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

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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