Trastuzumab

Highest phase reached
Drug type
First approval year

First approval year
Listing at source
Listed
Highest phase reached

Drug type
Drug name
Trastuzumab

  • herceptin
  • Herceptin
  • herwenda
  • Herwenda
  • herzuma
  • Herzuma
  • kadcyla
  • Kadcyla
  • kanjinti
  • Kanjinti
  • ogivri
  • Ogivri
  • ontruzant
  • Ontruzant
  • trastuzumab component of herceptin hylecta
  • Trastuzumab component of herceptin hylecta
  • trastuzumab component of phesgo
  • Trastuzumab component of phesgo
  • trazimera
  • Trazimera
  • zercepac
  • Zercepac

  • 4d5v8
  • 4D5V8
  • abi 007 carboplatin trastuzumab
  • abp 980
  • ABP 980
  • abp 980 trastuzumab biosimilar
  • ABP-980
  • Abp-980 (trastuzumab biosimilar)
  • abp980
  • ABP980
  • bmab 200
  • Bmab-200
  • canhera
  • Canhera
  • ct p6
  • CT-P6
  • ctp 6
  • CTP-6
  • ctp6
  • CTP6
  • dmb 3111
  • dmb 3111 trastuzumab biosimilar
  • Dmb-3111
  • DMB-3111
  • DMB-3111 (TRASTUZUMAB BIOSIMILAR)

And 182 more, listed on the interactive page.

CAS registry numbers
  • 180288-69-1
ChEMBL ID
CHEMBL1201585
FDA ingredient codes (UNII)
  • P188ANX8CK

  • L01FD01
  • L01XC03
Sources for recorded values

  • 224905
  • 2174802

Applicant
GENENTECH
Approval date
25 Sept 1998
Application number
BLA103792

Status
Authorised
Status date
28 Aug 2000
Authorisation date
28 Aug 2000
Approved indications
Breast cancer Metastatic breast cancer Herceptin is indicated for the treatment of patients with HER2-positive metastatic breast cancer: as monotherapy for the treatment of those patients who have received at least two chemotherapy regimens for their metastatic disease. Prior chemotherapy must have included at least an anthracycline and a taxane unless patients are unsuitable for these treatments. Hormone-receptor-positive patients must also have failed hormonal therapy, unless patients are unsuitable for these treatments; in combination with paclitaxel for the treatment of those patients who have not received chemotherapy for their metastatic disease and for whom an anthracycline is not suitable; in combination with docetaxel for the treatment of those patients who have not received chemotherapy for their metastatic disease; in combination with an aromatase inhibitor for the treatment of postmenopausal patients with hormone-receptor-positive metastatic breast cancer, not previously treated with trastuzumab. Early breast cancer Herceptin is indicated for the treatment of patients with HER2-positive early breast cancer: following surgery, chemotherapy (neoadjuvant or adjuvant) and radiotherapy (if applicable); following adjuvant chemotherapy with doxorubicin and cyclophosphamide, in combination with paclitaxel or docetaxel; in combination with adjuvant chemotherapy consisting of docetaxel and carboplatin; in combination with neoadjuvant chemotherapy followed by adjuvant Herceptin therapy, for locally advanced (including inflammatory) disease or tumours >2 cm in diameter. Herceptin should only be used in patients with metastatic or early breast cancer whose tumours have either HER2 overexpression or HER2 gene amplification as determined by an accurate and validated assay. Metastatic gastric cancer Herceptin in combination with capecitabine or 5-fluorouracil and cisplatin is indicated for the treatment of patients with HER2-positive metastatic adenocarcinoma of the stomach or gastroesophageal junction who have not received prior anticancer treatment for their metastatic disease. Herceptin should only be used in patients with metastatic gastric cancer whose tumours have HER2 overexpression as defined by IHC2+ and a confirmatory SISH or FISH result, or by an IHC3+ result. Accurate and validated assay methods should be used.
Product number
EMEA/H/C/000278
Authorisation holder
Roche Registration GmbH
Priority medicines scheme
No
Generic
No
Biosimilar
No
Generic medicines
0
Biosimilar medicines
8
Advanced therapy
No
Conditional approval
No
Additional monitoring
No
Accelerated assessment
No
Exceptional circumstances
No

