Description

Calvert et al developed 2 simple equations for dosing carboplatin using glomerular filtration rate (GFR) as a measure of drug clearance. Accurate dosing prevents undertreatment and excessive toxicity. The authors are from the Institute of Cancer Research and Royal Marsden Hospital in England.


 

Parameters:

(1) area under the dosage curve (AUC) for carboplatin in mg•min/mL following an intravenous infusion

(2) glomerular filtrate rate (GFR)

 

dose of carboplatin in mg for single agent therapy =

= (target AUC) * ((1.2 * (GFR)) + 20)

 

This was refined to:

 

dose of carboplatin in mg for single agent therapy =

= (target AUC) * ((GFR) + 25)

 

where:

• AUC is determined by measured plasma concentrations over time following an intravenous dose, plotted as mg/mL versus time after dose in minutes.

• The target AUC was 5 mg•min/mL for single agent therapy in a previously treated adult.

• The target AUC was 7 mg•min/mL for single agent therapy in an adult not previously treated.

• GFR was reported in mL per minute rather than mL per minute per 1.73 square meter.

• The maximum GFR to use should be 125 mL/min. Use of a higher value can result in an excessive and potentially toxic dose.

 


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