GlobalRPh RX List - KYPROLIS
- Product / population
- Carfilzomib treatment-emergent renal toxicity; dose-level reduction depends on the selected oncology regimen.
- Renal measure
- Creatinine change, CrCl mL/min and dialysis requirement.
RX mirror: this is not independent corroboration of its underlying label. Check dated-label and formulation limitations.
Renal dosing, restrictions and evidence limits
Withhold for serum creatinine >=2 times baseline, CrCl <15, CrCl falling to <=50% of baseline, or a new need for HD. Monitor renal recovery. If attributed to KYPROLIS, resume only after recovery to within 25% of baseline at one regimen-specific dose level lower. If not attributed to the drug, resumption is at clinician discretion. Give KYPROLIS after HD on dialysis days. This toxicity rule is not a universal baseline renal starting dose.