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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.
Abstract:
The discovery of specific gene mutations, termed "driver mutations", in different tumors has brought personalized medicine into the focus of cancer treatment. Targeted treatment agents generally are administered orally and have a tolerable adverse event profile; they have become widely used in both inpatient and outpatient settings. The approval of the selective BRAF inhibitor vemurafenib (Zelboraf®) as first-line therapy of metastatic melanoma in Europe in February 2012 as well as the increasing use of MEK inhibitors within clinical trials confronts dermatologists and oncologists with a new spectrum of side effects. Knowledge of these possible adverse events and their management will be crucial for optimized patient care. This article offers an overview of the most important adverse events of currently employed dermato-oncologic therapeutic agents.
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.
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