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Obinutuzumab

Monoclonal Antibody · Antineoplastic

Monoclonal AntibodyAntineoplastic
CDSCO approvedSchedule H
EXCRETION
not curated
INTERACTIONS
12 major
SEVERE in our sources
PREGNANCY
Avoid unless potential benefit outweighs risk
FDA category + note
Top interactionssee all 12
  • AdalimumabSevereDatabaseDDInter
  • BaricitinibSevereDatabaseDDInter
  • CertolizumabSevereDatabaseDDInter
  • CladribineSevereDatabaseDDInter

Mechanism

Obinutuzumab is a humanized IgG monoclonal antibody that targets the CD20 molecule on B lymphocytes. This binding leads to B-cell depletion primarily through antibody-dependent cellular cytotoxicity and complement-mediated lysis, thereby reducing the number of malignant B cells in conditions like chronic lymphocytic leukaemia and follicular lymphoma.

Indications

Previously untreated chronic lymphocytic leukaemia (CLL) in patients for whom full-dose fludarabine-based therapy is unsuitable due to co-morbidities, or in combination with chlorambucilPreviously untreated advanced follicular lymphoma (Stage II bulky, III, or IV disease)Follicular lymphoma in patients who are refractory to, or progressed during or up to six months after treatment with, rituximab or a rituximab-containing regimen, or achieved a partial remission with chemotherapyCLL (in combination with chemotherapy)follicular lymphoma (in combination with chemotherapy)

Dosing

Adult
l INDICATIONS AND DOSE Treatment of previously untreated chronic lymphocytic leukaemia in patients for whom full-dose fludarabinebased therapy is unsuitable due to co-morbidities | Treatment of previously untreated advanced follicular lymphoma | Treatment of follicular lymphoma in patients who did not respond or who progressed during or up to six months after treatment with rituximab or a rituxima…

Contraindications

  • Active hepatitis B infection (treatment should not be initiated until infection has been adequately treated)

Side effects

Common
cytopeniafevercoughmusculoskeletal disorders
Serious
  • Hepatitis B infection and reactivation (including fatal cases)

Pregnancy & lactation

Pregnancy

Avoid unless potential benefit outweighs risk

Drug interactions

Adalimumab
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Baricitinib
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Certolizumab
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Cladribine
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Clozapine
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Deferiprone
Severe
Database

Clinical effect not specified

Source: DDInter

Etanercept
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Fingolimod
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Golimumab
Severe
Database

Clinical effect not specified

Source: DDInter

Infliximab
Severe
Database

Clinical effect not specified

Source: DDInter

Leflunomide
Severe
Database

Clinical effect not specified

Source: DDInter

Measles Virus Vaccine Live Attenuated
Severe
Database

Clinical effect not specified

Source: DDInter

Related guidelines

Other Monoclonal Antibody drugs

Ask House about Obinutuzumab

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

Sources: Goodman & Gilman 14e, Harrison 22e, BNF·Verified: 2026-05-13 · House clinical team