Therapeutic areas

  • Breast Neoplasms
  • Stomach Neoplasms
European medicines record

Patents
0
Designations
3
Earliest recorded loss of exclusivity
20 Oct 2017
First in class
No
Fast track
Yes
Breakthrough designation
No
Orphan designation
No
Priority review
Yes
Orphan exclusivity
No
Accelerated approval
No
Availability
Prescription only
Boxed warning
Yes

Pharmacology name
trastuzumab
Type
Antibody
Drug name stem
-mab; -mab
Approval recorded by Guide to Pharmacology
Yes

Administration routes

  • Parenteral

  • Action
    Inhibition
    Action type
    Inhibitor
    Target
    erb-b2 receptor tyrosine kinase 2
    Gene symbol
    ERBB2
    Protein identifier
    P04626
    Primary target
    Yes
  • Mechanism
    Receptor protein-tyrosine kinase erbB-2 inhibitor
    Action type
    Inhibitor
    Target
    Receptor tyrosine-protein kinase erbB-2
    Protein identifier
    P04626

Open Targets mechanisms

  • Mechanism
    Receptor protein-tyrosine kinase erbB-2 inhibitor
    Action type
    Inhibitor
    Target
    Receptor tyrosine-protein kinase erbB-2

  • Condition
    Stomach Neoplasms
    Highest recorded phase
    4
    Condition identifier
    EFO:0000178
    Subject identifier
    D013274
  • Condition
    Hodgkin Disease
    Highest recorded phase
    1
    Condition identifier
    EFO:0000183
    Subject identifier
    D006689
  • Condition
    Squamous Cell Carcinoma of Head and Neck
    Highest recorded phase
    2
    Condition identifier
    EFO:0000199
    Subject identifier
    D000077195
  • Condition
    Leukemia, Myeloid, Acute
    Highest recorded phase
    2
    Condition identifier
    EFO:0000222
    Subject identifier
    D015470
  • Condition
    Adenocarcinoma
    Highest recorded phase
    2
    Condition identifier
    EFO:0000228
    Subject identifier
    D000230
  • Condition
    Breast Neoplasms
    Highest recorded phase
    4
    Condition identifier
    EFO:0000305
    Subject identifier
    D001943
  • Condition
    Carcinoma
    Highest recorded phase
    2
    Condition identifier
    EFO:0000313
    Subject identifier
    D002277
  • Condition
    Carcinoma, Intraductal, Noninfiltrating
    Highest recorded phase
    3
    Condition identifier
    EFO:0000432
    Subject identifier
    D002285
  • Condition
    Adenocarcinoma, Follicular
    Highest recorded phase
    1
    Condition identifier
    EFO:0000501
    Subject identifier
    D018263
  • Condition
    Stomach Neoplasms
    Highest recorded phase
    4
    Condition identifier
    EFO:0000503
    Subject identifier
    D013274
  • Condition
    Insulinoma
    Highest recorded phase
    1
    Condition identifier
    EFO:0000549
    Subject identifier
    D007340
  • Condition
    Leukemia
    Highest recorded phase
    2
    Condition identifier
    EFO:0000565
    Subject identifier
    D007938
  • Condition
    Neoplasms
    Highest recorded phase
    4
    Condition identifier
    EFO:0000616
    Subject identifier
    D009369
  • Condition
    Osteosarcoma
    Highest recorded phase
    2
    Condition identifier
    EFO:0000637
    Subject identifier
    D012516
  • Condition
    Thyroid Neoplasms
    Highest recorded phase
    1
    Condition identifier
    EFO:0000641
    Subject identifier
    D013964
  • Condition
    Carcinoma, Renal Cell
    Highest recorded phase
    1
    Condition identifier
    EFO:0000681
    Subject identifier
    D002292
  • Condition
    Sarcoma
    Highest recorded phase
    2
    Condition identifier
    EFO:0000691
    Subject identifier
    D012509
  • Condition
    Skin Diseases
    Highest recorded phase
    1
    Condition identifier
    EFO:0000701
    Subject identifier
    D012871
  • Condition
    Hematologic Neoplasms
    Highest recorded phase
    2
    Condition identifier
    EFO:0001642
    Subject identifier
    D019337
  • Condition
    Prostatic Neoplasms
    Highest recorded phase
    2
    Condition identifier
    EFO:0001663
    Subject identifier
    D011471
  • Condition
    Pancreatic Neoplasms
    Highest recorded phase
    2
    Condition identifier
    EFO:0002618
    Subject identifier
    D010190
  • Condition
    Lymphoma, T-Cell, Cutaneous
    Highest recorded phase
    1
    Condition identifier
    EFO:0002913
    Subject identifier
    D016410
  • Condition
    Esophageal Neoplasms
    Highest recorded phase
    3
    Condition identifier
    EFO:0002916
    Subject identifier
    D004938
  • Condition
    Carcinoma, Non-Small-Cell Lung
    Highest recorded phase
    2
    Condition identifier
    EFO:0003060
    Subject identifier
    D002289
  • Condition
    Pancreatic Neoplasms
    Highest recorded phase
    2
    Condition identifier
    EFO:0003860
    Subject identifier
    D010190

