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Anti-EGFR Monoclonal Antibody — Head and Neck Cancer Pregnancy: Contraindicated — teratogenic; effective contraception required during and for 2 months after treatment

Cetuximab

Brand names: Erbitux

Adult dose

Dose: Loading dose: 400 mg/m² IV over 2 hours. Maintenance: 250 mg/m² IV over 1 hour weekly
Route: IV infusion
Frequency: Weekly (maintenance); combined with platinum-based chemotherapy or radiotherapy
Max: 400 mg/m² loading; 250 mg/m² weekly maintenance
Anti-EGFR mAb for locally advanced head and neck squamous cell carcinoma (HNSCC) — combined with radiotherapy (Bonner regimen) or first-line with platinum/5-FU (EXTREME regimen) for recurrent/metastatic HNSCC. EGFR expression testing not required (EGFR universally overexpressed in HNSCC).

Paediatric dose

Dose: Seek specialist opinion mg/m²/kg
Route: IV
Frequency: Weekly
Max: Not established in children
Not licensed in children — specialist paediatric oncology use only

Dose adjustments

Renal

No dose adjustment required

Hepatic

No dose adjustment in mild-moderate impairment; use with caution in severe impairment

Paediatric weight-based calculator

Not licensed in children — specialist paediatric oncology use only

Clinical pearls

  • Bonner trial: cetuximab + radiotherapy significantly improved locoregional control and OS vs radiotherapy alone in locally advanced HNSCC (median OS 49 vs 29 months)
  • Acneiform rash severity correlates with treatment response — paradoxically, patients who develop grade 2+ rash have significantly better outcomes
  • Hypomagnesaemia: cetuximab inhibits renal magnesium reabsorption — check and replace magnesium weekly during treatment; can be severe
  • Infusion-related reactions: premedicate with antihistamine and corticosteroid; fatal anaphylaxis reported — resuscitation equipment must be available
  • HPV+ HNSCC (oropharyngeal): immunotherapy (pembrolizumab) increasingly preferred over cetuximab-based regimens in recurrent/metastatic disease (KEYNOTE-048)
  • EXTREME regimen: cetuximab + cisplatin + 5-FU is standard first-line for recurrent/metastatic HNSCC ineligible for curative therapy

Contraindications

  • Hypersensitivity to cetuximab
  • Prior severe infusion reaction to cetuximab
  • Combination with oxaliplatin in colorectal cancer (KRAS wild-type required — not relevant for HNSCC)

Side effects

  • Acneiform rash (80–90% — correlates with efficacy)
  • Infusion-related reactions (including severe anaphylaxis — premedicate)
  • Hypomagnesaemia
  • Fatigue
  • Mucositis
  • Paronychia (nail inflammation)

Interactions

  • Radiotherapy — enhanced skin toxicity (radiation recall/dermatitis)
  • Fluorouracil — standard combination in EXTREME regimen

Monitoring

  • Skin toxicity (weekly rash assessment)
  • Serum magnesium (weekly)
  • FBC
  • Renal function
  • Infusion reactions

Reference: BNFc; BNF 90; Bonner Trial (NEJM 2006); EXTREME Trial (Vermorken et al. NEJM 2008); NICE TA145; SPC Erbitux. Verify against your local formulary and the latest BNF before prescribing.

Related

Curated clinical cross-links plus same-class fallbacks.