[Efficacy of a Dexamethasone Dose Escalation Regimen with a Cumulative Dose for Preventing Oxaliplatin Hypersensitivity Reactions]

Gan To Kagaku Ryoho. 2022 Jul;49(7):769-773.
[Article in Japanese]

Abstract

Oxaliplatin is a platinum complex antineoplastic agent widely used for chemotherapy of colorectal cancer. However, one of its side effects is hypersensitivity reactions, the incidence of which increases with a cumulative dose, thereby posing a difficulty to continue oxaliplatin use. Our hospital changed the premedication of oxaliplatin in August 2009 and September 2012. We retrospectively investigated the usefulness of these premedication changes. The results showed no significant difference in the incidence of hypersensitivity between the control group(12.1%)and the group receiving H1 and H2-blockers (12.3%); however, the incidence of hypersensitivity was significantly reduced in the group receiving increased dexamethasone based on the number of courses(2.7%). Therefore, our regimen was found to be effective in preventing hypersensitivity reactions to oxaliplatin.

MeSH terms

  • Antineoplastic Agents* / adverse effects
  • Dexamethasone / therapeutic use
  • Drug Hypersensitivity* / etiology
  • Drug Hypersensitivity* / prevention & control
  • Humans
  • Oxaliplatin / adverse effects
  • Retrospective Studies

Substances

  • Antineoplastic Agents
  • Oxaliplatin
  • Dexamethasone