Targeted Toxicities: Protocols for Monitoring the Adverse Events of Targeted Therapies Used in the Treatment of Non-Small Cell Lung Cancer

Targeted therapies have revolutionized the treatment for many patients with non-small cell lung cancer (NSCLC). Multiple new oral targeted therapies have been approved in the last decade; however, their overall efficacy may be reduced by poor adherence, treatment interruptions, or dose reductions du...

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Main Authors: Jacobi B. Hines, Benjamin Bowar, Emma Levine, Alessandra Esposito, Marina C. Garassino, Christine M. Bestvina
Format: Article
Language:English
Published: MDPI AG 2023-05-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/24/11/9429
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author Jacobi B. Hines
Benjamin Bowar
Emma Levine
Alessandra Esposito
Marina C. Garassino
Christine M. Bestvina
author_facet Jacobi B. Hines
Benjamin Bowar
Emma Levine
Alessandra Esposito
Marina C. Garassino
Christine M. Bestvina
author_sort Jacobi B. Hines
collection DOAJ
description Targeted therapies have revolutionized the treatment for many patients with non-small cell lung cancer (NSCLC). Multiple new oral targeted therapies have been approved in the last decade; however, their overall efficacy may be reduced by poor adherence, treatment interruptions, or dose reductions due to adverse events. Most institutions lack standard monitoring protocols for toxicities from these targeted agents. This review describes important adverse events observed in clinical trials and reported by the U.S. Food and Drug Administration for both currently approved and upcoming promising therapies in the treatment of NSCLC. These agents cause a range of toxicities, including dermatologic, gastroenteric, pulmonary, and cardiac toxicities. This review proposes protocols for routine monitoring of these adverse events, both prior to initiation of therapy and while on treatment.
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spelling doaj.art-4edc3a1d8e8a4035a04b579c9e6030bb2023-11-18T07:58:53ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672023-05-012411942910.3390/ijms24119429Targeted Toxicities: Protocols for Monitoring the Adverse Events of Targeted Therapies Used in the Treatment of Non-Small Cell Lung CancerJacobi B. Hines0Benjamin Bowar1Emma Levine2Alessandra Esposito3Marina C. Garassino4Christine M. Bestvina5Department of Medicine, Section of Hematology/Oncology, University of Chicago Medical Center, Chicago, IL 60637, USADepartment of Medicine, Section of Hematology/Oncology, University of Chicago Medical Center, Chicago, IL 60637, USABooth School of Business, University of Chicago, Chicago, IL 60637, USADepartment of Medicine, Section of Hematology/Oncology, University of Chicago Medical Center, Chicago, IL 60637, USADepartment of Medicine, Section of Hematology/Oncology, University of Chicago Medical Center, Chicago, IL 60637, USADepartment of Medicine, Section of Hematology/Oncology, University of Chicago Medical Center, Chicago, IL 60637, USATargeted therapies have revolutionized the treatment for many patients with non-small cell lung cancer (NSCLC). Multiple new oral targeted therapies have been approved in the last decade; however, their overall efficacy may be reduced by poor adherence, treatment interruptions, or dose reductions due to adverse events. Most institutions lack standard monitoring protocols for toxicities from these targeted agents. This review describes important adverse events observed in clinical trials and reported by the U.S. Food and Drug Administration for both currently approved and upcoming promising therapies in the treatment of NSCLC. These agents cause a range of toxicities, including dermatologic, gastroenteric, pulmonary, and cardiac toxicities. This review proposes protocols for routine monitoring of these adverse events, both prior to initiation of therapy and while on treatment.https://www.mdpi.com/1422-0067/24/11/9429non-small cell lung cancermolecular targeted therapiesadverse drug eventstoxicitypharmacovigilance
spellingShingle Jacobi B. Hines
Benjamin Bowar
Emma Levine
Alessandra Esposito
Marina C. Garassino
Christine M. Bestvina
Targeted Toxicities: Protocols for Monitoring the Adverse Events of Targeted Therapies Used in the Treatment of Non-Small Cell Lung Cancer
International Journal of Molecular Sciences
non-small cell lung cancer
molecular targeted therapies
adverse drug events
toxicity
pharmacovigilance
title Targeted Toxicities: Protocols for Monitoring the Adverse Events of Targeted Therapies Used in the Treatment of Non-Small Cell Lung Cancer
title_full Targeted Toxicities: Protocols for Monitoring the Adverse Events of Targeted Therapies Used in the Treatment of Non-Small Cell Lung Cancer
title_fullStr Targeted Toxicities: Protocols for Monitoring the Adverse Events of Targeted Therapies Used in the Treatment of Non-Small Cell Lung Cancer
title_full_unstemmed Targeted Toxicities: Protocols for Monitoring the Adverse Events of Targeted Therapies Used in the Treatment of Non-Small Cell Lung Cancer
title_short Targeted Toxicities: Protocols for Monitoring the Adverse Events of Targeted Therapies Used in the Treatment of Non-Small Cell Lung Cancer
title_sort targeted toxicities protocols for monitoring the adverse events of targeted therapies used in the treatment of non small cell lung cancer
topic non-small cell lung cancer
molecular targeted therapies
adverse drug events
toxicity
pharmacovigilance
url https://www.mdpi.com/1422-0067/24/11/9429
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