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Avelumab

Monoclonal Antibody · Antineoplastic

Monoclonal AntibodyAntineoplastic
CDSCO approvedSchedule H
EXCRETION
not curated
INTERACTIONS
3 major
SEVERE in our sources
PREGNANCY
not curated
Top interactionssee all 4
  • LenalidomideSevereDatabaseDDInter
  • PomalidomideSevereDatabaseDDInter
  • ThalidomideSevereDatabaseDDInter

Mechanism

Avelumab is a monoclonal antibody. It functions by binding to the programmed death-1 (PD-1) receptor. This binding action potentiates an immune response against tumour cells.

Indications

Metastatic Merkel cell carcinoma (specialist use only)Metastatic melanomaNon–small cell lung cancerRenal cell carcinomaHead and neck cancers (clinical trials)Breast cancer (clinical trials)Small cell lung cancer (clinical trials)Hodgkin lymphoma (clinical trials)Gastric cancer (clinical trials)Hepatocellular carcinoma (clinical trials)Bladder cancer (clinical trials)Ovarian cancer (clinical trials)Colon cancer (clinical trials)Merkel cell carcinoma (clinical trials)cancer therapymetastatic urothelial cancerMerkel cell cancerRCC as first-line treatment in combination with axitinibadvanced Merkel cell carcinoma

Dosing

Adult
10 mg/kg every 2 weeks by intravenous infusion. Patients should receive pre-medication to minimise the development of adverse reactions (consult product literature).

Side effects

Common
Abdominal painanaemiaappetite decreasedarthralgiaastheniaback painchillsconstipationcoughdiarrhoeadizzinessdry mouthdyspnoeafeverheadachehypertensionhypotensionhypothyroidisminfluenza like illnessinfusion related reactionlymphopeniamyalgianauseanervous disordersperipheral oedemapneumonitisskin reactionsvomitingweight decreased
Serious
  • Adrenal insufficiency
  • diabetes mellitus
  • eosinophilia
  • flushing
  • gastrointestinal disorders
  • hepatic disorders
  • hypersensitivity
  • hyperthyroidism
  • hypopituitarism
  • myositis
  • nephritis
  • systemic inflammatory response syndrome
  • thrombocytopenia
  • thyroiditis
  • uveitis
  • myocarditis
  • pancreatitis
  • endocrine disorders
  • autoimmune thyroid disease (hypothyroidism or hyperthyroidism)
  • Immune-related adverse events (hepatitis, pneumonitis, colitis, rash, vitiligo, endocrine pathology)

Drug interactions

Lenalidomide
Severe
Database

Drug interaction classified as: others

Source: DDInter

Pomalidomide
Severe
Database

Drug interaction classified as: others

Source: DDInter

Thalidomide
Severe
Database

Drug interaction classified as: others

Source: DDInter

Ipilimumab
Moderate
Textbook

Increased clinical responses (efficacy) in cancer treatment.

Caution must be used to ensure patient safety due to potential immune-related adverse events.

Source: G&G 14e · p764

Related guidelines

Other Monoclonal Antibody drugs

Ask House about Avelumab

Continue into a citation-backed clinical answer with the drug context already attached.

Sources: Goodman & Gilman 14e, Harrison 22e, Katzung, BNF·Verified: 2026-05-10 · House clinical team