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. 2023 May 18;60:102005. doi: 10.1016/j.eclinm.2023.102005

Table 2.

Estimated number of adult-equivalent doses by World Bank Country income classification (97 countries, 2012–2019).

Drug (Dosage form) Estimated number of adult-equivalent dosesb
HIC UMIC LLMIC Regionala Total
Asparaginase (IV) 603,922 1,264,706 428,431 238 2,297,297
Bleomycin (IV) 11,890,300 9,187,429 7,590,894 1200 28,669,824
Carboplatin (IV) 13,432,005 5,544,250 2,553,904 4618 21,534,778
Cisplatin (IV) 13,644,515 15,701,673 3,378,593 8498 32,733,279
Cyclophosphamide (IV) 16,059,863 13,459,110 2,515,115 12,770 32,046,858
Cytarabine (IV) 4,192,125 2,121,828 394,152 533 6,708,638
Dacarbazine (IV) 2,736,444 1,186,689 244,061 358 4,167,551
Dactinomycin (IV) 161,413 248,472 39,471 449,357
Daunorubicin (IV) 815,866 780,922 176,756 163 1,773,708
Doxorubicin (IV) 11,140,778 5,203,585 1,984,311 15,400 18,344,074
Etoposide (IV) 16,883,987 12,902,134 1,768,036 4802 31,558,959
Idarubicin (IV) 583,735 404,770 14,515 44 1,003,064
Ifosfamide (IV) 5,681,916 3,774,132 566,580 270 10,022,898
Mercaptopurine (tab) 192,268,861 19,340,329 10,526,248 5909 222,141,347
Methotrexate (IV) 5,355,806 2,398,830 748,935 1500 8,505,071
Methotrexate (tab) 402,739,733 126,013,883 114,410,730 1,347,432 644,511,778
Pegaspargase (IV) 162,308 187,837 350,145
Procarbazine (IV) 6,103,249 823,475 466,319 7,393,043
Rituximab (IV) 16,879,789 2,463,701 318,450 4934 19,666,873
Thiotepa (IV) 60,750 1178 61,928
Thioguanine (tab) 3,172,992 217,120 121,341 3,511,453
Vincristine (IV) 6,830,591 4,133,413 1,134,354 11,569 12,109,926

HIC: high income countries; UMIC: upper middle income countries; LLMIC: low and lower middle income countries; IV: intravenous; tab: tablet; IU: international unit; kg: kilogram; g: gram.

Source: This is based on internal analysis by Catherine Habashy, Tatenda Yemeke, Nancy Bolous, Yichen Chen, Sachiko Ozawa, Nickhill Bhakta, and Thomas Alexander using data from the following source: IQVIA MIDAS Quarterly Sales for the period 2012–2019 reflecting estimates of real-world activity. Copyright IQVIA. All rights reserved.

a

Regional category comprised of the Central America region (Guatemala, Honduras, El Salvador, Nicaragua, Costa Rica, and Panama) and the French West Africa region (Benin, Burkina Faso, Cameroon, Chad, Gabon, Guinea, Ivory Coast, Mali, Niger, Republic of the Congo, Senegal, and Togo).

b

Estimated number of adult doses calculated using BSA of 1.7 m2 and the following dosages: Asparaginase 6000 IU/m2; Bleomycin 10 USP/m2; Carboplatin 400 mg/m2; Cisplatin 75 mg/m2; Cyclophosphamide 750 mg/m2; Cytarabine 2000 mg/m2; Dacarbazine 375 mg/m2; Dactinomycin 1000 mcg/m2; Daunorubicin 45 mg/m2; Doxorubicin 50 mg/m2; Etoposide 100 mg/m2; Idarubicin 12 mg/m2; Ifosfamide 1200 mg/m2; Mercaptopurine 60 mg/m2; Methotrexate IV 1000 mg/m2; Methotrexate tab 20 mg/m2; Pegaspargase 2500 IU/m2; Procarbazine 60 mg/m2; Rituximab 375 mg/m2; Thiotepa 250 mg/m2; Thioguanine 60 mg/m2; Vinblastine 6 mg/m2; Vincristine 1.5 mg/m2.