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15 Cards in this Set

  • Front
  • Back
Monoclonal Ab
ok
Avastin

Target?
1 Primary SE?
5 Other SE?
Bevacizumab - VEGF-A

GI perforation (fatal)

Impaired wound healing, thrombosis, bleeding, nephrotic synd, proteninuria
Rituxan

Target?
4 Primary SE?
Rituximab - CD-20

CD-20 target on lymphocytes; kills CA cell but release cytokines

Prior to infusion, admin DPH & APAP

Infusion rxn (fatal)
TLS
Myelosuppression
Infxn
Erbitux

Target?
4 Primary SE?
Cetuximab - EGFR-A

EGFR expression - good response
K-ras mutation - poor response

Prior to infusion, admin DPH

Infusion rxn, cardiopulmonary arrest, Mg/Ca wasting, acne-like rash (1st few weeks of tx)
Herceptin

Target?
1 Toxicity?
2 Primary SE?
Trastuzumab - HER2/neu

HER2/neu overexpression req for use

Prior to infusion, admin H1-blocker

Pulmonary Toxicity

Cardiomyopathy (avoid use w/ athracyclines), Allergic Infusion runs
N/V/D, joint pain
Tyrosine Kinase INH (TKI)

Class DI
Significant DI w/ 3A4 INH
Xalkori

Target?
Dose?
3 Primary SEs?
DI?
Test?
Crizotinib

ALK - regulate growth in NSLC (prevalent in non-smokers/light smokers)

PO BID w/o regard to food

Test if ALK positive - req

Vision disturbances
Constipation
Pneumonitis
Bosulif

Target?
Dose?
Test?
Primary SE?
Bosutinib - BCR-ABL TKI

WC - PO QD

Test if BCR-ABL positive - req

DIarrhea
Sprycel

Target?
Test?
Dasatinib - BCR-ABL TKI

Test if BCR-ABL positive - req

Pleural effusion
Gleevec

Dose?
Target?
Test?
4 Primary SE?
Imatinib - BCR-ABL TKI

WC + Water - PO

Test if BCR-ABL positive - req

Ph+ CML or cKIT (CD117)-positive stromal tumors (GIST)

Fluid retention
CHF
Skin Rashes
Leukopenia, thrombocytopenia
Tasigna

Dose?
Target?
Test?
1 Primary SE?
Nilotinib - BCR-ABL TKI

Empty stomach - PO BID

Test if BCR-ABL positive - req

Prolong QT interval
Zelboraf

Target?
Test?
2 Primary SE?
Vemurafenib - BRAF TKI

Test if BRAF positive melanoma (not wild type) + V600E mutation - req

Dermatologic d/o
QT prolongation
Tarceva

Target?
Dose?
2 Primary SE?
Erlotonib - EGFR TKI

EGFR target - adenocarcnom NSCLC req

PO PC (1H before, 2H after)

Diarrhea, acneiform rash
Tykerb

Target?
Ix?
Dose?
SE?
Lapatinib - HER2/neu TKI

Ix: metastatic breast CA (failed trastuzumab/chemo)

Empty stomach

Dec LVEF, QT prolongation,
Jakafi

Target?
Substrate?
1 Primary SE?
Ruxolitinib - JAK1 & JAK2

3A4 substrate

Thrombocytopenia (dose-limititing toxicity)
Opportunistic Infxns