Epidermal growth factor receptor inhibitor-associated cutaneous toxicities: An evolving paradigm in clinical management

Thomas J. Lynch*, Ed S. Kim, Beth Eaby, Jody Garey, Dennis P. West, Mario E. Lacouture

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

284 Scopus citations

Abstract

Epidermal growth factor receptor inhibitors (EGFRIs) have demonstrated improved overall survival in patients with non-small cell lung cancer, pancreatic cancer, and colorectal cancer; however, their use is associated with dermatologic reactions of varying severity. The similar spectrum of events observed with monoclonal antibodies and tyrosine kinase inhibitors suggests such toxicities are a class effect. While such reactions do not necessarily require any alteration in EGFRI treatment, being best addressed through symptomatic treatment, there is limited evidence on which to base such therapies. In October 2006, at an international and interdisciplinary EGFRI dermatologic toxicity forum, the underlying mechanisms of these toxicities were discussed and commonly used therapeutic interventions were evaluated. Our aim was to reach a current consensus on management strategies. A three-tiered, EGFRI-focused toxicity grading system is suggested for the purposes of therapeutic decision making, and as a framework on which to build a stepwise approach to intervention. This approach to successful management is specifically tailored to accurately categorize dermatologic toxicity associated with EGFRIs, and can be easily applied by all health care professionals. The goal is to maximize quality of life in patients who are being treated with these agents - many of whom will be on these drugs for several months or even years.

Original languageEnglish (US)
Pages (from-to)610-621
Number of pages12
JournalOncologist
Volume12
Issue number5
DOIs
StatePublished - Nov 1 2007

Keywords

  • Cetuximab
  • Cutaneous toxicity
  • EGFR
  • Erlotinib
  • Panitumumab
  • Pathobiology Forum Consensus

ASJC Scopus subject areas

  • Oncology
  • Cancer Research

Fingerprint Dive into the research topics of 'Epidermal growth factor receptor inhibitor-associated cutaneous toxicities: An evolving paradigm in clinical management'. Together they form a unique fingerprint.

Cite this