Abstract
This article analyzes the risk of infection associated with small molecule kinase inhibitors used to treat solid organ malignancies and establishes specific recommendations. Most of these drugs are orally administered and have the ability to inhibit distinct kinases, which play a major role in cancer initiation and progression. Although the true extent of adverse events is not yet known, risk of infection does not seem to be a major problem with these drugs. Because of the limited clinical experience and the constant evolution of targeted therapies, recommendations may evolve in the near future.
Keywords:
ALK inhibitors; BRAF/MEK inhibitors; EGFR inhibitors; Immunosuppression; Kinase inhibitor; Targeted therapy; VEGFR inhibitors; mTOR inhibitors.
Copyright © 2020 Elsevier Inc. All rights reserved.
MeSH terms
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Administration, Oral
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Anaplastic Lymphoma Kinase / antagonists & inhibitors
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Anaplastic Lymphoma Kinase / genetics
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ErbB Receptors / antagonists & inhibitors
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ErbB Receptors / genetics
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Gene Expression Regulation, Neoplastic / drug effects
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Humans
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Mitogen-Activated Protein Kinase Kinases / antagonists & inhibitors
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Mitogen-Activated Protein Kinase Kinases / genetics
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Neoplasms / drug therapy*
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Neoplasms / genetics
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Precision Medicine
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Protein Kinase Inhibitors / administration & dosage*
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Protein Kinase Inhibitors / adverse effects
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Proto-Oncogene Proteins B-raf / antagonists & inhibitors
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Proto-Oncogene Proteins B-raf / genetics
Substances
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Protein Kinase Inhibitors
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ALK protein, human
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Anaplastic Lymphoma Kinase
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ErbB Receptors
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BRAF protein, human
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Proto-Oncogene Proteins B-raf
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Mitogen-Activated Protein Kinase Kinases