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Analyzing Tumor and Tissue Distribution of Target Antigen Specific Therapeutic Antibody
Published on: May 16, 2020
Cutaneous adverse reactions to therapeutic monoclonal antibodies for cancer
Patricia L Myskowski1, Allan C Halpern
1Dermatology Service, Memorial Sloan-Kettering Cancer Center, 160 East 53rd Street, New York, NY 10022, USA. myskowsp@mskcc.org
Abstract:
Advances in molecular biology have led to the successful development of targeted monoclonal antibodies to several types of malignancies. By June 2007, nine therapeutic monoclonal antibodies had been approved by the US Food and Drug Administration to treat various human cancers. In general, the adverse reactions of these agents have been milder than their cytotoxic chemotherapy counterparts, but side effects do occur. Cutaneous adverse reactions to the first of these agents were rare, and primarily limited to infusion reactions, local inflammation at injection sites, and ill-defined transient eruptions. However, the use of monoclonal antibody therapy against the epidermal growth factor receptor-1 in gastrointestinal and head and neck cancer has been frequently associated with significant skin reactions. As the use of these agents becomes more widespread, the recognition and management of these skin reactions becomes an increasingly important part of patient care.
Insights
Monoclonal antibody cancer therapies offer milder side effects than chemotherapy, but can cause skin reactions. Recognizing and managing these cutaneous adverse events is crucial as antibody use expands.
Area of Science:
- Oncology
- Immunology
- Dermatology
Background:
- Targeted monoclonal antibodies represent a significant advancement in cancer treatment.
- While generally well-tolerated, these therapies can elicit adverse reactions.
- Early monoclonal antibodies had rare cutaneous side effects, mainly infusion-related.
Purpose of the Study:
- To review the incidence and nature of skin reactions associated with monoclonal antibody therapy.
- To highlight the increasing importance of managing dermatologic side effects in cancer patients.
- To discuss the specific challenges posed by epidermal growth factor receptor-1 inhibitors.
Main Methods:
- Review of literature on monoclonal antibody therapy and associated adverse events.
- Analysis of reported cutaneous reactions to various monoclonal antibodies.
- Focus on skin toxicities linked to epidermal growth factor receptor-1 inhibitors.
Main Results:
- Monoclonal antibody therapy has led to approved treatments for various malignancies.
- Adverse reactions are generally milder than chemotherapy, but skin reactions are notable.
- Epidermal growth factor receptor-1 inhibitors frequently cause significant skin reactions.
Conclusions:
- Monoclonal antibody therapy is an evolving cancer treatment modality.
- Cutaneous adverse reactions are an important consideration in patient care.
- Effective management of skin reactions is essential for patient compliance and treatment success.
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