The adverse effects of sorafenib in patients with advanced cancers

Ye Li1, Zu-Hua Gao, Xian-Jun Qu

  • 1Department of Pharmacology, School of Chemical Biology & Pharmaceutical Sciences, Capital Medical University, Beijing, China.

Insights

Sorafenib, a multi-kinase inhibitor, effectively treats advanced cancers like HCC, RCC, and DTC. While beneficial, common side effects such as diarrhea and fatigue require management, with cardiovascular events posing a serious risk.

Area of Science:

  • Oncology
  • Pharmacology

Background:

  • Sorafenib is a multi-kinase inhibitor (TKI) approved for advanced hepatocellular cancer (HCC), metastatic renal cell cancer (RCC), and radioiodine-resistant thyroid cancer (DTC).
  • It targets kinases involved in angiogenesis, tumor growth, and metastasis.

Purpose of the Study:

  • To review the adverse effects of sorafenib in patients with advanced cancers.
  • To highlight common and severe toxicities associated with sorafenib treatment.

Main Methods:

  • Literature review of sorafenib's adverse effects.
  • Summary of common and serious treatment-related toxicities.

Main Results:

  • Sorafenib demonstrates long-term efficacy with generally manageable side effects.
  • Common toxicities include diarrhea, fatigue, hand-foot skin reaction, and hypertension.
  • Cardiovascular events are a potential life-threatening adverse effect.

Conclusions:

  • Sorafenib offers significant benefits in treating advanced cancers.
  • Awareness and management of adverse effects, particularly cardiovascular events, are crucial for patient safety.

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