Product image of Kadcyla (Trastuzumab Emtansine) supplied by GNH India

Kadcyla

Active Ingredient:
Trastuzumab Emtansine
Origin:
EU

Kadcyla (Trastuzumab Emtansine)

Trastuzumab emtansine, the active ingredient in Kadcyla, is an antibody‑drug conjugate presented as a sterile powder for reconstitution for intravenous injection. It is indicated for the treatment of HER2‑positive metastatic breast cancer and HER2‑positive gastric or gastro‑esophageal junction adenocarcinoma in adult patients.

GNH India supplies Kadcyla as a licensed, GDP‑compliant international pharmaceutical supplier, providing the product to oncology centres, hospitals and pharmacies worldwide under strict quality standards and regulatory compliance. The company ensures reliable cold‑chain logistics and supports clinical teams with documentation for import and distribution.

Manufacturer / TM Owner

Roche Registration Gmbh

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Indications & Clinical Uses

Kadcyla is used in HER2‑targeted therapy for certain advanced cancers.

  • Metastatic HER2‑positive breast cancer: improves overall survival and disease control.
  • HER2‑positive gastric adenocarcinoma: provides clinical benefit in previously treated patients.
  • HER2‑positive gastro‑esophageal junction adenocarcinoma: extends progression‑free interval in advanced disease.

How It Works

  • Trastuzumab emtansine binds to HER2 receptors on the surface of cancer cells, delivering the cytotoxic agent DM1 directly into the cell. DM1 disrupts microtubule assembly, leading to cell-cycle arrest and apoptosis, while the antibody component blocks HER2 signaling and mediates immune‑mediated tumor cell killing.

Side Effects

Common Side Effects

  • Fatigue: persistent tiredness reported by many patients.
  • Nausea: mild to moderate gastrointestinal upset.
  • Thrombocytopenia: reduced platelet counts requiring monitoring.
  • Anemia: decreased red blood cell levels causing weakness.
  • Elevated liver enzymes: transient increases in ALT/AST.
  • Alopecia: hair thinning or loss during treatment.

Serious or Rare Side Effects

  • Interstitial lung disease: breathing difficulties that may be life‑threatening.
  • Cardiac dysfunction: reduced left ventricular ejection fraction.
  • Severe hepatic toxicity: marked elevation of liver enzymes or hepatitis.
  • Hemorrhage: significant bleeding events.
  • Infusion‑related reactions: fever, chills, or hypotension during administration.

Precautions & Warnings

Kadcyla requires careful monitoring and specific safety measures.

  • Cardiac monitoring: assess left ventricular ejection fraction before and during treatment.
  • Hepatic function: monitor liver enzymes regularly.
  • Bleeding risk: evaluate platelet counts and avoid concomitant anticoagulants if possible.
  • Pregnancy and lactation: avoid use; discuss risks with physician.
  • Infusion reactions: administer premedication and monitor during infusion.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Kadcyla may interact with other medicines; some combinations should be avoided while others need close observation.

Major Interactions (Avoid)

  • Concurrent anthracyclines: increased cardiotoxicity.
  • Strong CYP3A4 inhibitors: may increase exposure to the cytotoxic payload.
  • Live vaccines: risk of infection due to immunosuppression.

Moderate Interactions (Monitor Closely)

  • Anticoagulants: increased bleeding risk.
  • Other HER2‑targeted agents: additive toxicity.
  • Hepatotoxic drugs: monitor liver function closely.

Frequently Asked Questions

Kadcyla is indicated for adult patients with HER2‑positive metastatic breast cancer and for HER2‑positive gastric or gastro‑esophageal junction adenocarcinoma that has progressed after prior therapy. It is part of HER2‑targeted treatment strategies in oncology.

Trastuzumab emtansine combines a monoclonal antibody that binds HER2 receptors with the cytotoxic agent DM1. After binding to HER2‑expressing cancer cells, the complex is internalized, releasing DM1, which disrupts microtubules, causing cell‑cycle arrest and apoptosis while the antibody blocks HER2 signaling.

The prescribed dose of Kadcyla is determined by the treating oncologist based on the patient’s clinical condition, body weight, and treatment protocol. Dosing regimens are individualized and should follow the prescribing information provided by the healthcare professional.

Kadcyla’s safety in pregnancy and lactation has not been established. It is generally contraindicated in pregnant or nursing women because of potential risks to the fetus or infant. Women of child‑bearing potential should use effective contraception during treatment and for a defined period afterward.

To order Kadcyla, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including cold‑chain logistics) and necessary import documentation.

Kadcyla differs from other HER2‑targeted agents such as trastuzumab alone because it delivers a cytotoxic payload (DM1) directly to HER2‑expressing cells, providing both antibody‑mediated inhibition and chemotherapy. This dual mechanism can offer benefit in patients who have progressed on standard HER2 therapies.

Kadcyla must be stored refrigerated at 2 °C to 8 °C. It should be kept in its original packaging, protected from light, and must not be frozen or shaken. Once prepared for infusion, the solution should be used within the time frame specified in the product labeling.

Kadcyla is given as an intravenous infusion. The drug is supplied as a sterile powder that is reconstituted and diluted according to the prescribing information, then infused over a period of typically 30 to 90 minutes under medical supervision.

Serious risks include interstitial lung disease or pneumonitis, cardiac dysfunction (reduced left ventricular ejection fraction), severe hepatic toxicity, significant bleeding, and infusion‑related reactions. Patients should be monitored closely for symptoms of these conditions throughout treatment.

Kadcyla is contraindicated in patients with known hypersensitivity to trastuzumab, emtansine, or any component of the formulation. It should also be avoided in individuals with uncontrolled cardiac disease, active severe infections, or those who are pregnant or breastfeeding.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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