Carboplatin
/api/v1/drug/carboplatinBoxed warning
Carboplatin injection should be administered under the supervision of a qualified physician experienced in the use of cancer chemotherapeutic agents. Appropriate management of therapy and complications is possible only when adequate treatment facilities are readily available. Bone marrow suppression is dose related and may be severe, resulting in infection and/or bleeding. Anemia may be cumulative and may require transfusion support. Vomiting is another frequent drug related side effect. Anaphylactic-like reactions to carboplatin have been reported and may occur within minutes of carboplatin injection administration. Epinephrine, corticosteroids, and antihistamines have been employed to alleviate symptoms.
Mechanism of action
Sourced from openFDAMechanism-of-action class: Nucleic Acid Synthesis Inhibitors.
Indications
Sourced from openFDA- Initial Treatment of Advanced Ovarian Carcinoma Carboplatin injection is indicated for the initial treatment of advanced ovarian carcinoma in established combination with other approved chemotherapeutic agents. One established combination regimen consists of carboplatin and cyclophosphamide.
Contraindications
Sourced from openFDA- Carboplatin injection is contraindicated in patients with a history of severe allergic reactions to cisplatin or other platinum-containing compounds. Carboplatin injection should not be employed in patients with severe bone marrow depression or significant bleeding.contraindicated
Dosage & administration
Sourced from openFDANOTE: Aluminium reacts with carboplatin causing precipitate formation and loss of potency, therefore, needles or intravenous sets containing aluminium parts that may come in contact with the drug must not be used for the preparation or administration of carboplatin injection. Single Agent Therapy Carboplatin injection, as a single agent, has been shown to be effective in patients with recurrent ovarian carcinoma at a dosage of 360 mg/m 2 IV on day 1 every 4 weeks (alternatively see Formula Dosing ). In general, however, single intermittent courses of carboplatin should not be repeated until the neutrophil count is at least 2,000 and the platelet count is at least 100,000. Combination Therapy with Cyclophosphamide In the chemotherapy of advanced ovarian cancer, an effective combination for previously untreated patients consists of: Carboplatin - 300 mg/m 2 IV on day 1 every 4 weeks for 6 cycles (alternatively see Formula Dosing ). Cyclophosphamide - 600 mg/m 2 IV on day 1 every 4 weeks for 6 cycles. For directions regarding the use and administration of cyclophosphamide please refer to its package insert (See CLINICAL STUDIES .) Intermittent courses of carboplatin in combination with cyclophosphamide should not be repeated until the neutrophil count is at least 2,000 and the platelet count is at least 100,000. Dose Adjustment Recommendations Pretreatment platelet count and performance status are important prognostic factors for severity of myelosuppression in previously treated patients.
Warnings & precautions
Sourced from openFDAGeneral Needles or intravenous administration sets containing aluminium parts that may come in contact with carboplatin injection should not be used for the preparation or administration of the drug. Aluminium can react with carboplatin causing precipitate formation and loss of potency. Drug Interactions The renal effects of nephrotoxic compounds may be potentiated by carboplatin. Carcinogenesis, Mutagenesis, Impairment of Fertility The carcinogenic potential of carboplatin has not been studied, but compounds with similar mechanisms of action and mutagenicity profiles have been reported to be carcinogenic. Carboplatin has been shown to be mutagenic both in vitro and in vivo . It has also been shown to be embryotoxic and teratogenic in rats receiving the drug during organogenesis. Secondary malignancies have been reported in association with multi-drug therapy. Pregnancy Pregnancy Category D See WARNINGS . Nursing Mothers It is not known whether carboplatin is excreted in human milk. Because there is a possibility of toxicity in nursing infants secondary to carboplatin treatment of the mother, it is recommended that breast-feeding be discontinued if the mother is treated with carboplatin injection. Pediatric Use Safety and effectiveness in pediatric patients have not been established (see WARNINGS: "audiologic toxicity"). Geriatric Use Of the 789 patients in initial treatment combination therapy studies (NCIC and SWOG), 395 patients were treated with carboplatin in combination with cyclophosphamide. Of these, 141 were over 65 years of age and 22 were 75 years or older.
