Antineoplastics
Transcript of Antineoplastics
Reactions 1316 - 28 Aug 2010
SAntineoplastics
Various toxicities: 3 case reportsIn a study, three patients developed various toxicities
during chemotherapy including erlotinib, gemcitabine,cisplatin and carboplatin for non-small cell lung cancer[routes and dosages not stated].
A 71-year-old woman commenced erlotinib, andsubsequently developed GI toxicity and an intense rash[time to reaction onset not stated]. Erlotinib was reduced to100mg and her symptoms partially resolved. After5 months of treatment, her disease progressed and shedied.
A 53-year-old woman developed haematological toxicityafter receiving one cycle of gemcitabine and cisplatin. Shewas then administered one cycle of gemcitabine andcarboplatin, with recurrence of haematological toxicity[outcome not stated]. Further chemotherapy consisted ofgefitinib, but she subsequently died of disease progression.
A 51-year-old man initiated chemotherapy withgemcitabine and cisplatin, but developed haematologicaltoxicity and an allergic reaction after one cycle [outcomenot stated]. Further chemotherapy included erlotinib, buthis disease progressed and he died.
Author comment: The authors identified an additionaltwo patients who received chemotherapy for NSCLC, butthese patients did not developed ADRs.Benesova L, et al. Multiplicity of EGFR and KRAS mutations in Non-small CellLung Cancer (NSCLC) patients treated with tyrosine kinase inhibitors. AnticancerResearch 30: 1667-1671, May 2010 - Czech Republic 803035781
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