EMA-CO and EMA-EP chemotherapy protocols

SOGC/GOC Clinical Guideline #408, January 2021

ProtocolDrug, dosage and routeAdministration
EMA-COEtoposide 100 mg/m2 IV infusionD1 and D2
Dactinomycin 0.5 mg bolus IVD1 and D2
Methotrexate 100 mg/m2 bolus IVD1
Methotrexate 200 mg/m2 IV infusionD1
Leucovorin 15 mg IM or PO q12 h. x4 D2 and D3
Cyclophosphamide 600 mg/m2 IV infusion D8
Vincristine 1 mg/m2 bolus IVD8
EMA-EPEtoposide 100 mg/m2 IV infusionD1 and D2
Dactinomycin 0.5 mg bolus IVD1 and D2
Methotrexate 100 mg/m2 bolus IVD1
Methotrexate 200 mg/m2 IV infusionD1
Leucovorin 15 mg IM or PO q12 h. x4 D2 and D3
Cisplatin 60 mg/m2 IV infusionD8
Etoposide 100 mg/m2 IV infusionD8

2021. Guideline No. 408: Management of Gestational Trophoblastic Diseases. Eiriksson L, Dean E, Sebastianelli A, Salvador S, Comeau R, Jang JH, Bouchard-Fortier G, Osborne R, Sauthier Ph. J Obstet Gynaecol Can;43(1):91-105.

Modified on 12/23/2023