Adverse reactions
Sourced from openFDATo report SUSPECTED ADVERSE REACTIONS Contact Apotex Corp.at 1-800-706-5575 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch . For a comparison of toxicities when carboplatin or cisplatin was given in combination with cyclophosphamide, see CLINICAL STUDIES : Use with Cyclophosphamide for Initial Treatment of Ovarian Cancer: Comparative Toxicity. ADVERSE EXPERIENCES IN PATIENTS WITH OVARIAN CANCER * Use with Cyclophosphamide for Initial Treatment of Ovarian Cancer: Data are based on the experience of 393 patients with ovarian cancer (regardless of baseline status) who received initial combination therapy with carboplatin and cyclophosphamide in two randomized controlled studies conducted by SWOG and NCIC (see CLINICAL STUDIES ). Combination with cyclophosphamide as well as duration of treatment may be responsible for the differences that can be noted in the adverse experience table. * * Single Agent Use for the Secondary Treatment of Ovarian Cancer: Data are based on the experience of 553 patients with previously treated ovarian carcinoma (regardless of baseline status) who received single agent carboplatin.
Overdosage
Sourced from openFDAThere is no known antidote for carboplatin injection overdosage. The anticipated complications of overdosage would be secondary to bone marrow suppression and/or hepatic toxicity.
Approval history
Sourced from openFDA- Oct 14, 2004ANDAANDA077269Pharmachemie Bv
- Oct 14, 2004ANDAANDA076517Hospira
- Nov 23, 2004ANDAANDA077059Hospira
- Feb 15, 2006ANDAANDA077266Fresenius Kabi Usa
- Jan 18, 2007ANDAANDA077861Teyro Labs
- Mar 28, 2016ANDAANDA205487Eugia Pharma
- Feb 9, 2017ANDAANDA206775Accord Hlthcare
- Aug 8, 2025NDANDA219921Avyxa Holdings
FDA shortages
Reference statistics from the openFDA drug-shortage dataset. For a live view, consult the FDA database directly. Not clinical guidance.
- Carboplatin, Injection, 10 mg/1 mL (NDC 0703-4239-01)ActiveSponsor: Teva Pharmaceuticals USA, Inc. · Reason: OtherUpdated
- Carboplatin, Injection, 10 mg/1 mL (NDC 0703-4244-01)ActiveSponsor: Teva Pharmaceuticals USA, Inc.Updated
- Carboplatin, Injection, 10 mg/1 mL (NDC 0703-4246-01)ActiveSponsor: Teva Pharmaceuticals USA, Inc.Updated
- Carboplatin, Injection, 10 mg/1 mL (NDC 0703-4248-01)ActiveSponsor: Teva Pharmaceuticals USA, Inc.Updated
- Carboplatin, Injection, 10 mg/1 mL (NDC 16729-295-12)ActiveSponsor: Accord Healthcare Inc. · Reason: Requirements related to complying with good manufacturing practicesUpdated
- Carboplatin, Injection, 10 mg/1 mL (NDC 16729-295-31)ActiveSponsor: Accord Healthcare Inc. · Reason: Discontinuation of the manufacture of the drugUpdated
- Carboplatin, Injection, 10 mg/1 mL (NDC 16729-295-33)ActiveSponsor: Accord Healthcare Inc. · Reason: Discontinuation of the manufacture of the drugUpdated
- Carboplatin, Injection, 10 mg/1 mL (NDC 16729-295-34)ActiveSponsor: Accord Healthcare Inc. · Reason: Requirements related to complying with good manufacturing practicesUpdated
- Carboplatin, Injection, 10 mg/1 mL (NDC 63323-172-60)ActiveSponsor: Fresenius Kabi USA, LLC · Reason: Delay in shipping of the drugUpdated
- Carboplatin, Injection, 150 mg/15 mL (10 mg/mL) (NDC 61703-150-05)ActiveSponsor: Hospira, Inc., a Pfizer Company · Reason: Demand increase for the drugUpdated
- Carboplatin, Injection, 150 mg/15 mL (10 mg/mL) (NDC 61703-339-22)ActiveSponsor: Hospira, Inc., a Pfizer Company · Reason: Demand increase for the drugUpdated
- Carboplatin, Injection, 150 mg/15 mL (10 mg/mL) Multiple Dose Vial (NDC 60505-6282-3)ActiveSponsor: Teyro Labs · Reason: Discontinuation of the manufacture of the drugUpdated
- Carboplatin, Injection, 150 mg/15 mL (10 mg/mL) Multiple Dose Vial (NDC 60505-6282-3)To be discontinuedSponsor: Teyro LabsUpdated
