Cancer Drugs MOAs and AEs Flashcards
Carboplatin/Cisplatin
Forms DNA intrastrand crosslinks and adducts
Cyclophosphamide/Ifosfamide
Pro-drug of active alkylating moiety
Docetaxel/Paclitaxel
Microtubule stabilizer inhibiting depolymerization
Doxorubicin
Intercalator, free radical generator, too II inhibitor
Etoposide, VP-16
DNA-topo II complex stabilizer
Gemcitabine
DNA polymerase inhibitor via incorporation of triphosphate form during DNA synthesis
Irinotecan/Topotecan
DNA-topo I complex stabilizer
Pemetrexad
DHFR Inhibitor
Vincristine/Vinorelbine
Microtubule inhibitor; tubules disintegrate into spiral aggregates/ protofilaments
Which is more toxic, Cisplatin or Carboplatin?
Cisplatin
Toxicities of Carboplatin/Cisplatin?
-**Nephro and ototoxicity (dose-limiting toxicity)-peripheral neuropathy (more in cisplatin- numbness in distal extremities)
What drug is often given with Carboplatin/Cisplatin to prevent nephrotoxicity?
Amifostine
AEs of Cyclophosphamide /Ifosfamide
Hemorrhagic cystitis from acrolein
AEs of Docetaxel/Paclitaxel
-hypersensitivity-diarrhea-mucositis-peripheral neuropathy
AEs of Doxorubicin?
-red-orange urine -chronic cardiomyopathy and CHF from free radicals-cardiac arryhthmias