GlobalRPh Renal Dosing Masterv7.4
Renal Dosing Master: fast drug lookup
Source review / handoff

Trilaciclib (Cosela), adult IV infusion before eligible chemotherapy

One or two intact local summaries. No averaged regimen, patient-specific dose or automatic source preference.

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1 local source card selected. Local card fingerprints checked where supplied. This is not an original-document hash, source-currency guarantee or clinical approval. Record-level cautions below are the current library's cautions, not a frozen prior version.

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Clinical context remains essential

Independent clinical review is pending. Confirm indication, exact formulation/route, population, renal measure and units, kidney-function stability, dialysis prescription, interacting drugs, monitoring and source revision. An RX mirror and its original label are not independent corroboration. Missing disagreement notes do not certify agreement.

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Cosela - labeled renal guidance

Product / population
Trilaciclib (Cosela), adult IV infusion before eligible chemotherapy
Renal method
Indexed GFR/eGFR, mL/min/1.73 m2
Source revision
DailyMed SPL version 3, effective 2025-08-31; posted Sep 10, 2025
Retrieved
2026-11-07
Local review status
Selected renal passages reviewed; independent clinician adjudication pending.

Documented differences and cautions on this drug

All record notes are retained here, including notes about sources not selected in this review.

Cosela - product and source limitations

Severe renal impairment, ESRD and dialysis were unstudied. The PK finding supplies no regimen for these groups.

What to reconcile: Apply only to the stated formulation, indication and renal population.

Selected renal passages reviewed; independent clinician adjudication pending.

Open this note and its source references
Official

Cosela - labeled renal guidance

Open original reference

DailyMed / product prescribing information · Trilaciclib (Cosela), adult IV infusion before eligible chemotherapy

Renal method: Indexed GFR/eGFR, mL/min/1.73 m2
Source date: DailyMed SPL version 3, effective 2025-08-31; posted Sep 10, 2025
Retrieved: 2026-11-07

Pharmacokinetic observation only. A drug-exposure observation is not itself a dose recommendation.

Selected renal passages reviewed; independent clinician adjudication pending.

Renal guidance: 12.3, specific populations

At eGFR 30-89 mL/min/1.73 m2, the PK analysis found no clinically meaningful change in exposure. Severe renal impairment, ESRD and dialysis were unstudied. The PK finding supplies no regimen for these groups.

RDM73-cosela-official-1 · Source locator: Renal guidance: 12.3, specific populations

Source identity and provenance
Source family
product_label
Source
https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=b3179c19-78f3-4bf1-b73e-7f7638522ab1
Retrieved
2026-11-07
Renal-function method
Indexed GFR/eGFR, mL/min/1.73 m2
Source date/version
DailyMed SPL version 3, effective 2025-08-31; posted Sep 10, 2025
Hash meaning
SHA-256 of the local selected-source summary
Local summary SHA-256
76b3d1da682944c78779f513f8e6a6baf14072a501d61350356a5fda0ff75b6b

Document the clinical decision separately

This reference does not select a regimen. Complete the indication, measured/estimated renal function and trend, dialysis setting, source rationale, monitoring and reassessment plan in your institution's approved documentation system. Confirm the complete current source before adopting its regimen.

GlobalRPh Renal Dosing Master v7.4. Review the retrieval and revision dates attached to each source. Selecting a reference does not imply clinical verification.

Pinned reference: https://globalrph.com/blogCalcs/renal-dosing-master/compare.php?id=trilaciclib-cosela&s1=RDM73-cosela-official&h1=be7620fa4fc2c7b94103c56ea91ca85585539e7472a43ae414898db39772c843

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