DERBY-BURTON LOCAL CANCER NETWORK FILENAME Carbo7.DOC CCPG B81 CONTROLLED DOC NO: CSIS Regimen Name: CARBO7 Single Agent Carboplatin (AUC=7) Available for Routine Use in Derby in-patient Derby day-case Derby community Derby out-patient Burton in-patient Burton day-case Burton community Burton out-patient Stage I seminoma of the testis Adjuvant (following orchidectomy) Pre-chemotherapy 2 Post-chemotherapy B Indication Treatment Intent Anti-Emetics Day 1 Carboplatin Frequency & duration: Notes: 1. Dose = AUC * (GFR + 25) mg (See notes below) Intravenous infusion in 500ml Dextrose 5% over 30 minutes Single dose FBC, U&Es, LFTs, HCG, AfP & LDH must be taken prior to Day 1 of each cycle. 2. Following a toxicity assessment treatment may be given if: Neutrophils > 1.5 x109/L Platelets >100x 109/L 3. GFR should be estimated or measured as deemed clinically appropriate e.g. Cockcroft Gault Formula Females: 1.04 x (140 – age) x weight (kg) serum creatinine (micromol/l) Males: 1.23 x (140 – age) x weight (kg) serum creatinine (micromol/l) DATE OF ISSUE: 24.06.15 REVIEWED BY C.WARD REVIEW DATE: 24.06.17 AUTHORISED BY: Dr P Chakraborti *** VALID ON DATE OF PRINTING ONLY *** VERSION 4 PAGE 1 of 2 DERBY-BURTON LOCAL CANCER NETWORK FILENAME Carbo7.DOC CCPG B81 CONTROLLED DOC NO: CSIS Regimen Name: CARBO7 For patients with body mass index (BMI) of ≥30 kg/m2 with stable serum creatinine values, the adjusted body weight (ABW) should be used to estimate the GFR i.e. Ideal Body Weight Female IBW (kg) = Height in cm - 105 Male IBW (kg) = Height in cm – 100 ABW = IBW + 0.4(actual weight – IBW If the estimated serum creatinine clearance is <60 ml/minute, then a formal measurement of the GFR should be considered, using either a 24 hour urine collection or an isotopic clearance. If the isotopic clearance is measured then the value uncorrected for body surface area (BSA) should be used in dose calculations. 4. Routinely, use AUC = 7 References: 1. R. T. Oliver , M. Mason, H. Von der Masse, S. P. Stenning, S. Kirk, G. J. Rustin, G. M. Mead, P. J. J. Ell, On behalf of the MRC Testis Tumour Group and the EORTC GU Group A randomised comparison of single agent carboplatin with radiotherapy in the adjuvant treatment of stage I seminoma of the testis, following orchidectomy: MRC TE19/EORTC 30982. Abstract No. 4517, 2004 ASCO Annual Meeting DATE OF ISSUE: 24.06.15 REVIEWED BY C.WARD REVIEW DATE: 24.06.17 AUTHORISED BY: Dr P Chakraborti *** VALID ON DATE OF PRINTING ONLY *** VERSION 4 PAGE 2 of 2
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