L01FD01 - Trastuzumab Not porphyrinogenic 
NP 
    Rationale 
No CYP-affinity. No conceivable effects on PXR activation. However, side effects such as nausea and vomiting may be potentially porphyrinogenic through reduction in caloric intake.
    Chemical description 
Trastuzumab is a recombinant DNA-derived humanized anti-HER2 monoclonal antibody. 
    Therapeutic characteristics 
Trastuzumab is an antineoplastic agent used in the treatment of breastcancer. It is administered as an intravenous infusion. Often administered together with paclitaxel, docetaxel or aromatase inhibitor e.g. anastrozol. Common adverse reactions of trastuzumab that can be confused with an acute porphyric attack are vomiting and nausea. Side effects such as nausea and vomiting may be potentially porphyrinogenic through reduction in caloric intake.
    
    Metabolism and pharmacokinetics 
Metabolized as endogenous IgG. Non-CYP metabolism.
    
    
    Published experience 
Used uneventfully for the treatment of breast cancer in AIP woman (Kristiansen, 2006). 
    IPNet drug reports 
No.
Similar drugs
References
# 
                Citation details 
                PMID * Scientific articles 1. 
    Treatment and treatment considerations in a patient with advanced breast cancer and acute intermittent porphyria. Acta Oncol 2006;45(3):337-9. 
        Kristiansen C, Langkjer ST. 
16644579 * Drug reference publications 2. 
    McEvoy GK, editor. Trastuzumab. The AHFS Drug Information 2008. Bethesda, MD: American Society of Health-System Pharmacists; 2009. Electronic version (10.05.10). 
         
3. 
    Sweetman SC, editor. Martindale: The complete drug reference. Trasuzumab. Pharmaceutical Press 2009. 
         
* Summary of Product Characteristics 4. 
    Norwegian medicines agency. Summary of Product Characteristics (SPC). Herceptin. 
         
