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Alectinib-induced rash unresponsive to desensitization: a case report and literature review
Robin Raquel Rodriguez1, Jessie Dindak2, Janet Kline2
1Department of Medical Oncology, Allegheny Health Network, Pittsburgh, PA, USA. robinraquel@yahoo.com.
Background:
Since the inception of targeted therapies in treating lung cancer, providers have had to be aware of a new host of side effects when selecting management options for patients. Although targeted therapies are creating increased hope for patients with non-small cell lung cancers (NSCLC), understanding their side effects presents a challenge for providers. Alectinib, a second-generation tyrosine kinase inhibitor, is a targeted therapy used in patients with non-small cell lung cancer found to have anaplastic lymphoma kinase (ALK) mutations. Alectinib is the focus of this case report and literature review as we seek to understand side effects providers may encounter when prescribing these therapies.
Case Presentation:
We begin our report with the case of a 63-year-old Hispanic female with stage IIIA non-small cell lung cancer found to have the ALK genomic alteration. She was started on Alectinib, and on Day 11, she developed a severe maculopapular rash requiring hospitalization. After complete resolution, desensitization with Alectinib was attempted but unsuccessful.
Conclusions:
Despite the unsuccessful desensitization of this patient, it is important to report this rare side effect in order to better understand how providers can pursue management. Case reports such as this can aid providers in potentially preventing, treating, and rechallenging patients on targeted therapies in the future.
Insights
A rare, severe rash occurred in a patient treated with Alectinib for non-small cell lung cancer (NSCLC). Desensitization attempts were unsuccessful, highlighting challenges in managing targeted therapy side effects.
Area of Science:
- Oncology
- Pharmacology
- Dermatology
Background:
- Targeted therapies offer new hope for non-small cell lung cancer (NSCLC) patients with specific mutations.
- Understanding and managing side effects of these novel treatments, like Alectinib, is crucial for providers.
- Alectinib is a second-generation tyrosine kinase inhibitor for ALK-mutated NSCLC.
Conclusions:
- Rare side effects, such as severe rash, can occur with Alectinib treatment in NSCLC.
- This case highlights the challenges in managing Alectinib-induced adverse events.
- Reporting such cases aids in developing future strategies for preventing, treating, and rechallenging patients on targeted therapies.
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