Chemotherapy risk

Hematologic Risk Factors

Non-Hematologic Risk Factors

CRASH points
0 1 2
Ado-trastuzumab emtansine (TD-M1) Bendamustine 90mg/m2 + R 5-FU/LV (Roswell-Park)
Capecitabine 2g/m2 Capecitabine 2.5g/m2 5-FU/LV (Mayo)
Cisplatin/pemetrexed Carboplatin/gemcitabine AUC 4-6/1g d1,d8 5-FU/LV + bevacizumab
Dacarbazine Carboplatin/pemetrexed AC (and AC-paclitaxel and Keynote 522 regimen by extension)
Docetaxel weekly Carboplatin/paclitaxel q3w CAF
Enfortumab-vedotin Cisplatin/gemcitabine 25/1000 d1,8 Carboplatin/docetaxel q3w
Fam-trastuzumab deruxtecan ECF CHOP
FOLFIRI Fludarabine Cisplatin/docetaxel 75/75
Gemcitabine 1g 3/4 weeks FOLFIRI+ bevacizumab or panitumumab Cisplatin/etoposide
Gemcitabine 1.25g 3/4 weeks FOLFOX 85mg/m2 +/-bevacizumab or cetuximab Cisplatin/gemcitabine d1,8,15
Paclitaxel weekly Gemcitabine 7/8 weeks then 3/4 Cisplatin/paclitaxel 135-24h q3w
Pemetrexed Gemcitabine/irinotecan CMF classic
  PEG doxorubicin 50 q4w Docetaxel q3w
  Topotecan weekly Doxorubicin q3w
  XELOX FOFLIRINOX (iri180)
    FOLFOX 100-130 mg/m2
    Gemcitabine/nab-placlitaxel d1,8,15
    Gemcitabine/pemetrexed d8
Irinotecan q3w
    Paclitaxel q3w
    Sacituzumab govitecan
    Topotecan monthly
Unless specified otherwise, the doses are per meter squared. If no dose is specified, this means that the various common dosages used for this regimen all fall in the same category (e.g. docetaxel 60, 75, or 100 mg/m2 q3w) Q3w, q4w: every 3 (4) weeks
Regimens not listed should be scored by analogy./
The boundaries between points are: MAX2 < 0.088 = 0; 0.089-0.149 = 1; >0.15 = 2

For more precise numbers (e.g. research purpose), please contact Dr Extermann

Hematologic Risk Factors
Diastolic blood pressure
>721
Otherwise0
IADL
<261
Otherwise0
LDH
(If ULN = 618, otherwise, >0.75 ULN)
>4592
Otherwise0

Non-Hematologic Risk Factors
ECOG PS
00
1-21
3-42
MMS
<302
300
MNA
<282
Otherwise0