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. 2019 Feb 1;26(1):e70–e80. doi: 10.3747/co.26.4220

TABLE VIII.

Comparison of the subcutaneous (SC) and intravenous (IV) formulations of trastuzumab

Factor Formulation
Subcutaneous Intravenous
Dosing
  • ▪ No IV bag preparation

  • ▪ No preparatory compounding needed

  • ▪ Ready-to-use vial

  • ▪ Fixed dose requiring no calculations

  • ▪ No loading dose required

  • ▪ IV bag preparation

  • ▪ Bodyweight-based dosing calculations might increase errors

  • ▪ Loading dose required

Wastage
  • ▪ None

  • ▪ Potential leftovers in vial

Administration
  • ▪ About 2–5 minutes

  • ▪ Less pain, discomfort, bruising for patients

  • ▪ Greater vein preservation because of lack of need for IV catheter

  • ▪ Potential repetitive injuries and back strain with large-volume injections

  • ▪ Patient privacy and clothing related to thigh injections

  • ▪ Increased availability of infusion chairs

  • ▪ About 30–90 minutes

  • ▪ More pain, discomfort, bruising for patients

  • ▪ IV catheter placement errors

  • ▪ Fewer infusion chairs available

Safety
  • ▪ More injection site reactions or administration-related reactions

  • ▪ Slightly better safety profile

Chair time
  • ▪ 55–57 Minutes shorter for SC

Health care practitioner time
  • ▪ 13–17 Minutes shorter for SC