Info
Avelumab
- Mechanism: Binds to PD-L1
- Dosing:
- 800 mg or 10 mg/kg every 2 wks; consider holding tx if renal or hepatic toxicity develop
- PK/PD: T1/2 ∼6.1 d; 1° elimination is proteolytic degradation
- AEs:
- Immune-mediated tox,
- diarrhea,
- hepatitis B reactivation,
- infusion rxn,
- skin rash,
- fatigue,
- leukopenia,
- ↑ liver enzymes,
- arthralgia
- DDI:
- No known pathways of metabolism; Avoid corticosteroids since it may diminish the therapeutic effect of immune checkpoint inhibitors
- Clinical pearls:
- Tx immune-related tox w/ steroids (prednisone 1-2 mg/kg/d)