- Carboplatin, Injection, 150mg/15mL (NDC 54288-165-01)ActiveSponsor: Gland Pharma Limited · Reason: Demand increase for the drugUpdated
- Carboplatin, Injection, 450 mg/45 mL (10 mg/mL) (NDC 61703-262-05)ActiveSponsor: Hospira, Inc., a Pfizer Company · Reason: Demand increase for the drugUpdated
- Carboplatin, Injection, 450 mg/45 mL (10 mg/mL) (NDC 61703-339-50)ActiveSponsor: Hospira, Inc., a Pfizer Company · Reason: Demand increase for the drugUpdated
- Carboplatin, Injection, 450 mg/45 mL (10 mg/mL) Multiple Dose Vial (NDC 60505-6282-6)ActiveSponsor: Teyro Labs · Reason: Discontinuation of the manufacture of the drugUpdated
- Carboplatin, Injection, 450 mg/45 mL (10 mg/mL) Multiple Dose Vial (NDC 60505-6282-6)To be discontinuedSponsor: Teyro LabsUpdated
- Carboplatin, Injection, 450 mg/45 mL (NDC 50742-447-45)To be discontinuedSponsor: Ingenus Pharmaceuticals LLCUpdated
- Carboplatin, Injection, 450 mg/45 mL (NDC 55150-335-01)ActiveSponsor: Eugia US LLC · Reason: Demand increase for the drugUpdated
- Carboplatin, Injection, 450mg/45mL (NDC 54288-166-01)ActiveSponsor: Gland Pharma Limited · Reason: Demand increase for the drugUpdated
- Carboplatin, Injection, 50 mg/5 mL (10 mg/mL) (NDC 61703-339-18)ActiveSponsor: Hospira, Inc., a Pfizer Company · Reason: Demand increase for the drugUpdated
- Carboplatin, Injection, 50 mg/5 mL (10 mg/mL) (NDC 61703-360-18)ActiveSponsor: Hospira, Inc., a Pfizer Company · Reason: Demand increase for the drugUpdated
- Carboplatin, Injection, 50 mg/5 mL (10 mg/mL) Multiple Dose Vial (NDC 60505-6282-1)ActiveSponsor: Teyro Labs · Reason: Discontinuation of the manufacture of the drugUpdated
- Carboplatin, Injection, 50 mg/5 mL (10 mg/mL) Multiple Dose Vial (NDC 60505-6282-1)To be discontinuedSponsor: Teyro LabsUpdated
- Carboplatin, Injection, 50mg/5mL (NDC 54288-164-01)ActiveSponsor: Gland Pharma Limited · Reason: Discontinuation of the manufacture of the drugUpdated
- Carboplatin, Injection, 600 mg/60 mL (10 mg/mL) (NDC 61703-339-56)ActiveSponsor: Hospira, Inc., a Pfizer Company · Reason: Demand increase for the drugUpdated
- Carboplatin, Injection, 600 mg/60 mL (10 mg/mL) (NDC 61703-600-05)ActiveSponsor: Hospira, Inc., a Pfizer Company · Reason: Demand increase for the drugUpdated
- Carboplatin, Injection, 600 mg/60 mL (10 mg/mL) Multiple Dose Vial (NDC 60505-6282-7)ActiveSponsor: Teyro Labs · Reason: Discontinuation of the manufacture of the drugUpdated
- Carboplatin, Injection, 600 mg/60 mL (10 mg/mL) Multiple Dose Vial (NDC 60505-6282-7)To be discontinuedSponsor: Teyro LabsUpdated
- Carboplatin, Injection, 600 mg/60 mL (NDC 50742-448-60)To be discontinuedSponsor: Ingenus Pharmaceuticals LLCUpdated
- Carboplatin, Injection, 600 mg/60 mL (NDC 55150-386-01)ActiveSponsor: Eugia US LLC · Reason: Demand increase for the drugUpdated
- Carboplatin, Injection, 600 mg/65 mL (NDC 54288-167-01)ActiveSponsor: Gland Pharma Limited · Reason: Demand increase for the drugUpdated
- Kyxata, Injection, 500 mg/50 mL (10 mg/mL) (NDC 83831-142-50)ActiveSponsor: Avyxa Pharma, LLCUpdated
- Kyxata, Injection, 80 mg/8 mL (10 mg/mL) (NDC 83831-141-08)ActiveSponsor: Avyxa Pharma, LLCUpdated
FAERS reports
- 1Off Label Use8,3256.8%
- 2Neutropenia7,2825.9%
- 3Anaemia7,0625.8%
- 4Nausea6,9355.7%
- 5Febrile Neutropenia6,4355.2%
- 6Diarrhoea6,0875.0%
- 7Disease Progression5,9574.9%
- 8Malignant Neoplasm Progression5,9024.8%
- 9Thrombocytopenia5,7774.7%
- 10Dyspnoea5,3234.3%
- 11Vomiting5,0754.1%
- 12Pyrexia4,7453.9%
- 13Fatigue4,6353.8%
- 14Drug Ineffective4,2713.5%
- 15Death4,2333.5%
Literature
Recent PubMed references pinned to Carboplatin as a MeSH major topic. Citations link to pubmed.ncbi.nlm.nih.gov.
