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Cemiplimab

Published: July 26, 2026Updated: July 26, 2026

Cemiplimab is an immunotherapy medication classified as a PD-1 inhibitor that helps restore the immune system's ability to recognize and attack cancer cells. It is primarily used to treat certain skin cancers including cutaneous squamous cell carcinoma and basal cell carcinoma, as well as non-small cell lung cancer. By blocking the PD-1 pathway, which tumors exploit to evade immune detection, Cemiplimab enables T-cells to mount an effective anti-tumor response.

Quick summary

Cemiplimab is an anti-PD-1 immunotherapy drug used to treat certain skin cancers and lung cancer by helping the immune system attack tumor cells.

Medically reviewed by WellAlly Editorial TeamLast reviewed July 26, 2026Editorial policy

Key facts at a glance

ATC
L01FF06
RxNorm
2058826
Generic
Cemiplimab
Class
atc-l01
Brands
Libtayo
Availability
rx
Lactation
unknown
Routes
—
Forms
injection
Regions
US, EU, CN, JP
Monitoring
—

This page is for informational purposes only.

Do not use this information to diagnose yourself or to replace a physician's advice. Always consult a qualified healthcare provider before starting, stopping, or changing any medication. If you believe you are experiencing a medical emergency, call your local emergency number immediately.

Dosage and administration

adult (standard)intravenous infusion
Usual dose
350mg every 3 weeks
Maximum
consult physician
Frequency
every 21 days
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
adult (alternative)intravenous infusion
Usual dose
350mg every 2 weeks
Maximum
consult physician
Frequency
every 14 days
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
geriatric (standard)intravenous infusion
Usual dose
350mg every 3 weeks
Maximum
consult physician
Frequency
every 21 days
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard

Overdose information

Important overdose information
Toxic dose: Doses above the recommended 350 mg may increase risk of severe immune-mediated toxicity
Chronic overdose: cumulative immune-related adverse events with repeated dosing
Immediate actions
discontinue infusion, monitor vital signs, initiate corticosteroids
Antidote
corticosteroids (e.g., prednisone, methylprednisolone)(standard treatment for immune-mediated toxicity)
Poison Control: N/A - manage in hospital setting

Special Populations

8 groups
✗

pregnancy

general
unsafe
FDA Category
C
Dose Adjustment

avoid if possible

Key Recommendations

avoid use during pregnancy unless benefits outweigh risks to the mother outweigh potential risks to fetus

Monitor

regular fetal monitoring recommended if used

Use of this medication in this population requires careful consideration of risks and benefits.

✗

lactation

general
unsafe
FDA Category
N
Dose Adjustment

discontinue breastfeeding

Key Recommendations

discontinue breastfeeding during treatment and for at least 4 months after last dose

Monitor

monitor infant for signs of immune-mediated reactions

Use of this medication in this population requires careful consideration of risks and benefits.

?

pediatric_age

children adolescents
unknown
FDA Category
N
Dose Adjustment

not established

Key Recommendations

use only if benefits outweigh risks; limited efficacy and safety data available for pediatric patients

Monitor

close monitoring for immune-mediated adverse events

⚠

geriatric

elderly
caution
FDA Category
N
Dose Adjustment

no specific adjustment

Key Recommendations

no dose adjustment required but monitor for increased risk of adverse events including immune-mediated reactions

Monitor

regular assessment of organ function and immune-related adverse events

Use with caution and monitor for adverse effects.

✓

renal_impairment

mild moderate
safe
FDA Category
N
Dose Adjustment

no adjustment needed

Key Recommendations

no dose adjustment needed for mild to moderate renal impairment

Monitor

routine renal function monitoring

⚠

renal_impairment

severe
caution
FDA Category
N
Dose Adjustment

use with caution

Key Recommendations

use with caution; limited data available for severe renal impairment

Monitor

close monitoring of renal function

Use with caution and monitor for adverse effects.

✓

hepatic_impairment

mild
safe
FDA Category
N
Dose Adjustment

no adjustment needed

Key Recommendations

no dose adjustment needed for mild hepatic impairment

Monitor

routine liver function monitoring

⚠

hepatic_impairment

moderate severe
caution
FDA Category
N
Dose Adjustment

use with caution

Key Recommendations

use with caution in moderate to severe hepatic impairment; limited clinical data

Monitor

close monitoring of liver function and for signs of hepatotoxicity

Use with caution and monitor for adverse effects.

Statistics and clinical data

prescribingFDA
2023

FDA approval date

Value:2018

First FDA approval for Cemiplimab (Libtayo)

drug_classFDA
2023

Drug class

Value:PD-1 inhibitor

Monoclonal antibody immune checkpoint inhibitor

usageFDA
2023

Approved indications

Value:Cutaneous squamous cell carcinoma, basal cell carcinoma, cervical cancer

Therapeutic indications for Cemiplimab

Cemiplimab is approved for metastatic or locally advanced cutaneous squamous cell carcinoma in patients not candidates for curative surgery or radiation, locally advanced or metastatic basal cell carcinoma, and first-line treatment of advanced non-small cell lung cancer with PD-L1 expression ≥50%.

Cemiplimab is a monoclonal antibody that binds to the PD-1 receptor on T-cells, blocking interaction with PD-L1 and PD-L2 ligands. This removes the immunosuppressive signal that tumors use to evade immune detection, restoring T-cell proliferation and cytokine production to fight cancer.

Cemiplimab can cause immune-related adverse events affecting organs such as lungs, liver, kidneys, and endocrine glands. Common side effects include fatigue, rash, and musculoskeletal pain. Patients require monitoring for immune-mediated toxicity and may need corticosteroids or other immunosuppressants for management.

Contraindications

Conditions and patient states where this medication should be avoided or used with caution.

Do not use (1)

ABSOLUTEhypersensitivity

Known allergy to this medication or its components

Use caution (1)

RELATIVEpregnancy

Consult healthcare provider for benefits vs risks assessment

Official drug label

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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed July 26, 2026. · Read our editorial policy