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CDK4/6 Inhibitors Administration Checklist

Ribociclib
o Perform comprehensive review of current
medications.
• Any CYP3A4 inducers or inhibitors?
• Any medications that can prolong QTc
interval?

Abemaciclib Palbociclib
o Obtain complete blood count (CBC).
• Prior to treatment
• Every 2 weeks for the first 2 months
• At the beginning of the subsequent 4
cycles
o Perform comprehensive review of current o Perform comprehensive review of current o Monitor electrolytes at the beginning of
medications. medications. each cycle for 6 cycles
• Any CYP3A4 inducers or inhibitors? • Any CYP3A4 inducers or inhibitors? o Obtain baseline electrocardiogram (ECG).
o Obtain complete blood count (CBC). • Prior to first treatment
o Obtain complete blood count (CBC).
• Prior to first treatment • Day 14 of the first cycle
• Prior to first treatment
• Every 2 weeks for the first 2 months • At the beginning of the second cycle
• At the beginning of each cycle
• Monthly for the next 2 months
• Day 15 of the first 2 cycles o Perform liver function test (LFT).
o Perform liver function test (LFT).
• Prior to treatment
• Prior to treatment o Evaluate for esophagitis or inability to
• Every 2 weeks for the first 2 months
• Every 2 weeks for the first 2 months swallow pills.
• At the beginning of the subsequent 4
• Monthly for the next 2 months
o Evaluate for pregnancy. cycles
o Evaluate for esophagitis or inability to
swallow pills. o Assess risk for adherence. o Evaluate for esophagitis or inability to
o Evaluate for pregnancy. swallow pills.
o Patient education: expected adverse
o Assess risk for adherence. o Evaluate for pregnancy.
reactions and when to notify your
o Instruct patient at the first sign of loose o Assess risk for adherence.
healthcare provider
stool to initiate antidiarrheal therapy.
o Patient education: expected adverse
o Patient education: expected adverse
reactions and when to notify your
reactions and when to notify your
healthcare provider
healthcare provider

If clinically indicated, tests might not follow exact schedule. (Eli Lilly and Company, 2017; Novartis, 2017; Pfizer Inc., 2017)

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