- Inhibition of the cGAS-STING pathway mitigates liver injury induced by docetaxel-carboplatin neoadjuvant chemotherapy via autophagy promotion.Acta biochimica et biophysica Sinica · 2026 · Hu S, Kong L, Chen M, et al.PMID 42212620DOI 10.3724/abbs.2026094
- Multicenter Real-World Evaluation of Neoadjuvant Carboplatin in Triple-Negative Breast Cancer.Cancer medicine · 2026 · Ellez Hİ, ÇalişkanYildirim E, Majidova N, et al.PMID 42163828DOI 10.1002/cam4.71951
- Carboplatin alleviates astrocytic TDP-43 neurotoxicity by inhibiting NF-κB activation.European journal of pharmacology · 2026 · Song J, Lee S, Lee J, et al.PMID 42134762DOI 10.1016/j.ejphar.2026.178968
- Synergistic Anticancer Effects of Resveratrol and Carboplatin in Y79 Retinoblastoma Cells: Mechanistic Insights into Apoptosis, G2/M Arrest, and ROS-Dependent Mitochondrial Dysfunction.International journal of molecular sciences · 2026 · Maçin A, Duman E, Özdemir İ, et al.PMID 42074117DOI 10.3390/ijms27083473
- Comparative transcriptomics reveals shared stress and repair-associated pathway modules in proximal tubule cells exposed to platinum chemotherapeutics.Toxicology · 2026 · Barnes DA, Redegeld FA, Verheijen M, et al.PMID 42067180DOI 10.1016/j.tox.2026.154477
- ZNF468 stabilization by RNF4 enhances apoptosis resistance and carboplatin resistance in breast cancer via transcription activation of XIAP.Genes & genomics · 2026 · Hu J, Tian G, Tang P, et al.PMID 42053881DOI 10.1007/s13258-026-01760-0
- Rechallenge chemotherapy with carboplatin plus paclitaxel or nab-paclitaxel for patients with non-small cell lung cancer and interstitial lung disease: A multicenter retrospective study.Cancer treatment and research communications · 2026 · Itoh T, Saito G, Fujimoto K, et al.PMID 41980497DOI 10.1016/j.ctarc.2026.101197
- ATR and PKMYT1 Inhibition Resensitizes a Subset of TNBC Patient-Derived Models to Carboplatin, Inducing Mitotic Catastrophe.Cancer research communications · 2026 · Guay J, Kuasne H, Chabot C, et al.PMID 41973002DOI 10.1158/2767-9764.CRC-25-0044
Clinical trials
The 10 most recently updated of 4,213 ClinicalTrials.gov registrations naming Carboplatin as an intervention. Registration is not evidence of efficacy or safety — reference crosswalk only.
