Prophylaxis and treatment of dermatologic adverse events from epidermal growth factor receptor inhibitors

Peggy A Wu1, Yevgeniy Balagula, Mario E Lacouture

  • 1Department of Dermatology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA.

Abstract

Insights

Dermatologic side effects from epidermal growth factor receptor inhibitors (EGFRIs) are common and impact quality of life. This review offers a symptom-based approach to managing these toxicities, improving patient outcomes.

Area of Science:

  • Oncology
  • Dermatology
  • Pharmacology

Background:

  • Targeted therapies, including epidermal growth factor receptor inhibitors (EGFRIs), are increasingly used in cancer treatment.
  • While EGFRIs have fewer systemic side effects than traditional chemotherapy, dermatologic adverse events are significantly more common.
  • These skin toxicities can lead to reduced treatment adherence and decreased patient quality of life.

Purpose of the Study:

  • To provide a comprehensive, symptom-based treatment approach for managing dermatologic side effects associated with EGFRIs.
  • To review current literature and clinical trial results on prophylaxis and treatment options for EGFRIs-induced skin toxicities.
  • To offer practical recommendations for clinicians managing patients on EGFRIs.

Main Methods:

  • Literature review focusing on common dermatologic adverse effects of EGFRIs.
  • Analysis of prophylaxis and treatment strategies, including topical and systemic options.
  • Inclusion of new clinical trial data and expert clinical practice recommendations.

Main Results:

  • Common EGFRIs dermatologic toxicities include papulopustular rash, xerosis, pruritus, and hair, nail, and mucosal changes.
  • Prophylaxis and treatment options are presented for each toxicity, ranging from topical to systemic therapies.
  • Emphasis is placed on recent clinical trial findings and practical management strategies.

Conclusions:

  • Effective management of EGFRIs-induced dermatologic toxicities is crucial for maintaining patient quality of life.
  • This review serves as a practical resource for healthcare providers managing these adverse events.
  • Optimizing the management of skin toxicities can improve treatment adherence and patient outcomes.

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