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Updated: Dec 8, 2025

Screening and Identification of Small Peptides Targeting Fibroblast Growth Factor Receptor2 using a Phage Display Peptide Library
Published on: September 30, 2019
Prevention and treatment of FGFR inhibitor-associated toxicities
Amit Mahipal1, Sri Harsha Tella1, Anuhya Kommalapati1
1Department of Medical Oncology, Mayo Clinic, Rochester, MN, USA.
Abstract:
Fibroblast growth factor receptor (FGFR) inhibitors have shown promising results in terms of objective response rates in phase I/II trials in various malignancies that harbor FGFR genetic aberrations. The class of medications brings in the concept of 'personalized' treatment by targeting susceptible FGFR genetic alterations in some rare but dismal cancers such as cholangiocarcinoma. Despite the fact that FGFR inhibitors are well-tolerated, these drugs are associated with toxicities that are distinct from that of other small-molecule tyrosine kinase inhibitors. These toxicities can result in dose reductions, interruptions, and even drug discontinuation as reported in the clinical trials. The prevention and effective management of the FGFR inhibitor-associated toxicities will allow patients to stay on these medications without the therapy interruptions. The current work is focused on summarizing the available literature on unique FGFR inhibitor-associated toxicities with a special emphasis in managing the unique adverse events.
Insights
Fibroblast growth factor receptor (FGFR) inhibitors show promise in treating cancers with FGFR genetic aberrations. Effective management of unique FGFR inhibitor toxicities is crucial for sustained patient treatment and improved outcomes.
Area of Science:
- Oncology
- Pharmacology
- Genetics
Background:
- Fibroblast growth factor receptor (FGFR) inhibitors demonstrate efficacy in malignancies with FGFR genetic aberrations.
- These targeted therapies represent a personalized medicine approach for rare cancers like cholangiocarcinoma.
- While generally well-tolerated, FGFR inhibitors present unique toxicities distinct from other tyrosine kinase inhibitors.
Purpose of the Study:
- To review and summarize the unique toxicities associated with FGFR inhibitors.
- To provide an emphasis on the management strategies for these specific adverse events.
- To support sustained patient treatment by addressing treatment-limiting toxicities.
Main Methods:
- Literature review of clinical trials and published studies on FGFR inhibitors.
- Analysis of reported adverse events and toxicities.
- Synthesis of information regarding the management of unique FGFR inhibitor-associated toxicities.
Main Results:
- FGFR inhibitors are associated with distinct toxicities that can necessitate dose adjustments or treatment cessation.
- Effective management protocols are essential to mitigate these adverse events.
- Understanding and addressing these toxicities can improve patient adherence and treatment continuity.
Conclusions:
- Managing unique FGFR inhibitor toxicities is key to optimizing therapeutic benefits.
- Further research into proactive management strategies is warranted.
- This review aims to guide clinicians in the effective care of patients receiving FGFR inhibitors.
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