    Tradenames
    Dazublys  ·  Herceptin  ·  Herwenda  ·  Herzuma  ·  Kanjinti  ·  Ogivri  ·  Ontruzant  ·  Trazimera  ·  Tuznue  ·  Zercepac   Dazublys  ·  Herceptin  ·  Herwenda  ·  Herzuma  ·  Kanjinti  ·  Ogivri  ·  Ontruzant  ·  Trazimera  ·  Tuznue  ·  Zercepac   Herceptin  ·  Herzuma  ·  Kanjinti  ·  Ogivri  ·  Ontruzant  ·  Trazimera  ·  Zercepac   Dazublys  ·  Herceptin  ·  Herwenda  ·  Herzuma  ·  Kanjinti  ·  Ogivri  ·  Ontruzant  ·  Trazimera  ·  Tuznue  ·  Zercepac   Herceptin  ·  Herwenda  ·  Herzuma  ·  Kanjinti  ·  Ogivri  ·  Ontruzant  ·  Trazimera  ·  Tuznue  ·  Zercepac   Herceptin  ·  Herzuma  ·  Kanjinti  ·  Ogivri  ·  Trazimera  ·  Zercepac   Herceptin  ·  Herclon  ·  Herzuma  ·  Kanjinti  ·  Ogivri  ·  Trazimera  ·  Zercepac   Herceptin  ·  Herzuma  ·  Kanjinti  ·  Kanjinti 420mg powder for concentrate for solution for infusion vials  ·  Ogivri  ·  Ontruzant  ·  Trastuzumab (Herceptin) 1029mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Herceptin) 105mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Herceptin) 1176mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Herceptin) 126mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Herceptin) 1323mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Herceptin) 147mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Herceptin) 176.4mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Herceptin) 210mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Herceptin) 252mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Herceptin) 294mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Herceptin) 336mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Herceptin) 378mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Herceptin) 42mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Herceptin) 441mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Herceptin) 46.2mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Herceptin) 504mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Herceptin) 54.6mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Herceptin) 588mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Herceptin) 63mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Herceptin) 651mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Herceptin) 735mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Herceptin) 75.6mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Herceptin) 88.2mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Herceptin) 882mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Herzuma) 1029mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Herzuma) 105mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Herzuma) 1176mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Herzuma) 126mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Herzuma) 1323mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Herzuma) 147mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Herzuma) 176.4mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Herzuma) 210mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Herzuma) 252mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Herzuma) 294mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Herzuma) 336mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Herzuma) 378mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Herzuma) 42mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Herzuma) 441mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Herzuma) 46.2mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Herzuma) 504mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Herzuma) 54.6mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Herzuma) 588mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Herzuma) 63mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Herzuma) 651mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Herzuma) 735mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Herzuma) 75.6mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Herzuma) 88.2mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Herzuma) 882mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Kanjinti) 1029mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Kanjinti) 105mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Kanjinti) 1176mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Kanjinti) 126mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Kanjinti) 1323mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Kanjinti) 147mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Kanjinti) 176.4mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Kanjinti) 210mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Kanjinti) 252mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Kanjinti) 294mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Kanjinti) 336mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Kanjinti) 378mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Kanjinti) 42mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Kanjinti) 441mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Kanjinti) 46.2mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Kanjinti) 504mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Kanjinti) 54.6mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Kanjinti) 588mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Kanjinti) 63mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Kanjinti) 651mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Kanjinti) 735mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Kanjinti) 75.6mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Kanjinti) 88.2mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Kanjinti) 882mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Ontruzant) 1029mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Ontruzant) 105mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Ontruzant) 1176mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Ontruzant) 126mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Ontruzant) 1323mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Ontruzant) 147mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Ontruzant) 176.4mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Ontruzant) 210mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Ontruzant) 252mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Ontruzant) 294mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Ontruzant) 336mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Ontruzant) 378mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Ontruzant) 42mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Ontruzant) 441mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Ontruzant) 46.2mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Ontruzant) 504mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Ontruzant) 54.6mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Ontruzant) 588mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Ontruzant) 63mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Ontruzant) 651mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Ontruzant) 735mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Ontruzant) 75.6mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Ontruzant) 88.2mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Ontruzant) 882mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Trazimera) 1029mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Trazimera) 105mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Trazimera) 1176mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Trazimera) 126mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Trazimera) 1323mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Trazimera) 147mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Trazimera) 176.4mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Trazimera) 210mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Trazimera) 252mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Trazimera) 294mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Trazimera) 336mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Trazimera) 378mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Trazimera) 42mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Trazimera) 441mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Trazimera) 46.2mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Trazimera) 504mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Trazimera) 54.6mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Trazimera) 588mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Trazimera) 63mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Trazimera) 651mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Trazimera) 735mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Trazimera) 75.6mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Trazimera) 88.2mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Trazimera) 882mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Zercepac) 1029mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Zercepac) 105mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Zercepac) 1176mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Zercepac) 126mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Zercepac) 1323mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Zercepac) 147mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Zercepac) 176.4mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Zercepac) 210mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Zercepac) 252mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Zercepac) 294mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Zercepac) 336mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Zercepac) 378mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Zercepac) 42mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Zercepac) 441mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Zercepac) 46.2mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Zercepac) 504mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Zercepac) 54.6mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Zercepac) 588mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Zercepac) 63mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Zercepac) 651mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Zercepac) 735mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Zercepac) 75.6mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Zercepac) 88.2mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trastuzumab (Zercepac) 882mg/250ml in Sodium chloride 0.9% infusion bags  ·  Trazimera  ·  Zercepac   Dazublys  ·  Herceptin  ·  Herwenda  ·  Herzuma  ·  Kanjinti  ·  Ogivri  ·  Ontruzant  ·  Trazimera  ·  Tuznue  ·  Zercepac   Extempore L01FD01 Trastuzumab  ·  Herceptin  ·  Herzuma  ·  Kanjinti  ·  Ogivri  ·  Ontruzant  ·  Trastuzumab  ·  Trazimera  ·  Zercepac   Herceptin  ·  Ogivri   Dazublys  ·  Herceptin  ·  Herwenda  ·  Herzuma  ·  Kanjinti  ·  Ogivri  ·  Ontruzant  ·  Trazimera  ·  Tuznue  ·  Zercepac   Herceptin  ·  Herclon  ·  Herzuma  ·  Kanjinti  ·  Ogivri  ·  Ontruzant  ·  Trazimera   Herceptin  ·  Herzuma  ·  Kanjinti  ·  Ogivri  ·  Ontruzant  ·  Trazimera   Herceptin  ·  Herzuma  ·  Kanjinti  ·  Ogivri  ·  Ontruzant  ·  Trazimera   Herceptin  ·  Herwenda  ·  Herzuma  ·  Kanjinti  ·  Ogivri  ·  Ontruzant  ·  Trazimera  ·  Tuznue  ·  Zercepac   Dazublys  ·  Herceptin  ·  Herwenda  ·  Herzuma  ·  Kanjinti  ·  Ogivri  ·  Ontruzant  ·  Trazimera  ·  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