DrugTargetAntibody typeFDA-approved indicationsToxicities, side effects, and precautionsMonitoring
Alemtuzumab (Campath)CD52Humanized, unconjugatedChronic lymphocytic leukemiaHematologic toxicity; opportunistic infections; rashCBC; CD4 counts
Live vaccines should be avoided
Herpes and Pneumocystis prophylaxis recommended
Bevacizumab (Avastin)VEGFHumanized, unconjugatedColorectal cancer, non-small cell lung cancer (nonsquamous)Gastrointestinal perforation; wound healing complications; hemorrhage; arterial and venous thromboembolism; proteinuria; hypertensionUrinalysis; blood pressure
Discontinue use several weeks before elective surgery; do not restart until surgical incision has healed
Cetuximab (Erbitux)EGFRChimeric, unconjugatedColorectal cancer, head and neck cancersAcneiform rash; diarrhea; hypomagnesemia; nausea and vomiting; interstitial lung disease (rare)Electrolyte levels; signs of inflammatory and infectious sequelae in patients with dermatologic toxicity; signs of pulmonary toxicity
Gemtuzumab Ozogamicin (Mylotarg)CD33Humanized, toxin conjugate (calicheamicin)Acute myeloid leukemiaSevere myelosuppression; hepatotoxicityCBC; electrolyte levels; liver chemistries
90Y-Ibritumomab Tiuxetan (Zevalin)CD20Murine, radioisotope conjugate (yttrium-90)Non-Hodgkin's lymphomaSevere, prolonged myelosuppression; severe mucocutaneous reactions (e.g., Stevens-Johnson syndrome); risk of secondary malignancies (e.g., acute myeloid leukemia)CBC; pretreatment antibody titers in patients who have received other murine-based radioimmunotherapy regimens
Radiation safety precautions required for one week after administration*
Panitumumab (Vectibix)EGFRHuman, unconjugatedColorectal cancerAcneiform rash; diarrhea; hypomagnesemia; hypocalcemia; nausea and vomiting; interstitial lung disease (rare)Electrolyte levels; signs of inflammatory and infectious sequelae in patients with dermatologic toxicity; signs of ocular toxicity (e.g., conjunctivitis, ocular hyperemia, increased lacrimation, eye or eyelid irritation)
Rituximab (Rituxan)CD20Chimeric, unconjugatedNon-Hodgkin's lymphoma, rheumatoid arthritisLymphocytopenia; HBV reactivation; severe mucocutaneous reactions (e.g., Stevens-Johnson syndrome)CBC; signs of active HBV infection or hepatitis in patients who are HBV carriers
Live vaccines should be avoided
131I-Tositumomab (Bexxar)CD20Murine, radioisotope conjugate (iodine-131)Non-Hodgkin's lymphomaHypothyroidism; severe, prolonged myelosuppression; nausea and vomiting; secondary malignancies (e.g., acute myeloid leukemia)CBC; thyroid function tests; pretreatment antibody titers in patients who have received other murine-based radioimmunotherapy regimens
Radiation safety precautions required for one week after administration*
Trastuzumab (Herceptin)HER2/neuHumanized, unconjugatedBreast cancer with HER2/neu overexpressionCardiomyopathy (especially if coadministered with anthracycline chemotherapy); cytopenias; rashElectrocardiography; left ventricular ejection fraction