Side effects of systemic oncological therapies in dermatology

Lisa Zimmer1, Julia Vaubel, Elisabeth Livingstone

  • 1Department of Dermatology, Skin Tumor Center, University Hospital of Essen, Germany.

Insights

Personalized cancer medicine uses targeted therapies like BRAF and MEK inhibitors. Understanding their side effects is crucial for dermatologists and oncologists managing melanoma patients.

Area of Science:

  • Oncology
  • Dermatology
  • Pharmacology

Background:

  • Personalized medicine, driven by the discovery of specific gene mutations (driver mutations), is central to modern cancer treatment.
  • Targeted oral therapies offer a tolerable adverse event profile and are widely used in various healthcare settings.
  • The introduction of BRAF inhibitors (e.g., vemurafenib) and MEK inhibitors in melanoma treatment presents new challenges regarding side effect management.

Purpose of the Study:

  • To provide an overview of the most significant adverse events associated with current dermato-oncologic therapeutic agents.
  • To equip dermatologists and oncologists with essential knowledge for managing novel side effects.
  • To emphasize the importance of understanding and managing adverse events for optimized patient care in targeted cancer therapy.

Main Methods:

  • Review of current dermato-oncologic therapeutic agents.
  • Identification and summarization of key adverse events.
  • Literature review focusing on targeted therapies like BRAF and MEK inhibitors.

Main Results:

  • Targeted therapies, including BRAF and MEK inhibitors, are associated with a specific spectrum of side effects.
  • Vemurafenib, a selective BRAF inhibitor, was approved for metastatic melanoma treatment.
  • Clinical trials are increasingly utilizing MEK inhibitors, highlighting the need for awareness of their associated adverse events.

Conclusions:

  • Knowledge of potential adverse events from targeted dermato-oncologic agents is critical.
  • Effective management of these side effects is essential for successful patient care.
  • This overview aims to support clinicians in navigating the evolving landscape of cancer treatment side effects.

Related Concept Videos

Cancer Therapies02:49

Cancer Therapies

Cancer therapies are various modes of treatment, such as surgery, radiation therapy, and chemotherapy that are administered to cancer patients.
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
Cancer Therapies02:49

Cancer Therapies

Cancer therapies are various modes of treatment, such as surgery, radiation therapy, and chemotherapy that are administered to cancer patients.
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
Skin Cancer01:30

Skin Cancer

Skin cancer is a type of cancer that occurs when there is an abnormal growth of skin cells, usually triggered by damage to the DNA within the skin cells. It is primarily caused by exposure to ultraviolet (UV) radiation from the sun or artificial sources like tanning beds. Skin cancer is the most common type of cancer worldwide, and its incidence continues to rise.
Basal Cell Carcinoma (BCC): BCC is the most common type of skin cancer, accounting for about 80% of cases. It typically develops in...
Skin Diseases and Disorders01:23

Skin Diseases and Disorders

Skin is the first line of defense and encounters a variety of microbes. Some pathogenic strains are often the cause of a broad range of infections of the skin and other body systems. These conditions can affect people of all ages and may have different causes, including genetic factors, infections, autoimmune reactions, environmental factors, and lifestyle choices.
Gram-positive Staphylococcus spp. and Streptococcus spp. are responsible for many of the most common skin infections. However, many...