Platinum hypersensitivity and desensitization

Jpn J Clin Oncol. 2015 Sep;45(9):795-804. doi: 10.1093/jjco/hyv081. Epub 2015 Jun 7.

Abstract

Platinum agents are drugs used for various types of cancer. With increased frequency of administration of platinum agents, hypersensitivity reactions appear more frequently, occurring in over 25% of cases from the seventh cycle or second line onward. It then becomes difficult to conduct treatment using these agents. Various approaches have been investigated to address hypersensitivity reactions to platinum agents. Desensitization, which gradually increases the concentration of the anticancer drug considered to be the antigen until the target dosage, has been reported as being particularly effective, with a success rate of 80-100%. The aims of this paper are to present the current findings regarding hypersensitivity reactions to platinum agents and to discuss attempts of using desensitization against hypersensitivity reactions worldwide.

Keywords: desensitization; hypersensitivity; platinum.

Publication types

  • Review

MeSH terms

  • Antineoplastic Agents / adverse effects*
  • Antineoplastic Agents / therapeutic use
  • Desensitization, Immunologic*
  • Dexamethasone / therapeutic use
  • Drug Hypersensitivity / drug therapy
  • Drug Hypersensitivity / epidemiology
  • Drug Hypersensitivity / etiology*
  • Humans
  • Neoplasms / drug therapy
  • Organoplatinum Compounds / adverse effects*
  • Organoplatinum Compounds / therapeutic use
  • Risk Factors

Substances

  • Antineoplastic Agents
  • Organoplatinum Compounds
  • Dexamethasone