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Published on: July 25, 2020
[Dermatologic adverse events of the new targeted anticancer therapies used in oncodermatology]
V Sibaud1, J-P Delord, C Chevreau
1Dermatologie, centre de lutte contre le cancer, institut Claudius Regaud, Toulouse, France. sibaud.vincent@claudiusregaud.fr
Abstract:
The management of oncology patients has been deeply modified over recent years by the development of new targeted anticancer therapies. Though these new therapies generally have a good safety profile, the skin is probably the organ most affected by their toxicity, in terms of frequency and symptom diversity. This review describes the most frequent cutaneous side effects induced by the new targeted therapies used in oncodermatology, whether they are well-established drugs such as EGF receptor inhibitors (cetuximab, erlotinib) or imatinib, or new treatments for metastatic melanoma such as selective BRAF (vemurafenib) or MEK inhibitors (selumetinib) and CTLA-4 monoclonal antibodies (ipilimumab).
Insights
New targeted anticancer therapies significantly alter oncology patient management. This review details common skin toxicities from targeted drugs like EGF receptor inhibitors and BRAF/MEK inhibitors, impacting oncodermatology.
Area of Science:
- Oncology
- Dermatology
- Pharmacology
Background:
- Targeted anticancer therapies have revolutionized cancer treatment.
- While effective, these therapies can cause significant side effects.
- The skin is frequently affected by toxicities from novel cancer drugs.
Purpose of the Study:
- To review the most common cutaneous side effects associated with targeted anticancer therapies.
- To provide an overview of oncodermatological toxicities from established and emerging cancer treatments.
Main Methods:
- Literature review of targeted therapies and their dermatological side effects.
- Focus on specific drug classes including EGF receptor inhibitors, BRAF inhibitors, MEK inhibitors, and CTLA-4 antibodies.
Main Results:
- EGF receptor inhibitors (cetuximab, erlotinib) and imatinib cause characteristic skin reactions.
- Newer agents for metastatic melanoma, such as BRAF inhibitors (vemurafenib) and MEK inhibitors (selumetinib), present distinct cutaneous toxicities.
- CTLA-4 monoclonal antibodies (ipilimumab) also induce specific skin adverse events.
Conclusions:
- Understanding and managing skin toxicities is crucial for patients on targeted therapies.
- Oncodermatology plays a key role in optimizing treatment adherence and patient quality of life.
- This review highlights the spectrum of skin side effects from modern targeted cancer treatments.
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