And 60 more, listed on the interactive page.

  • Condition identifier
    EFO_0000199
    Highest recorded phase
    2
  • Condition identifier
    EFO_0000305
  • Condition identifier
    EFO_0000313
    Highest recorded phase
    2
  • Condition identifier
    EFO_0000432
    Highest recorded phase
    3
  • Condition identifier
    EFO_0000503
  • Condition identifier
    EFO_0000565
    Highest recorded phase
    2
  • Condition identifier
    EFO_0000616
  • Condition identifier
    EFO_0000691
    Highest recorded phase
    2
  • Condition identifier
    EFO_0002618
    Highest recorded phase
    2
  • Condition identifier
    EFO_0002916
    Highest recorded phase
    2
  • Condition identifier
    EFO_0003060
    Highest recorded phase
    2
  • Condition identifier
    EFO_0003863
    Highest recorded phase
    2
  • Condition identifier
    EFO_0003869
  • Condition identifier
    EFO_0003897
  • Condition identifier
    EFO_0004920
    Highest recorded phase
    2
  • Condition identifier
    EFO_0005221
    Highest recorded phase
    2
  • Condition identifier
    EFO_0005774
    Highest recorded phase
    3
  • Condition identifier
    EFO_0005922
    Highest recorded phase
    2
  • Condition identifier
    EFO_0006318
    Highest recorded phase
    2
  • Condition identifier
    EFO_0006859
    Highest recorded phase
    2
  • Condition identifier
    EFO_0006861
  • Condition identifier
    EFO_0008549
    Highest recorded phase
    2
  • Condition identifier
    EFO_0009483
  • Condition identifier
    EFO_0009708
    Highest recorded phase
    3
  • Condition identifier
    EFO_1000028
    Highest recorded phase
    1

And 104 more, listed on the interactive page.

  • Warning
    Black Box Warning
    Effect
    cardiotoxicity
  • Warning
    Black Box Warning
    Effect
    dermatological toxicity
  • Warning
    Black Box Warning
    Effect
    hepatotoxicity
  • Warning
    Black Box Warning
    Effect
    infectious disease
  • Warning
    Black Box Warning
    Effect
    respiratory toxicity
  • Warning
    Black Box Warning
    Effect
    teratogenicity

  • Warning
    Black Box Warning
    Effect
    cardiotoxicity
    Country
    United States
  • Warning
    Black Box Warning
    Effect
    dermatological toxicity
    Country
    United States
  • Warning
    Black Box Warning
    Effect
    hepatotoxicity
    Country
    United States
  • Warning
    Black Box Warning
    Effect
    infectious disease
    Country
    United States
  • Warning
    Black Box Warning
    Effect
    respiratory toxicity
    Country
    United States
  • Warning
    Black Box Warning
    Effect
    teratogenicity
    Country
    United States

