How the Carboplatin (Calvert Formula) Calculator Works
Carboplatin is typically dosed not by body-surface area, like many chemotherapy drugs, but by the Calvert formula, which targets a specific area under the concentration-time curve (AUC) based on the patient's renal function: Dose (mg) = Target AUC × (GFR + 25). Because GFR is rarely measured directly at the point of care, it is commonly estimated from age, sex, weight, and serum creatinine using the Cockcroft-Gault creatinine clearance equation. This calculator walks through both steps and reports the estimated creatinine clearance, the GFR actually used in the dose equation, and the resulting Calvert dose.
Step 1: Estimate creatinine clearance (Cockcroft-Gault)
CrCl (mL/min) = [(140 − age) × weight in kg × (0.85 if female, 1 if male)] / (72 × serum creatinine in mg/dL). This estimate stands in for GFR when a measured value (such as a nuclear medicine ⁵¹Cr-EDTA or iohexol clearance study) is not available. Weight entered in pounds is converted to kilograms, and creatinine entered in µmol/L is converted to mg/dL (divide by 88.4), before the equation runs.
Step 2: Apply the 125 mL/min safety cap
Because Cockcroft-Gault can overestimate true renal clearance in some patients — particularly those who are obese, edematous, or have low muscle mass — carboplatin prescribing information and common oncology practice cap the GFR used in the Calvert formula at 125 mL/min. This calculator applies that cap by default; you can switch it off to see the uncapped calculation, but the capped value is the more conservative, widely used convention.
Step 3: Calvert formula and dose per kilogram
The capped (or uncapped) GFR is added to 25 and multiplied by your target AUC to get the total dose in milligrams. The calculator also reports dose divided by body weight (mg/kg) purely as a sanity-check figure — a very high or very low mg/kg value relative to typical carboplatin ranges can flag a data-entry error before the number goes any further.
Important safety note
This tool produces an educational estimate of the Calvert-formula dose, not a prescription or medical order. Actual chemotherapy dosing must be verified by an oncology pharmacist or physician using the patient's measured or estimated GFR per institutional protocol, prior treatment history, current lab values, dose-rounding conventions, and the drug's full prescribing information. Never use this calculator, or any online tool, as the sole basis for administering carboplatin or any other chemotherapy agent.