Table 2. Global drug adaptations during COVID-19 pandemic.
Treatment | Drugs | Recommendations |
---|---|---|
Supportive care measures | G-CSF | Intermediate and high risk of neutropenia |
Erythropoietin | In metastatic disease Hemoglobin <10 g/dl |
|
Corticosteroids | Reduce using in pre-medication | |
Intravenous bisphosphonate injections | Switch to 3 monthly schedule | |
Chemotherapy | Weekly protocol | Switch to 3 weekly protocol |
Cisplatin | Replace by Carboplatin or oxaliplatin, except malignant germ cell tumors | |
5-Fluorouracil | Replace by capecitabine | |
Vinorelbine | Use oral presentation | |
Metastatic disease | Switch to oral chemotherapy if possible (e.g., breast cancer) | |
Endocrine therapy | All | No change |
Target therapy | All | No change |
Immunotherapy | Pembrolizumab | 400 mg every 6 weeks |
Atezolizumab | 1680 mg every 4 weeks |