Prevention and treatment of FGFR inhibitor-associated toxicities

Amit Mahipal1, Sri Harsha Tella1, Anuhya Kommalapati1

  • 1Department of Medical Oncology, Mayo Clinic, Rochester, MN, USA.

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.

Related Concept Videos

Renal Failure: Dose Adjustments01:11

Renal Failure: Dose Adjustments

In patients with renal impairment, drugs undergo significant changes in their pharmacokinetics, which require dosage adjustments to ensure safe and effective therapy.
Reduced renal clearance and elimination rate are common outcomes of renal impairment. These alterations lead to a prolonged elimination half-life and an altered apparent volume of distribution for drugs. As a result, dosage adjustments are typically necessary to maintain optimal drug levels in the body.
However, dosage adjustments...
308
Acute Kidney Injury IV: Diagnostic Studies and Prevention01:30

Acute Kidney Injury IV: Diagnostic Studies and Prevention

Accurate diagnosis and effective prevention are critical in managing Acute Kidney Injury (AKI), which is linked to high mortality rates ranging from 10% to 80%. Timely recognition of at-risk patients and careful monitoring can significantly reduce the likelihood of kidney damage.Diagnostic Assessments:The diagnostic process starts with a comprehensive medical history to identify prerenal, intrarenal, and postrenal causes.Prerenal causes, such as dehydration, hypotension, or blood loss, should...
184
Targeted Cancer Therapies02:57

Targeted Cancer Therapies

The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against...
8.4K
Combination Therapies and Personalized Medicine02:50

Combination Therapies and Personalized Medicine

Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
5.7K
Treatment for Pulmonary Arterial Hypertension: Prostacyclin Receptor Agonists01:23

Treatment for Pulmonary Arterial Hypertension: Prostacyclin Receptor Agonists

Prostacyclin receptor agonists are a class of therapeutic agents integral to managing pulmonary arterial hypertension (PAH). These drugs operate by mimicking the action of prostaglandin I2, or PGI2, a naturally occurring compound in the body.
These agonists bind to the IPR receptor situated on the plasma membrane of the pulmonary artery smooth muscle cells. This binding triggers a cascade of reactions known as the GS-AC-cAMP-PKA pathway. This pathway results in the relaxation of smooth muscle...
339
Heart Failure Drugs: Inhibitors of Renin-Angiotensin System01:26

Heart Failure Drugs: Inhibitors of Renin-Angiotensin System

The activation of the sympathetic nervous system and the renin-angiotensin-aldosterone system (RAAS) contributes to cardiac remodeling, and inhibiting the RAAS is a pharmacological target in heart failure management. As a result, neurohumoral modulation is a crucial treatment principle for managing heart failure. This approach involves using medications like ACE inhibitors (ACEIs), angiotensin receptor blockers (ARBs), β-blockers, mineralocorticoid receptor antagonists (MRAs), and neutral...
732