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9 Cards in this Set

  • Front
  • Back
Alkylators
Mechanism of Action: Damage DNA by adding a carbon adduct covalently to specific bases
Metabolism: ????
Toxicity: Myelosuppression, N/V, hair loss, ov/test failure, leukemia
Common examples: Nitrogen Mustard, Cyclophosphamide
Platinum Compounds
MOA: Damage DNA by adding platinum to the same DNA strand
Metabolism: Cleared by renal system, thus require renal function
Toxicity: Kidney damage, bone marrow suppression
Common examples: Cisplatin, Carboplatin, Oxaliplatin
Antimetabolites
MOA: Interfere with DNA synthesis by deleting pools of nucleotides
Metabolism:
Toxicity: Diarrhea, mouth sores, bone marrow suppression
Common Examples: Methotrexate, Fluorouracil (Capecitabine), Gemcitabine
Topoisomerase Inhibitors
MOA: Damage DNA by interfering with action of an enzyme needed for unwinding DNA for replication and transcription
Metabolism:
Toxicity: Anthracyclines (doxorubicin) - heart damage
Common Examples: Doxorubicin (Top II), Irinotecan (Top I), Etoposide
Microtubule Binding Agents
MOA: Disrupt mitosis by damaging the structure needed for the physical separation of chromosomes into daughter cells
Metabolism:
Toxicity: Peripheral neuropathy
Common examples: Vincristine (Vincas - prevent assembly), Vinorelbine, Paclitaxel, Docetaxel, Taxanes (prevent disassembly)
Hormonal Therapies
MOA: Interfere with hormones that stimulate cancer growth
Metabolism:
Toxicity:
Common examples: Tamoxifen (ER blocker), Aromatase Inhibitors (Anastrazole), LHRH Agonist
Antibodies
MOA: Bind specifically to protein targets on the surface of cancer cells
Metabolism:
Toxicity: Cardiac toxicity - trastuzumab; Leucopenia - Rituximab
Common examples: Trastuzumab, Rituximab, Cetuximab
Tyrosine Kinase Inhibitors
MOA: Interfere with specific growth factor receptors or intracellular messengers that have a tyrosine kinase function
Metabolism:
Toxicity:
Common examples: Sunitinib, Erlotinib, Lapatinib, Imatinib (Silver bullet for leukemia)
Immune Modulators
MOA: Inhibit new blood vessel formation by uncertain mechanisms
Metabolism:
Toxicity:
Common examples: Thalidomide, Lenalidomide