Antineoplastic Agents III Flashcards
steroid hormones
antilymphocytic effect
common combo therapy
imatinib
protein tyrosine kinase inhibitor
inhibits tyrosine kinase domain of BCR-ABL oncoprotein
hepatic metabolism CYP 450
tx of CML
with t(9;22)
imatinib
dasatinib
also used for 9;22 CML
protein tyrosine kinase inhibitor
trastuzumab
monoclonal antibody
MOA trastuzumab
binds to Her2/neu and inhibits intracellular signaling for proliferation
breast cancer
her2/neu
tx trastuzumab
cardiotoxicity
trastuzumab
CD20
non-hodgkin lymphoma
rituximab
ibritumomab
tositumomab
CD52
CLL
alemtuzumab
CD33
AML
gemtuzumab
HER2/neu
breast cancer
trastuzumab
EGFR
colorectal, lung, pancreatic, breast cancer
cetuximab
VEGF
colorectal lung cancer
bevacizumab
vaccines
can reduce burden of cancer
therapeutic or prophylactic
cisplatin
platinum coordinate complex
considered alkylating agent
cyclphosphamide
nitrogen mustard - alkylating agent
ifosfamide
nitrogen mustard - alkylating agent
busulfan
alkyl sulfonate - alkylating agent
antimetabolites
CCS - s phase
epipodophyllotoxins
CCS - s-g2 phase
vinca alkaloids
CCS m phase
taxanes
CCS - m phase
camptothecins
CCS - S phase
bleomycin
CCS - G2-M phase
alkylating agents
CCNS
anthracyclines
CCNS
platinum analogs
CCNS
burkitt lymphoma
high growth fraction
curable with chemo
colorectal carcinoma
low growth fraction
minor chem activity
ATP dependent transporter
anthracyclines vinca alkaloids etoposide paclitaxel dactinomycin
ondansetron
for nausea/vomiting
alkylating agent MOA
covalent link with DNA
inter or intra strand
pulmonary fibrosis
busulfan
antimetabolites
CCS - S phase
methotrexate, 5-FU, 6-mercaptopurine
inhibits dihydrofolate reductase
methotrexate
cancer, rheumatoid arthritis, psoriasis
leucovorin
rescue normal cells from high dose methotrexate
reduced folate can bypass DHFR
stabilize microtubules
taxanes
inhibit microtubule assembly
vinca alkaloides
type I topoisomerase inhibitors
cut one strand of dsDNA
camptothecins
type II topoisomerase inhibitors
cut both strands of dsDNA
etoposide, doxorubicin
all anticancer antiboitics products of
streptomyces species of bacteria
dysrhythmia and heart failure
anthracyclines - doxorubicin
contraindicated with HIV positive and CD0 DLBCL
vinblastine
confusion
asparaginase
parasthesias
vincristine