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Published on: April 22, 2019
Dermatological side effects of current and upcoming targeted therapies in oncology
1Department of Dermatology, University Hospital Ghent, Ghent, Belgium. michiel.bonny@ugent.be
Abstract:
Targeted therapies are gaining field in oncology practice. Some of them are already well established, others are upcoming. They target cancer cells more selectively, therefore causing less collateral damage. Dermatologic side effects are common and sometimes class specific. The skin toxicity profile of EGFR inhibitors, MEK en Raf inhibitors, mTOR inhibitors, VEGF targeting molecules, multikinase inhibitors, the HER2 monoclonal antibody trastuzumab and the CTLA-4 monoclonal antibodies are discussed. When possible, a pathogenic mechanism and treatment options are described.
Insights
Targeted cancer therapies offer selective treatment with fewer side effects. This review details common skin toxicities from various targeted drug classes and discusses their mechanisms and management.
Area of Science:
- Oncology
- Dermatology
- Pharmacology
Background:
- Targeted therapies are increasingly used in cancer treatment.
- These therapies selectively target cancer cells, aiming to minimize damage to healthy tissues.
- Dermatologic side effects are a frequent occurrence with many targeted agents.
Purpose of the Study:
- To review the dermatologic side effect profiles of various targeted cancer therapies.
- To discuss the pathogenic mechanisms underlying these skin toxicities.
- To outline potential treatment and management strategies for skin toxicities.
Main Methods:
- Literature review of targeted therapies used in oncology.
- Analysis of reported dermatologic side effects associated with specific drug classes.
- Compilation of information on pathogenic mechanisms and treatment options.
Main Results:
- EGFR inhibitors, MEK/Raf inhibitors, mTOR inhibitors, VEGF inhibitors, multikinase inhibitors, trastuzumab, and CTLA-4 antibodies have distinct skin toxicity profiles.
- Common side effects include rash, photosensitivity, and nail changes.
- Pathogenic mechanisms and management strategies are discussed for each class.
Conclusions:
- Understanding the specific skin toxicity profiles of targeted therapies is crucial for patient management.
- Early recognition and appropriate management of dermatologic side effects can improve treatment adherence and patient outcomes.
- Further research into the mechanisms and treatments of these toxicities is warranted.
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