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Molecule

Trastuzumab

HER2/neu Receptor Antagonist
Available on requestBiologicOrphanCold chainOncology
Presentations
14
Brands
7
Manufacturers
8
Available from stock
0

Trastuzumab is an HER2/neu receptor antagonist indicated in adults for the treatment of HER2-overexpressing breast cancer, among other approved uses. It is available as powder for injection and kits for intravenous use. MedsAcross supplies Trastuzumab for export from India to licensed hospitals, importers and physicians acting for named patients, with the documents each country requires.

Information from the US FDA prescribing information, retrieved 12 November 2026. Not yet medically reviewed.How we review

Key facts

Pharmacological class
HER2/neu Receptor Antagonist, HER2/Neu/cerbB2 Antagonists
ATC classification
L01FD01 Trastuzumab · Cancer medicines (antineoplastics), subgroup L01F, subgroup L01FD
US FDA first approval
25 September 1998
EU status
Authorised
Orphan designation
Yes
WHO essential medicine
Not recorded
India (CDSCO)
Not yet confirmed against CDSCO approval lists
Routes
Intravenous
Dosage forms
Powder for injection, Kit
Biologic
Yes
Identifiers
UNII P188ANX8CKRxCUI 224905CAS 180288-69-1DrugBank DB00072Q412616

Clinical information

From the regulator-approved product information. Each section names its source.

Uses

Herceptin is a HER2/neu receptor antagonist indicated in adults for: The treatment of HER2-overexpressing breast cancer. The treatment of HER2-overexpressing metastatic gastric or gastroesophageal junction adenocarcinoma. Select patients for therapy based on an FDA-authorized companion diagnostic for Herceptin.

Source: US FDA prescribing information

How it works

The HER2 (or c-erbB2) proto-oncogene encodes a transmembrane receptor protein of 185 kDa, which is structurally related to the epidermal growth factor receptor. Herceptin has been shown, in both in vitro assays and in animals, to inhibit the proliferation of human tumor cells that overexpress HER2. Herceptin is a mediator of antibody-dependent cellular cytotoxicity (ADCC). In vitro, Herceptin-mediated ADCC has been shown to be preferentially exerted on HER2 overexpressing cancer cells compared with cancer cells that do not overexpress HER2.

Source: US FDA prescribing information

Dosing overview

For intravenous (IV) infusion only. Do not administer as an IV push or bolus. Herceptin has different dosage and administration instructions than subcutaneous trastuzumab products. Do not substitute Herceptin (trastuzumab) for or with ado-trastuzumab emtansine or fam-trastuzumab deruxtecan. Perform HER2 testing using FDA-authorized tests by laboratories with demonstrated proficiency. Adjuvant Treatment of HER2-Overexpressing Breast Cancer. Administer at either: Initial dose of 4 mg/kg over 90 minutes IV infusion, then 2 mg/kg over 30 minutes IV infusion weekly for 12 weeks (with paclitaxel or docetaxel) or 18 weeks (with docetaxel and carboplatin).

Source: US FDA prescribing information

Warnings and precautions

Boxed warning: Cardiomyopathy: Herceptin can result in subclinical and clinical cardiac failure manifesting as CHF, and decreased LVEF, with greatest risk when administered concurrently with anthracyclines. Evaluate cardiac function prior to and during treatment. Discontinue Herceptin for cardiomyopathy. Exacerbation of Chemotherapy-Induced Neutropenia. Cardiomyopathy Herceptin can cause left ventricular cardiac dysfunction, arrhythmias, hypertension, disabling cardiac failure, cardiomyopathy, and cardiac death. Herceptin can also cause asymptomatic decline in left ventricular ejection fraction (LVEF). There is a 4–6 fold increase in the incidence of symptomatic myocardial dysfunction among patients receiving Herceptin as a single agent or in combination therapy compared with those not receiving Herceptin.

Source: US FDA prescribing information

Side effects

The following adverse reactions are discussed in greater detail in other sections of the label: Cardiomyopathy Infusion Reactions Embryo-Fetal Toxicity Pulmonary Toxicity Exacerbation of Chemotherapy-Induced Neutropenia Adjuvant Breast Cancer Most common adverse reactions (≥ 5%) are headache, diarrhea, nausea, and chills. Metastatic Breast Cancer Most common adverse reactions (≥ 10%) are fever, chills, headache, infection, congestive heart failure, insomnia, cough, and rash. Metastatic Gastric Cancer Most common adverse reactions (≥ 10%) are neutropenia, diarrhea, fatigue, anemia, stomatitis, weight loss, upper respiratory tract infections, fever, thrombocytopenia, mucosal inflammation, nasopharyngitis, and dysgeusia.

