Management of Toxicities in Metastatic NSCLC Related to Anti-Lung Cancer Therapies with EGFR-TKIs

Tyrosine kinase inhibitors (TKIs) against the epidermal growth factor receptor (EGFR) are the standard of care treatment in non-small cell lung cancer (NSCLC). TKIs are used first line in EGFR mutation-positive NSCLC; erlotinib is the only TKI approved for subsequent lines of treatment in EGFR wild-...

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Main Authors: Barbara eMelosky, Vera eHirsh
Format: Article
Language:English
Published: Frontiers Media S.A. 2014-09-01
Series:Frontiers in Oncology
Subjects:
Online Access:http://journal.frontiersin.org/Journal/10.3389/fonc.2014.00238/full
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author Barbara eMelosky
Vera eHirsh
author_facet Barbara eMelosky
Vera eHirsh
author_sort Barbara eMelosky
collection DOAJ
description Tyrosine kinase inhibitors (TKIs) against the epidermal growth factor receptor (EGFR) are the standard of care treatment in non-small cell lung cancer (NSCLC). TKIs are used first line in EGFR mutation-positive NSCLC; erlotinib is the only TKI approved for subsequent lines of treatment in EGFR wild-type NSCLC. As promising as TKIs are in helping patients avoid some of the side effects of traditional cytotoxic chemotherapy, they do come with a variety of side effects.This article will describe the most common adverse events associated with the epidermal EGFR family of TKIs including diarrhea, rash, mucositis, and paronychia. The objective of this paper is to provide simple guidelines to assist oncologists in managing these common toxicities. As patient survival is often directly correlated with successful therapeutic drug delivery, the management of TKI- induced adverse events ensures proper treatment and may avoid discontinuation or reduction of the therapeutic.
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spelling doaj.art-3d1b2a1cc35045c3a754a9d75c29ba8f2022-12-21T23:51:05ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2014-09-01410.3389/fonc.2014.00238100701Management of Toxicities in Metastatic NSCLC Related to Anti-Lung Cancer Therapies with EGFR-TKIsBarbara eMelosky0Vera eHirsh1British Columbia Cancer Agency (BCCA) - Vancouver CentreMcGill University Health Centre - Royal Victoria HospitalTyrosine kinase inhibitors (TKIs) against the epidermal growth factor receptor (EGFR) are the standard of care treatment in non-small cell lung cancer (NSCLC). TKIs are used first line in EGFR mutation-positive NSCLC; erlotinib is the only TKI approved for subsequent lines of treatment in EGFR wild-type NSCLC. As promising as TKIs are in helping patients avoid some of the side effects of traditional cytotoxic chemotherapy, they do come with a variety of side effects.This article will describe the most common adverse events associated with the epidermal EGFR family of TKIs including diarrhea, rash, mucositis, and paronychia. The objective of this paper is to provide simple guidelines to assist oncologists in managing these common toxicities. As patient survival is often directly correlated with successful therapeutic drug delivery, the management of TKI- induced adverse events ensures proper treatment and may avoid discontinuation or reduction of the therapeutic.http://journal.frontiersin.org/Journal/10.3389/fonc.2014.00238/fullDiarrheaParonychiaEGFRTyrosine kinase inhibitor (TKI)Adverse event managementRash
spellingShingle Barbara eMelosky
Vera eHirsh
Management of Toxicities in Metastatic NSCLC Related to Anti-Lung Cancer Therapies with EGFR-TKIs
Frontiers in Oncology
Diarrhea
Paronychia
EGFR
Tyrosine kinase inhibitor (TKI)
Adverse event management
Rash
title Management of Toxicities in Metastatic NSCLC Related to Anti-Lung Cancer Therapies with EGFR-TKIs
title_full Management of Toxicities in Metastatic NSCLC Related to Anti-Lung Cancer Therapies with EGFR-TKIs
title_fullStr Management of Toxicities in Metastatic NSCLC Related to Anti-Lung Cancer Therapies with EGFR-TKIs
title_full_unstemmed Management of Toxicities in Metastatic NSCLC Related to Anti-Lung Cancer Therapies with EGFR-TKIs
title_short Management of Toxicities in Metastatic NSCLC Related to Anti-Lung Cancer Therapies with EGFR-TKIs
title_sort management of toxicities in metastatic nsclc related to anti lung cancer therapies with egfr tkis
topic Diarrhea
Paronychia
EGFR
Tyrosine kinase inhibitor (TKI)
Adverse event management
Rash
url http://journal.frontiersin.org/Journal/10.3389/fonc.2014.00238/full
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