Dermatological reactions to the multitargeted tyrosine kinase inhibitor sunitinib.

Background: The multikinase inhibitor sunitinib has enhanced the treatment of renal cell carcinoma and gastrointestinal stromal tumor through an improved clinical response with decreased systemic toxicities. However, sunitinib is frequently associated with dermatological adverse reactions. The physi...

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Publicado en:Supportive Care in Cancer Vol. 16; no. 6; pp. 557 - 567
Autores principales: Rosenbaum SE, Wu S, Newman MA, West DP, Kuzel T, Lacouture ME, Rosenbaum, S E, Wu, S, Newman, M A, West, D P, Kuzel, T, Lacouture, M E
Formato: research Journal Article
Publicado: Springer Nature Jun2008
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Springer Nature
      place: New York, New York
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        atl: Dermatological reactions to the multitargeted tyrosine kinase inhibitor sunitinib.
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        au:
          Rosenbaum SE
          Wu S
          Newman MA
          West DP
          Kuzel T
          Lacouture ME
          Rosenbaum, S E
          Wu, S
          Newman, M A
          West, D P
          Kuzel, T
          Lacouture, M E
        affil: Department of Dermatology, Northwestern University, Feinberg School of Medicine, 676 N. St. Clair St., Suite 1600, Chicago, IL 60611, USA
      sug:
        subj:
          Angiogenesis Inhibitors Adverse Effects
          Dermatitis Medicamentosa Etiology
          Heterocyclic Compounds Adverse Effects
          Indoles Adverse Effects
          Transferases Antagonists and Inhibitors
          Dermatitis Medicamentosa Epidemiology
          Dermatitis Medicamentosa Prevention and Control
          Incidence
          Quality of Life
          Human
      ab: Background: The multikinase inhibitor sunitinib has enhanced the treatment of renal cell carcinoma and gastrointestinal stromal tumor through an improved clinical response with decreased systemic toxicities. However, sunitinib is frequently associated with dermatological adverse reactions. The physical and psychosocial impact of frequent dermatological toxicities can affect consistent antineoplastic therapy and quality of life.Patients and Methods: Dermatological adverse reaction information was compiled from Pfizer Medical Information and from abstracts from the 2007 American Society of Clinical Oncology annual meeting, Prostate Cancer Symposium, and Gastrointestinal Cancers Symposium. Published clinical trials of sunitinib in MEDLINE, Cochrane Library, Cochrane Controlled Trials Register, and EMBASE Drugs and Pharmacology databases were also included. Information was accessed on or before June 30, 2007.Results: In the pooled analysis, all-grade hand-foot skin reaction occurred in 19% of patients (5% grades 3-4), skin discoloration in 28% (0% grades 3-4), dry skin in 16% (1% grades 3-4), skin rash in 13% (1% grades 3-4), dermatitis in 8% (2% grades 3-4), hair color changes in 10% (0% grades 3-4), alopecia in 6% (0% grades 3-4), and phototoxicity in <0.1%.Conclusions: Dermatological reactions associated with sunitinib occur frequently. Evidence-based treatment recommendations are needed in order to maximize quality of life and optimize clinical outcome.
      pubtype: Academic Journal
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        research
        Journal Article
      ougenre: Article
    language: English
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