Successful desensitization of a patient with cetuximab hypersensitivity: A case report

J Oncol Pharm Pract. 2019 Oct;25(7):1726-1730. doi: 10.1177/1078155218793505. Epub 2018 Aug 24.

Abstract

Background: Severe hypersensitivity reaction is a dangerous adverse drug reaction in patients receiving cetuximab. It requires drug discontinuation and medical management.

Case description: A 48-year-old man, previously diagnosed with metastatic colorectal cancer, was admitted for therapy continuation. During the first infusion of cetuximab, the patient experienced acute signs of hypersensitivity reactions. The treatment team decided to administer cetuximab employing the desensitization protocol.

Conclusions: This study reports a severe hypersensitivity reaction to cetuximab in an adult patient with colorectal cancer. This patient was successfully managed with a new safe and rapid desensitization protocol.

Keywords: Cetuximab; desensitization; hypersensitivity reactions.

Publication types

  • Case Reports

MeSH terms

  • Antineoplastic Agents / administration & dosage*
  • Antineoplastic Agents / adverse effects
  • Cetuximab / administration & dosage*
  • Cetuximab / adverse effects
  • Colorectal Neoplasms / drug therapy
  • Desensitization, Immunologic / methods*
  • Drug Hypersensitivity / etiology
  • Humans
  • Male
  • Middle Aged

Substances

  • Antineoplastic Agents
  • Cetuximab