Source: US FDA prescribing information

Interactions

Anthracyclines Patients who receive anthracycline after stopping Herceptin may be at increased risk of cardiac dysfunction because of trastuzumab's estimated long washout period. If possible, avoid anthracycline-based therapy for up to 7 months after stopping Herceptin. If anthracyclines are used, closely monitor the patient's cardiac function.

Source: US FDA prescribing information

For healthcare professionals and buyers. This is not medical advice. Treatment decisions belong to the prescriber.

All presentations

14 presentations of Trastuzumab, sorted by availability.

MedicineManufacturerRegisterAvailability
Ogivri kit Cold chainMylan InstitutionalUS FDAAvailable on request
Ogivri 150 mg/7.4 mL powder for injectionIntravenous Cold chainMylan InstitutionalUS FDAAvailable on request
Kanjinti 150 mg/7.15 mL powder for injectionIntravenous Cold chainAmgenUS FDAAvailable on request
Kanjinti 420 mg/20 mL powder for injectionIntravenous Cold chainAmgenUS FDAAvailable on request
Herceptin 150 mg/7.4 mL powder for injectionIntravenous Cold chainGenentechUS FDAAvailable on request
Hercessi kit Cold chainAccord BioPharmaIndiaUS FDAAvailable on request
Hercessi 150 mg/7.4 mL powder for injectionIntravenous Cold chainAccord BioPharmaIndiaUS FDAAvailable on request
Hercessi 420 mg/20 mL powder for injectionIntravenous Cold chainAccord BioPharmaIndiaUS FDAAvailable on request
Herzuma kit Cold chainCephalonUS FDAAvailable on request
Herzuma 150 mg/7.15 mL powder for injectionIntravenous Cold chainCephalonUS FDAAvailable on request
Ontruzant 150 mg powder for injectionIntravenous Cold chainOrganonUS FDAAvailable on request
Trazimera kit Cold chainPfizer LaboratoriesUS FDAAvailable on request
Trazimera 150 mg/7.15 mL powder for injectionIntravenous Cold chainPfizer LaboratoriesUS FDAAvailable on request
Ogivri 420 mg/20 mL powder for injectionIntravenous Cold chainBiocon BiologicsIndiaUS FDAAvailable on request

Brands by market

7 brand names across 1 markets.

Brand names by country

Manufacturers

Indian manufacturers are highlighted.

Regulatory status

Approval facts from US FDA, EMA and CDSCO data, and registration status by country where we hold register data.

RegisterStatusSource
US FDAFirst approved 25 September 1998Drugs@FDA
EU (EMA)AuthorisedEMA medicines data
India (CDSCO)Not yet confirmed against CDSCO approval lists—
AustriaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
BelgiumRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
BulgariaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CroatiaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CyprusRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CzechiaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
DenmarkRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
EstoniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
FinlandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
FranceRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
GermanyRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
GreeceRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
HungaryRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
IcelandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
IrelandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
ItalyRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LatviaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LiechtensteinRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LithuaniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LuxembourgRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
MaltaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
NetherlandsRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
NorwayRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
PolandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
PortugalRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
RomaniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SlovakiaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SloveniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SpainRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SwedenRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
United StatesRegisteredUS FDA (NDC directory, openFDA)Checked 12 November 2026

Conditions

Conditions linked to Trastuzumab in public data. This is not a list of approved uses, see the clinical information.

Questions and answers

Is Trastuzumab available for export from India?

Yes, on request. MedsAcross lists 14 presentations of Trastuzumab and sources them for licensed hospitals, importers and physicians against valid import documents. Indian manufacturers include Accord BioPharma, Biocon Biologics.

What brand names does Trastuzumab have?

The catalogue lists 7 brand names for Trastuzumab, including Herceptin, Hercessi, Herzuma, Kanjinti, Ogivri, Ontruzant, Trazimera.

Is Trastuzumab approved by the US FDA?

Yes. The US FDA first approved Trastuzumab on 25 September 1998, according to Drugs@FDA.

Is Trastuzumab authorised in the European Union?

Yes. Trastuzumab has a central EU marketing authorisation (status: authorised), according to European Medicines Agency data.

Does Trastuzumab need cold chain shipping?

At least one listed presentation of Trastuzumab must be kept cold, so it is shipped in temperature-controlled packaging. Check the storage line on each presentation.

Which ATC class is Trastuzumab in?

Trastuzumab is classified under ATC code L01FD01 (Trastuzumab).

References

  1. Herceptin prescribing information (Genentech). U.S. National Library of Medicine, DailyMed. Retrieved 29 May 2026
  2. Herceptin: European public assessment report (EPAR). European Medicines Agency. Retrieved 9 November 2026
  3. Tuznue: European public assessment report (EPAR). European Medicines Agency. Retrieved 18 August 2026

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