› Forums › General Melanoma Community › New Dosage
- This topic has 7 replies, 6 voices, and was last updated 8 years, 8 months ago by
Bubbles.
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- July 14, 2017 at 11:18 pm
This morning I met with my onc before my schedualed infusion. He informed me that my dosage of Keytuda has been increased to 200mg from 155mg. He told me the FDA new recommedaton is for all Keytruda (and Opdivo) to be this new standard dosage regardless of a patient's weight.
I have one more infuson before my next scan…hoping to be NED.
Hang in there my friends…we are making progress!
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- July 15, 2017 at 12:52 am
I hope that doesn't mean stronger side effects for some. I don't know how strong my dosage is, i'll ask next I am there.
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- July 15, 2017 at 2:02 am
It's been 240mg for Opdivo (single agent, not in combo with Ipi) since September 2016, so probably staying the same for Opdivo.
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- July 15, 2017 at 12:43 pm
Per package insert, Opdivo (Nivolumab) is dosed at 1mg/kg when combined with ipi (in the ipi/nivo combo) every 3 weeks for 4 doses then followed with a straight dose or 240mg every two weeks. When given alone for melanoma, Opdivo is dosed at 240mg every 2 weeks. I have seen no notation of changes.
Per original package insert Keytruda was dosed at 2mg/kg every three weeks. It comes in 50 mg vials (just so happens). In January Merck made an application to the FDA for a fixed dose of 200mg q 3 weeks, noting something to the effect that this was not substantially different from the dosage most adults were given anyway and alleviate drug waste. At any rate, it appears that change was accepted in May and package inserts revised at that time now note the standard straight dose of 200mg q 3 weeks.
https://www.merck.com/product/usa/pi_circulars/k/keytruda/keytruda_pi.pdf
For what it's worth. Celeste
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- July 15, 2017 at 2:29 pm
Hi Nick, if you want to listen to some oncologist talking about the issue follow the link. Go to the 5:50 min mark. Best Wishes!!!Ed https://www.youtube.com/watch?v=MiQFpVT1vvM
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