- Evaluating the Addition of the Immunotherapy Drug Atezolizumab to Standard Chemotherapy Treatment for Advanced or Metastatic Neuroendocrine Carcinomas That Originate Outside the LungRecruiting · Phase 2 · Phase 3 · Interventional · 189 enrolled · National Cancer Institute (NCI)NCT05058651updated 2026-06-12
- Cabazitaxel, Carboplatin, and Cetrelimab Followed by Niraparib With or Without Cetrelimab for the Treatment of Aggressive Variant Metastatic Prostate CancerActive not recruiting · Phase 2 · Interventional · 120 enrolled · M.D. Anderson Cancer CenterNCT04592237updated 2026-06-12
- KEYMAKER-U01 Substudy 01J: A Study of Pembrolizumab Plus MK-1084 in Participants With Non-Small Cell Lung Cancer (NSCLC) With Kirsten Rat Sarcoma Viral Oncogene Homolog (KRAS) G12C Mutations (MK-3475-01J/KEYMAKER-U01J)Recruiting · Phase 2 · Interventional · 130 enrolled · Merck Sharp & Dohme LLCNCT07252739updated 2026-06-12
- A Clinical Study of Gocatamig (MK-6070) and Infinatamab Deruxtecan (MK-2400) in People With Small Cell Lung Cancer (MK-6070-003)Recruiting · Phase 1 · Phase 2 · Interventional · 170 enrolled · Merck Sharp & Dohme LLCNCT07227597updated 2026-06-12
- Testing the Addition of a Type of Drug Called Immunotherapy to the Usual Chemotherapy Treatment for Non-small Cell Lung Cancer, an ALCHEMIST Treatment Trial (Chemo-IO [ACCIO])Recruiting · Phase 3 · Interventional · 1,210 enrolled · National Cancer Institute (NCI)NCT04267848updated 2026-06-12
- Testing the Addition of Cemiplimab (REGN2810) to Chemotherapy Treatment Given Prior to Surgery in Patients With Sinonasal Squamous Cell CarcinomaRecruiting · Phase 2 · Interventional · 108 enrolled · National Cancer Institute (NCI)NCT07281417updated 2026-06-12
- A Clinical Study of Sacituzumab Tirumotecan (MK-2870) in Combination With Pembrolizumab (MK-3475) as First-line Maintenance Treatment of Cervical Cancer (MK-2870-036/TroFuse-036/GOG-3123/ENGOT-cx22)Recruiting · Phase 3 · Interventional · 1,023 enrolled · Merck Sharp & Dohme LLCNCT07216703updated 2026-06-12
- Pembrolizumab With or Without Maintenance Sacituzumab Tirumotecan (Sac-TMT; MK-2870) in Metastatic Squamous Non-small Cell Lung Cancer (NSCLC) [MK-2870-023]Recruiting · Phase 3 · Interventional · 851 enrolled · Merck Sharp & Dohme LLCNCT06422143updated 2026-06-12
- Sorafenib in Combination With Carboplatin and Paclitaxel in Treating Participants With Metastatic or Recurrent Head and Neck Squamous Cell CancerActive not recruiting · Phase 2 · Interventional · 48 enrolled · M.D. Anderson Cancer CenterNCT00494182updated 2026-06-12
- Paclitaxel, Carboplatin and Cetuximab (PCC) With Cetuximab, Docetaxel, Cisplatin and Fluorouracil (C-TPF) in Previously Untreated Patients With Locally Advanced Head and Neck Squamous Cell CarcinomaActive not recruiting · Phase 2 · Interventional · 128 enrolled · M.D. Anderson Cancer CenterNCT01154920updated 2026-06-12
Pharmacogenomics
CPIC-curated drug–gene pairs for Carboplatin. Levels describe the strength of curated evidence and guideline status — never a recommendation to test or to adjust therapy.
- MTHFRCPIC C (provisional)ClinPGx 3
Frequently asked questions
- How does Carboplatin work?
- Mechanism-of-action class: Nucleic Acid Synthesis Inhibitors.
- What is Carboplatin used for?
- According to FDA labeling, Carboplatin carries indications including: Initial Treatment of Advanced Ovarian Carcinoma Carboplatin injection is indicated for the initial treatment of advanced ovarian carcinoma in established combination with other approved chemotherapeutic agents. One established combination regimen consists of carboplatin and cyclophosphamide.. This is a reference summary of labeled uses, not medical advice or a treatment recommendation.
- What class of drug is Carboplatin?
- Carboplatin is classified as Platinum compounds, Platinum-based Drug, Nucleic Acid Synthesis Inhibitors, Decreased DNA Integrity.
- What are the brand names for Carboplatin?
- Carboplatin is marketed under brand names including Kyxata, Paraplatin.
- What are the contraindications for Carboplatin?
- Carboplatin labeling lists contraindications including: Carboplatin injection is contraindicated in patients with a history of severe allergic reactions to cisplatin or other platinum-containing compounds. Carboplatin injection should not be employed in patients with severe bone marrow depression or significant bleeding.. Always consult the full prescribing information and a clinician.
carboplatin is illustrative MVP content compiled from public sources. pharmacopeia is for educational and informational use only and is not a substitute for professional medical advice.