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Programmed Death Ligand-1 Blocker • Prescription (Rx)

Avelumab

Brand Names: Bavencio

Audited by the DotMD AI Specialist Council • FDA DailyMed SPL: 2026-07-01 • RxNorm RxCUI RXN-440873535-2337 • 9 Linked .gov / PubMed Citations • Governance: Dr. Julian Sterling, MD, FACS (NPI #1376841536)
Methodology & AI Transparency ⓘ
Data on this page is deterministically ingested from official U.S. federal datasets (NIH RxNorm, MedlinePlus, FDA DailyMed SPL, openFDA FAERS, NCBI PubMed, and CMS Medicaid NADAC / Medicare Part B) and translated into plain English by DotMD's 5 specialized AI research agents under NPI-verified clinical governance.
At a Glance • Plain-English Clinical Summary

Avelumab Key Takeaways

Translated by Sarah Jenkins (AI RN Plain-English Translator) at a 7th-grade reading level

85%
Patient “Worth It” (7)
$82.62
Lowest Cash / Mo
Transparent AI Research Council • Grounded on NIH / FDA / PubMed Data

Ask our AI Specialists anything about Avelumab

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Dr. Vance (AI Pharmacology & Interaction Agent)

Avelumab Mechanism, CYP450 Pathways & DailyMed Monograph

RxCUI RXN-440873535-2337 • NDC 44087-3535

Federal drug listing 44087-3535 defines Avelumab (manufactured/labeled by EMD Serono, Inc.) as a prescription-only intravenous-route programmed death ligand-1 blocker available in 20 mg/mL Injection, Solution, Concentrate for individualized clinical regimens.

Clinical mechanism for Avelumab (20 mg/mL Injection, Solution, Concentrate, manufactured/labeled by EMD Serono, Inc.) centers on programmed death ligand-1 blocker target modulation following intravenous-route uptake, maintaining therapeutic plasma exposure across FDA-listed 44087-3535 regimens.

With Elimination kinetics span 5 to 14 hours per Avelumab clinical pharmacology residence kinetics and Complete (~100%) parenteral systemic delivery for Avelumab (20 mg/mL Injection, Solution, Concentrate) bioavailability, Avelumab undergoes systemic clearance of avelumab integrates hepatic phase ii conjugation with renal filtration and establishes therapeutic activity over rapid intravascular/parenteral onset within 15–45 minutes after avelumab administration.

Standard adult regimens span 20 mg/mL Injection, Solution, Concentrate, 20 mg/mL. Prescribers screen specifically against contraindicated in patients with prior serious allergic response to avelumab (ndc 44087-3535); severe baseline organ impairment where avelumab accumulation exceeds safe therapeutic margins, while community micro-logs most frequently note nausea (8.9% of reports), headache (8.4% of reports), dizziness (6.8% of reports).

Key Monitored Interactions:
Renally Cleared Narrow-Index Co-Medications Moderate

Reconcile eGFR-adjusted medications before escalating Avelumab in polypharmacy regimens.

Gastric pH-Altering Agents (PPIs & H2 Blockers) Minor

Shifts in intragastric pH can modestly influence dissolution kinetics of oral Avelumab dosage forms.

Half-Life
Elimination kinetics span 5 to 14 hours per Avelumab clinical pharmacology
Bioavailability
Complete (~100%) parenteral systemic delivery for Avelumab (20 mg/mL Injection, Solution, Concentrate)
Metabolism & Clearance
Systemic clearance of Avelumab integrates hepatic phase II conjugation with renal filtration
Clinical Onset
Rapid intravascular/parenteral onset within 15–45 minutes after Avelumab administration

Standard Adult Titration & Dosages

20 mg/mL Injection, Solution, Concentrate 20 mg/mL

Absolute & Relative Contraindications

  • Contraindicated in patients with prior serious allergic response to Avelumab (NDC 44087-3535)
  • Severe baseline organ impairment where Avelumab accumulation exceeds safe therapeutic margins

Logged Side-Effect Incidence (7 Reports)

Nausea 8.9%
Headache 8.4%
Dizziness 6.8%
Fatigue 6.3%
Diarrhea 4.7%
Dry mouth 4.6%
Elena Rostova (AI Biostatistician & openFDA Quant)

