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Clinical calculator summary

Carboplatin Calvert Formula Calculator

AUC-based total carboplatin dose from target exposure and absolute kidney function.

Evidence-based context for fast calculator use

Purpose:
Support protocol-specific independent carboplatin dose verification
Population:
Adults older than 18 years receiving a protocol that specifies AUC-based carboplatin dosing
Factors:
Protocol target AUC, Kidney-function method and stability, BSA conversion when indexed, Protocol-specific cap policy
Reference:
Calvert et al., J Clin Oncol 1989; ADDIKD 2022; eviQ calculator 4171
HomeCarboplatin Calvert Formula Dose
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Carboplatin Calvert Formula Dose

years

Required for the adult-use boundary and Cockcroft-Gault calculation when that method is selected.

Enter the target AUC specified by the governing regimen; the calculator does not choose it.

Clinical Context & Background

The Calvert formula calculates a total carboplatin dose in milligrams: dose = target AUC × (absolute kidney function in mL/min + 25).
The original model used directly measured GFR. Current ADDIKD/eviQ guidance prefers measured GFR, or BSA-adjusted CKD-EPI eGFR only in a defined non-curative population where the estimate is suitable. Cockcroft-Gault creatinine clearance is retained only when the governing protocol explicitly authorizes it.
Cap policies conflict. ADDIKD recommends not capping kidney function at 125 mL/min, while some FDA/NCI-style and Cancer Care Ontario protocols retain that cap. This calculator therefore requires an explicit protocol-specific choice and never applies a cap silently.
Formula Logic
Total dose (mg) = target AUC × (absolute kidney function [mL/min] + 25). Indexed eGFR is converted as eGFR × BSA / 1.73. Only the final dose is rounded.

Reference Data

DecisionCurrent evidenceCalculator behavior
Kidney functionDirectly measured GFR preferredExact mL/min value used
Estimated eGFREligible indexed CKD-EPI 45-125, non-curative intent, suitable body compositionConverted to absolute mL/min using selected BSA equation
125 mL/min capADDIKD: no cap; some protocols: capExplicit protocol choice required

Clinical Workflow

Use, Interpret, And Continue The Patient Pathway

Expand for workflow guidance, limitations, examples, and related next steps.

When To Use

  • Use when a carboplatin-containing protocol specifies a target AUC and the required kidney-function method and cap policy are known.
  • Use only when the patient and clinical setting match the population described for Carboplatin Calvert Formula.

How To Interpret

  • The output is a total milligram dose, not mg/m², and depends directly on absolute kidney function in mL/min.
  • Interpret thresholds with the entered units, current clinical status, and local guideline context.

What To Do Next

  • Verify regimen AUC, kidney-function source and stability, any BSA conversion, protocol cap policy, toxicity adjustments, and independent pharmacy dose check.
  • Document the inputs, result, clinical judgment, and any reason for deviating from the model-guided pathway.

Limitations

  • Estimated kidney function may be unreliable with unstable renal function, curative intent, extreme body composition, amputation, paraplegia, skeletal-muscle conditions, or non-standardized creatinine assays.
  • This calculator supports clinical assessment and does not independently prescribe treatment.

Validated Population

Adults receiving carboplatin when a regimen-specific target AUC and appropriate stable kidney-function value are available

Clinical example

At target AUC 5 and measured GFR 75 mL/min, the Calvert equation gives a total dose of 500 mg before protocol-specific verification.

Calculation verification history

Verified
  1. : Production browser revalidation

    • Five source-backed measured-GFR cases were exercised on the public production route through visible controls; 5/5 expected Calvert doses matched, including the explicit 125 mL/min cap transition.
    • No unexpected N/A, literal undefined value, stale control, or browser-console error was observed.
    Download latest production check (Excel)

    Case-level evidence is retained in validation/browser-revalidation/carboplatin-calvert-formula-dose-2026-08-03.json.

  2. : Production browser validation

    • Ten source-backed cases were exercised on the public production route through visible browser controls; 10/10 case records passed their expected-versus-observed assertions across 11 visible submissions.
    • Overall browser status: failed-console. medium: Production emitted minified React error #418 during route loads/reloads used by this run.
    • Case-level inputs, expected and observed results, reset/repeat behavior, failure reproductions, and console evidence are retained in the production-browser evidence record.

    Case-level production evidence is retained in validation/browser-production/carboplatin-calvert-formula-dose.json.

  3. : Full validation test

    • Passed 77/77 formula, final-rounding, kidney-method, BSA conversion, Cockcroft-Gault weight-basis, cap-policy, applicability, missing-input, and malformed-input checks.
    • Confirmed exact Calvert results and zero maximum absolute kidney-function difference across independent fixtures.
  4. : Correction

    • Separated directly measured GFR, eligible BSA-adjusted CKD-EPI eGFR, and protocol-authorized Cockcroft-Gault creatinine clearance instead of treating them as interchangeable.
    • Required explicit kidney-function stability, method, weight basis where applicable, and protocol-specific cap policy; removed favorable defaults.
    • Converted indexed eGFR to absolute mL/min before dosing and enforced the eviQ eligibility range and context.
    • Removed the unsupported universal 900 mg warning and made no-cap versus 125 mL/min cap guidance transparent.

    Included in the current validation report.

Verification confirms the calculator implementation against the cited model; it is not independent clinical validation, regulatory approval, or medical advice.

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Frequently Asked Questions

Is the result in mg/m²?

No. The Calvert formula gives a total dose in milligrams.

Should kidney function be capped at 125 mL/min?

Current ADDIKD guidance recommends no cap, but some FDA/NCI-style protocols retain one. Select the policy required by the governing regimen and pharmacy.

Evidence-based oncology decision support. Verify with clinical guidelines.