What is the recommended dosing schedule for amivantamab in a patient with adequate renal and hepatic function?

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Amivantamab Dosing Schedule

For patients with adequate renal and hepatic function, amivantamab should be dosed based on body weight: 1,050 mg for patients <80 kg and 1,400 mg for patients ≥80 kg, administered weekly during cycle 1 (28 days), then every 2 weeks thereafter. 1

Weight-Based Dosing Strategy

The dosing regimen is stratified by body weight to optimize drug exposure and minimize pharmacokinetic variability:

  • Patients <80 kg: 1,050 mg per dose 1
  • Patients ≥80 kg: 1,400 mg per dose 1

This weight-based approach ensures that 87% of patients achieve exposures above the target threshold, as amivantamab exposures are 30-40% lower in patients weighing ≥80 kg compared to those <80 kg at the same dose. 1, 2

Administration Schedule

Cycle 1 (28 days)

  • Weekly dosing: Administer on days 1,8,15, and 22 1
  • Split first dose required: Give 350 mg on day 1, then the remainder on day 2 to mitigate infusion-related reactions 3

Cycle 2 and Beyond

  • Every 2 weeks: Continue dosing every 14 days until disease progression or unacceptable toxicity 1

Pharmacokinetic Considerations

Steady-state concentrations are reached by week 13 for both the 3-week and 2-week dosing regimens, with systemic accumulation of 1.9-fold. 1 The mean terminal half-life is 14 days, supporting the every-2-week maintenance schedule. 1

Renal and Hepatic Function

No dose adjustment is required for patients with:

  • Mild to moderate renal impairment (eGFR 30-89 mL/min) 1
  • Mild hepatic impairment (total bilirubin ≤ULN and AST >ULN, or ULN <total bilirubin ≤1.5× ULN) 1

Important caveat: The effect of severe renal impairment (eGFR 15-29 mL/min), end-stage renal disease (eGFR <15 mL/min), or moderate to severe hepatic impairment (total bilirubin >1.5× ULN and any AST) has not been studied. 1 In these situations, close monitoring is warranted, though specific dosing recommendations are not available.

Infusion-Related Reaction Mitigation

The split first dose strategy is critical, as 90% of infusion-related reactions occur on cycle 1, day 1, with a median time-to-onset of 60 minutes. 3 Required premedications include:

  • Steroid premedication before the initial dose 3
  • Antihistamines and antipyretics before all doses 3
  • Reduced initial infusion rates with proactive infusion interruption 3

Most infusion-related reactions (90%) are grade 1-2, and first-infusion reactions do not compromise subsequent infusions, with 85% of patients who had cycle 1, day 1 infusions aborted completing their cycle 1, day 2 infusions. 3

Subcutaneous Formulation Alternative

A subcutaneous formulation is available that demonstrates pharmacokinetic noninferiority to intravenous administration, with reduced infusion-related reactions (13% vs 66%) and median administration time of 4.8 minutes versus 5 hours for the first infusion. 4 However, the standard intravenous dosing schedule remains as outlined above for the IV formulation.

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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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