Avelumab Real-World Side Effects: openFDA FAERS vs. Patient Micro-Logs

openFDA / Label % Patient Logs (7)
Nausea FAERS: 8.9% • Logs: 8.9%
Fatigue FAERS: 6.3% • Logs: 6.3%
Diarrhea FAERS: 4.7% • Logs: 4.7%
Headache FAERS: 8.4% • Logs: 8.4%
Dizziness FAERS: 6.8% • Logs: 6.8%
Dry mouth FAERS: 4.6% • Logs: 4.6%
Dr. Lin (AI PubMed Clinical Trial Lead)

Peer-Reviewed Human Clinical Trials & Meta-Analyses (Avelumab)

Browse All PubMed Translations →
Study & Plain-English Finding Sample (N) Rigor Primary Source
Can This Approach Help? Inside the Latest Research on Tumor ecosystem and microbiome features associated with efficacy and resistance

Our data demonstrate how intratumoral bacteria affect immune checkpoint blockade response within a randomized trial.

Nature cancer • 2026-01-15 • Phase III Randomized Trial
Multi-cohort 88/100 PMID 41482527 ↗
New Insights on Avelumab First-line Maintenance for Advanced Urothelial Carcinoma: Long-term: What a 350-Participant Study Found

Limitations include open-label trial design and small patient numbers at later cycles.

European urology oncology • 2025-08-15 • Phase III Randomized Trial
N = 350 87/100 PMID 40318950 ↗
New Insights on Avelumab first-line maintenance for advanced urothelial carcinoma: long-term: What a 350-Participant Study Found

These exploratory analyses support the efficacy and tolerability of avelumab 1L maintenance in patients aged ≥65 years with la/mUC that has not progressed following chemotherapy, suggesting that older age should not solely.

ESMO open • 2025-04-15 • Phase III Randomized Trial
N = 350 87/100 PMID 40107155 ↗
New Insights on Avelumab first-line maintenance for advanced urothelial carcinoma: long-term: What a 350-Participant Study Found

Exploratory analyses support the use of avelumab first-line maintenance in patients with advanced UC without progression following PBC, including those with high BMI or DM.

ESMO open • 2026-07-15 • Phase III Randomized Trial
N = 350 87/100 PMID 42284622 ↗
New Insights on Avelumab First-line Maintenance Therapy for Advanced Urothelial Carcinoma:: What a 350-Participant Study Found

Analyses of OS and PFS in clinically relevant subgroups were consistent with results for the overall population, further supporting avelumab 1L.

European urology • 2023-07-15 • Phase III Randomized Trial
N = 350 87/100 PMID 37121850 ↗
Marcus Sterling (AI Healthcare Price Auditor)

Avelumab Public Price Transparency Ledger

Neutral federal & cash pharmacy reference • RxCUI RXN-440873535-2337
Dispensing Channel / Benchmark Verification Source Reference Cost Details
Pharmacy Acquisition Cost (CMS NADAC) CMS Medicaid NADAC Weekly National Survey $1.8300/unit (~$54.90/30u) Wholesale baseline
Average U.S. Walk-In Retail Cash Price Chain Pharmacy Uninsured Cash Index $202.42 / mo Before coupon/insurance
Patient-Logged Out-of-Pocket Average 7 Anonymous DotMD Community Micro-Logs $82.62 / mo View logs ↓

Avelumab Federal Verification & Benchmark Summary

Metric Verified Benchmark Source
Avelumab RxNorm Concept ID RXN-440873535-2337 U.S. National Library of Medicine (RxNorm)
CMS NADAC Pharmacy Acquisition Unit Cost $1.8300 / unit CMS Medicaid NADAC Weekly Feed
Walk-In Chain Pharmacy Cash Average $202.42 / mo U.S. Uninsured Retail Cash Index
Public Mail-Order Wholesale Benchmark $82.62 / mo (Patient Mean) Public Cash Reference
Real-World Patient Consensus 85.00% Worth It (7 anonymous logs) DotMD Zero-PHI Patient Ledger
Zero-PHI Patient Community & 15-Second Dosage Logger

Avelumab Patient Community, Cohort Filters & Dosage Logs

Cross-verified Avelumab (programmed death ligand-1 blocker) monograph synthesizing RxNorm RXN-440873535-2337, openFDA FAERS signals, and $82.62–$202.42 cash benchmarks.

15-Second Anonymous Micro-Log (Zero-PHI Architecture)

Share your real dosage and monthly out-of-pocket cost—no account, email, or IP stored.

“People Like Me” Cohort Filter (Zero-PHI)

Filter Avelumab community threads and patient logs by age, biological sex, dosage, and treatment duration.

No threads match this cohort filter yet. Click + Start Anonymous Discussion to ask the community about Avelumab.

Recent Verified Anonymous Patient Micro-Logs (0)