  • Event
    bone marrow failure
    Reports
    518
    Reporting signal score
    627.815
  • Event
    cardiac dysfunction
    Reports
    176
    Reporting signal score
    446.392
  • Event
    cardiac failure
    Reports
    580
    Reporting signal score
    422.78
  • Event
    cardiotoxicity
    Reports
    568
    Reporting signal score
    1,337.05
  • Event
    chills
    Reports
    821
    Reporting signal score
    507.209
  • Event
    diarrhoea
    Reports
    3,144
    Reporting signal score
    1,305.6
  • Event
    disease progression
    Reports
    1,368
    Reporting signal score
    1,449.16
  • Event
    ejection fraction decreased
    Reports
    1,161
    Reporting signal score
    2,774.87
  • Event
    febrile neutropenia
    Reports
    950
    Reporting signal score
    895.481
  • Event
    left ventricular dysfunction
    Reports
    260
    Reporting signal score
    448.065
  • Event
    metastases to bone
    Reports
    335
    Reporting signal score
    512.227
  • Event
    metastases to central nervous system
    Reports
    698
    Reporting signal score
    1,720.54
  • Event
    metastases to liver
    Reports
    316
    Reporting signal score
    471.591
  • Event
    metastases to lung
    Reports
    252
    Reporting signal score
    417.155
  • Event
    mucosal inflammation
    Reports
    484
    Reporting signal score
    504.784
  • Event
    myelosuppression
    Reports
    990
    Reporting signal score
    2,544.9
  • Event
    neuropathy peripheral
    Reports
    944
    Reporting signal score
    695.566
  • Event
    neutropenia
    Reports
    1,133
    Reporting signal score
    550.488
  • Event
    palmar-plantar erythrodysaesthesia syndrome
    Reports
    629
    Reporting signal score
    906.401

And 399 more, listed on the interactive page.

Dose
4 mg/kg, then 2 mg/kg, then 6 mg/kg, or 8 mg/kg initial, then 6 mg/kg
Route
Intravenous
How often
Weekly for 12 or 18 weeks, then every 3 weeks for a total of 52 weeks, or until disease progression

  • Check vial labels to ensure correct drug
  • Do not administer as an IV push or bolus
  • Do not mix with other drugs
  • Use infusion only

Prodrug
No
Chirality
Single enantiomer
Inorganic
No
Natural product
No

  • Component
    Sequence
    Type
    Protein
    Sequence
    EVQLVESGGGLVQPGGSLRLSCAASGFNIKDTYIHWVRQAPGKGLEWVARIYPTNGYTRYADSVKGRFTISADTSKNTAYLQMNSLRAEDTAVYYCSRWGGDGFYAMDYWGQGTLVTVSSASTKGPSVFPLAPSSKSTSGGTAALGCLVKDYFPEPVTVSWNSGALTSGVHTFPAVLQSSGLYSLSSVVTVPSSSLGTQTYICNVNHKPSNTKVDKKVEPPKSCDKTHTCPPCPAPELLGGPSVFLFPPKPKDTLMISRTPEVTCVVVDVSHEDPEVKFNWYVDGVEVHNAKTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKCKVSNKALPAPIEKTISKAKGQPREPQVYTLPPSRDELTKNQVSLTCLVKGFYPSDIAVEWESNGQPENNYKTTPPVLDSDGSFFLYSKLTVDKSRWQQGNVFSCSVMHEALHNHYTQKSLSLSPGK
  • Component
    Light chain
    Type
    Protein
    Sequence
    DIQMTQSPSSLSASVGDRVTITCRASQDVNTAVAWYQQKPGKAPKLLIYSASFLYSGVPSRFSGSRSGTDFTLTISSLQPEDFATYYCQQHYTTPPTFGQGTKVEIKRTVAAPSVFIFPPSDEQLKSGTASVVCLLNNFYPREAKVQWKVDNALQSGNSQESVTEQDSKDSTYSLSSTLTLSKADYEKHKVYACEVTHQGLSSPVTKSFNRGEC

  • 0069-0305
  • 0069-0308
  • 50242-077
  • 50242-132
  • 50242-245
  • 50242-260
  • 55513-132
  • 55513-141
  • 63459-303
  • 63459-305
  • 78206-147
  • 78206-148
  • 83257-001
  • 83257-003
  • 83257-004

Related records

Trials (996)

Approved for (10)

In development for (74)

Other linked conditions (1)

Targets (1)