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Anti-HER2 monoclonal antibody (dimerisation inhibitor)

Pertuzumab (Specialist drug)

Brand names: Perjeta

Adult dose

Dose: Specialist initiation only — refer to BNF/SmPC
Route: IV
Frequency: every 3 weeks

Clinical pearls

  • HER2-positive breast cancer with trastuzumab + chemotherapy
  • Specialist oncology

Contraindications

  • Severe hypersensitivity
  • Severe LV dysfunction
  • Pregnancy

Side effects

  • Cardiotoxicity (LV dysfunction)
  • Diarrhoea
  • Infusion reactions
  • Rash
  • Mucositis

Interactions

  • Anthracyclines (cardiac additive)
  • Live vaccines

Monitoring

  • LVEF (echo)
  • FBC

Reference: BNF; NICE TA424/TA569; SmPC; https://bnf.nice.org.uk/drugs/pertuzumab-specialist-drug/. Verify against your local formulary and the latest BNF before prescribing.

Related

Curated clinical cross-links plus same-class fallbacks.