FDA-Approved Non-Small Cell Lung Cancer (NSCLC) Treatments
FDA-APPROVED NON-SMALL CELL LUNG CANCER (NSCLC) TREATMENTS
Generic Brand Strength Form Usual Dose
Angiogenesis inhibitor
bevaci–
zumab		 Avastin 100mg, 
400mg		 soln for IV infusion after
dilution		 15mg/kg once every 3wks with
carboplatin/paclitaxel
ramuci–
rumab		 Cyramza 10mg/mL soln for IV infusion after
dilution		 10mg/kg on Day 1 of a 21‑day
cycle prior to docetaxel;
continue until disease progres–
sion or unacceptable toxicity
Antimetabolites
gemcitabine Gemzar 200mg, 1g pwd for IV infusion after
reconstitution		 Give with cisplatin administered on Day 1 after gemcitabine. 1000mg/m² on Days 1, 8, and 15 of each 28-day cycle; or 1250mg/m² on Days 1 and 8 of each 21-day cycle
metho–
trexate		 — 25mg/mL soln for IV, IM, intra-
arterial, or intrathecal
administration after
dilution		 See drug monograph and manufacturer’s full labeling
1g pwd for IV, IM, intra-
arterial, or intrathecal
administration after
dilution
Trexall 5mg, 7.5mg, 10mg, 15mg scored tabs
pemetrexed Alimta 100mg, 500mg pwd for IV inj after
reconstitution and
dilution		 CrCl ≥45mL/min: 500mg/m² on Day 1 of each 21-day cycle. In combination with cisplatin: treat for up to 6 cycles in the absence of disease progression or unacceptable toxicity. Maintenance, recurrent NSCLC: continue until disease progression or unacceptable toxicity. In combination with carboplatin and pembrolizumab: treat for 4 cycles; thereafter, may give pemetrexed as maintenance with or without pembrolizumab until disease progression or unacceptable toxicity. Supplement with oral folic acid and IM vitamin B12 one week prior to 1st pemetrexed dose, during treatment, and for 21 days after last dose. Pretreat with dexamethasone for 3 consecutive days, beginning the day before each pemetrexed dose.
Antimicrotubule agents
docetaxel Taxotere 40mg/mL soln for IV infusion after
dilution		 75mg/m² once every 3wks
paclitaxel Taxol 6mg/mL soln for IV infusion after
dilution		 135mg/m² IV plus cisplatin
every 3wks
paclitaxel [bound to albumin
(human)]		 Abraxane 100mg/
 vial		 pwd for IV infusion after
reconstitution		 100mg/m² on Days 1, 8, and 15 of each 21-day cycle with carboplatin
vinorelbine Navelbine 10mg/mL soln for IV inj after
dilution		 Monotherapy: 30mg/m² once
weekly
Combination therapy: 25mg/m²
on Days 1, 8, 15, and 21 of a 28-day cycle with cisplatin (100mg/m²) given on Day 1 of each 28-day cycle; or 30mg/m² once weekly with cisplatin (120mg/m²) given on Days 1 and 29, then every 6wks.
HUMAN EGFR INHIBITOR
necitumumab Portrazza 800mg/50mL soln for IV infusion after dilution 800mg on Days 1 and 8 of each 21-day cycle; continue until disease progression or unacceptable toxicity
Kinase Inhibitors
afatinib Gilotrif 20mg, 30mg, 40mg tabs 40mg once daily on empty stomach; continue until disease progression or unacceptable toxicity
alectinib Alecensa1 150mg caps 600mg twice daily until disease
progression or unacceptable
toxicity
brigatinib Alunbrig1 30mg, 90mg, 180mg tabs Initially 90mg once daily for first 7 days; if tolerated, increase to 180mg once daily until disease progression or unacceptable toxicity
ceritinib Zykadia1 150mg hard gel caps 450mg once daily with food until disease progression or unacceptable toxicity; discontinue if 150mg once daily with food not tolerated
crizotinib Xalkori 200mg, 250mg caps 250mg twice daily until disease progression or unacceptable toxicity
dabrafenib Tafinlar4 50mg, 75mg caps In combination with trametinib: 150mg twice daily (approx. 12hrs apart); continue until disease recurrence or unacceptable toxicity
dacomitinib Vizimpro2 15mg, 30mg, 45mg tabs 45mg once daily until disease progression or unacceptable toxicity
erlotinib Tarceva2 25mg, 100mg, 150mg tabs 150mg once daily until disease progression or unacceptable toxicity
gefitinib Iressa2 250mg tabs 250mg once daily until disease progression or unacceptable toxicity
osimertinib Tagrisso2,3 40mg, 80mg tabs 80mg once daily until disease progression or unacceptable toxicity
trametinib Mekinist4 0.5mg, 2mg tabs In combination with dabrafenib: 2mg once daily (approx. 24hrs apart); continue until disease recurrence or unacceptable toxicity
PD-1 Blocking Antibody
atezolizumab Tecentriq 60mg/mL soln for IV infusion after
dilution		 Previously treated: 1200mg every 3wks until disease progression or unacceptable toxicity. First-line therapy: 1200mg followed by bevacizumab, paclitaxel, and carboplatin on Day 1 of each 21-day cycle for max 4–6 cycles of chemotherapy; then 1200mg followed by bevacizumab on Day 1 of each 21-day cycle until disease progression or unacceptable toxicity
durvalumab Imfinzi 50mg/mL soln for IV infusion after
dilution		 10mg/kg every 2wks until disease progression, unacceptable toxicity, or max 12mos
nivolumab Opdivo 10mg/mL soln for IV infusion after
dilution		 240mg every 2wks or 480mg every 4wks until disease progression or unacceptable toxicity
pembrolizumab Keytruda 50mg/vial pwd for IV infusion after
reconstitution		 200mg every 3wks until disease progression or unacceptable toxicity; or up to 24mos in patients without disease progression. In combination with chemotherapy: give prior to chemotherapy when given on the same day (see full labeling)
25mg/mL soln for IV infusion after
dilution
Photosensitizing agent
porfimer Photofrin 75mg pwd for IV inj after
reconstitution		 2mg/kg then illumination with
laser light 40−50hrs following
injection
NOTES

1 For ALK-positive metastatic NSCLC only.

2 For metastatic NSCLC with EGFR exon 19 deletions or exon 21 (L858R) substitution mutations only.

3 For metastatic NSCLC with EGFR T790M mutation only.

4 For metastatic NSCLC with BRAF V600E mutation only.

Not an inclusive list of medications, official indications, and/or dosing details. Please see drug monograph at www.eMPR.com and/or contact company for full drug labeling.

(Rev. 1/2019)

Topics:

Oncology