The medication is administered as an intravenous infusion over 30-60 minutes under medical supervision.
  • Before starting treatment, patients should undergo baseline evaluations including EGFR expression testing when possible, and regular monitoring during treatment is essential to assess response and manage potential side effects.
  • Nimotuzumab has been granted approval for use in squamous cell carcinoma of head and neck (SCCHN), glioma, and nasopharyngeal cancer in different countries 4.

Recent Studies

  • A recent study published in 2020 demonstrated the efficacy and safety of nimotuzumab in patients with inoperable head and neck tumors, with improved progression-free survival, disease-free survival, and locoregional tumor control 1.
  • Another study published in 2021 highlighted the benefits of combining nimotuzumab with induction chemotherapy, radiotherapy, or concurrent chemoradiotherapy for patients with nasopharyngeal carcinoma 2.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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