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Cetuximab

Monoclonal Antibody · Antineoplastic Agent

Monoclonal AntibodyAntineoplastic AgentATC null
CDSCO approvedSchedule H
EXCRETION
not curated
INTERACTIONS
2 major
SEVERE in our sources
PREGNANCY
Avoid—toxicity in animal studies.
FDA category + note
Top interactions
  • Aminolevulinic AcidSevereDatabaseDDInter
  • ThalidomideSevereDatabaseDDInter

Mechanism

Cetuximab is a monoclonal antibody that specifically targets the extracellular ligand-binding domain of the Epidermal Growth Factor Receptor (EGFR). By binding to EGFR, it competitively blocks the attachment of natural ligands, thereby inhibiting downstream signaling pathways crucial for cell growth, proliferation, and survival. This action leads to reduced tumor growth in EGFR-expressing cancers.

Indications

Treatment of wild-type RAS metastatic colorectal cancer in patients with tumours expressing epidermal growth factor receptor, as combination therapy, or as monotherapy if oxaliplatin- and irinotecan-based therapy has failed or if irinotecan is not toleratedTreatment of locally advanced squamous cell cancer of the head and neckcolorectal cancer (KRAS wild type)metastatic colorectal cancer with wild-type KRAS in combination with chemotherapyhead and neck squamous cell carcinoma (HNSCC) in combination with radiation or cisplatinmonotherapy for patients with metastatic or recurrent HNSCC whose disease progresses on platinum-based chemotherapyAdvanced/metastatic squamous carcinoma of head and neckEGF receptor positive metastatic colorectal cancer

Dosing

Adult
with paclitaxel for the treatment of adult patients with platinum-resistant recurrent epithelial ovarian, fallopian tube, or primary peritoneal cancer who received no more than two prior chemotherapy regimens and who have not received prior therapy with bevacizumab or other vascular endothelial growth factor (VEGF) inhibitors or VEGF receptor-targeted agents.…

Pharmacokinetics

Half-life
about 5 days

Side effects

Common
acneiform rashpruritusnail changesheadachediarrheaAcneform skin rashItchingDiarrhoea
Serious
  • Necrotising fasciitis
  • Congestive heart failure
  • Posterior reversible encephalopathy syndrome
  • Seizures
  • Headache
  • Altered mental status
  • Visual disturbance
  • Cortical blindness
  • Osteonecrosis of jaw
  • Hypertension
  • infusion reactions
  • cardiopulmonary arrest (in HNSCC patients receiving radiation or chemotherapy)
  • interstitial lung disease
  • serum electrolyte imbalances (hypomagnesemia)
  • Anaphylactoid reactions
  • Hypomagnesemia

Pregnancy & lactation

Pregnancy

Avoid—toxicity in animal studies.

Lactation

Manufacturer advises avoid breastfeeding during and for at least 6 months after treatment.

Drug interactions

Aminolevulinic Acid
Severe
Database

Clinical effect not specified

Source: DDInter

Thalidomide
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

10 additional low-confidence interactions hidden — those rows lack a documented mechanism or management plan in our sources.

Related guidelines

Other Monoclonal Antibody drugs

Ask House about Cetuximab

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

Sources: KD Tripathi 7e, Goodman & Gilman 14e, BNF·Verified: 2026-05-13 · House clinical team