[Tyrosine kinase inhibitors and pregnancy: A risk to the fetus?]

Bull Cancer. 2016 May;103(5):478-83. doi: 10.1016/j.bulcan.2016.02.001. Epub 2016 Mar 8.
[Article in French]

Abstract

The association of cancer and pregnancy is increasingly frequent. This is related, partially, to the increasingly belated age of pregnancy. The management of cancer in pregnancy is a complicated issue. The use of tyrosine kinase inhibitors (TKIs) during pregnancy remains rare and only few data are available concerning their transplacental passage. The aim of this work is to review the data described in the literature, in order to highlight the risks incurred by the fetus, associated with these TKIs' treatment. Up to 189 pregnancies of women treated with TKIs during part or throughout their pregnancy have been described. Clinical data are reassuring and would be in favor of taking the treatment in terms of the balance maternal profit versus fetal risk. These data must, nevertheless, be interpreted with caution.

Keywords: Cancer; Grossesse; Inhibiteurs de tyrosine kinase; Pregnancy; Tyrosine kinase inhibitors.

Publication types

  • Review

MeSH terms

  • Abnormalities, Drug-Induced
  • Adult
  • Antineoplastic Agents / adverse effects*
  • Antineoplastic Agents / pharmacokinetics
  • Dasatinib / adverse effects
  • Erlotinib Hydrochloride / adverse effects
  • Female
  • Fetus / drug effects*
  • Gefitinib
  • Humans
  • Imatinib Mesylate / adverse effects
  • Imatinib Mesylate / pharmacokinetics
  • Lapatinib
  • Maternal Age
  • Placenta / metabolism
  • Pregnancy
  • Pregnancy Complications, Neoplastic / drug therapy*
  • Pregnancy Complications, Neoplastic / metabolism
  • Protein Kinase Inhibitors / adverse effects*
  • Protein Kinase Inhibitors / pharmacokinetics
  • Protein-Tyrosine Kinases / antagonists & inhibitors*
  • Protein-Tyrosine Kinases / pharmacokinetics
  • Pyrimidines / adverse effects
  • Quinazolines / adverse effects
  • Risk

Substances

  • Antineoplastic Agents
  • Protein Kinase Inhibitors
  • Pyrimidines
  • Quinazolines
  • Lapatinib
  • Imatinib Mesylate
  • Erlotinib Hydrochloride
  • Protein-Tyrosine Kinases
  • nilotinib
  • Dasatinib
  • Gefitinib