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.
Abstract:
Sorafenib is the first multi-kinase inhibitor (TKI) approved for the treatment of advanced hepatocellular cancer (HCC) and metastatic renal cell cancer (RCC) and is increasingly being used to treat patients with well-differentiated radioiodine-resistant thyroid cancer (DTC). Sorafenib demonstrates targeted activity on several families of receptor and non-receptor tyrosine kinases that are involved in angiogenesis, tumour growth and metastatic progression of cancer. Sorafenib treatment results in long-term efficacy and low incidence of life-threatening toxicities. Although sorafenib has demonstrated many benefits in patients, the adverse effects cannot be ignored. The most common treatment-related toxicities include diarrhoea, fatigue, hand-foot skin reaction and hypertension. Most of these toxicities are considered mild to moderate and manageable to varying degrees; however, cardiovascular events might lead to death. In this MiniReview, we summarize the adverse effects of sorafenib that commonly occur in patients with advanced cancers.
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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