Categories Flashcards
Alkylating Agents
Nitrogen Mustards Methylhydrazine derivative Alkyl sulfonate nitrosoureas Triazenes Platinum coordination complexes
Nitrogen Mustards
Cyclophosphamid ifosfamide mechlorethamine melphalan chlorambucil
Methylhydrazine derivative
procarbazine
Alkyl Sulfonate
busulfan
Ntrosoureas
carmustine
streptozocin
bendamustine
Triazines
dacarbazine
temozolomide
Platinum Coordination complexes
cisplatin
carboplatin
oxaliplatin
Antimetabolites
Folic acid analogs
pyrimidine analogs
purine analogs
Folic acid analogs
methotrexate
pemetrexed
Pyrimidine analogs
Flourouracil capecitabine cytarabine gemcitabine 5-aza-cytidine deoxy-5-aza-cytidine
Purine analogs
mercaptopurine pentostatin fludarabine clofarabine nelarabine
Natural products
vinca alkaloids taxanes epipodophyllotoxins camptothecins antibiotics echinocandins anthracenedione enzymes
vinca alkaloids
vinblastine
vinorelbine
vincristine
taxanes
paclitaxel
docetaxel
epipodophyllotoxins
etoposide
teniposide
camptothecins
topotecan
irinotecan
antibiotics
doxorubicin
dactinomycin
daunorubicin
echinocandins
yondelis
anthracenedione
bleomycin
mitoxantrone
mitomycin C
Enzymes
l-asparaginase
pegaspargase
Hormones and antagonists
steroid hormones
progestins, antiestrogens, antiandrogens
Monoclonal Antibodies
Rituximab alemtuzumab gemtuzumab trastuzumab cetuximab bevacizumab ibritumomab tositumomab
Vaccines
Hep B vaccine
Gardasil (HPV vaccine)
Agents to min adverse effects
Sargramostim filgrastim and pegfilgrastin oprelvekin EPO/darbepoetin serotonin antagonists (ondansetron)
Misc agents
substituted urea differentiating agents biological response modifiers immunomodulators protein TK inhbitors proteasome inhibitor mTOR inhibitors
mTOR inhibitors
temsirolimus
everolimus
proteasome inhibitor
bortezomib
substituted urea
hydroxyurea
differentiating agents
tretinoin
arsenic trioxide
histone deacetylase inhibitor
biological response modifiers
interferon-alfa
interleukin-2
immunomodulators
thalidomide
lenalidomide
Protein TK inhib
imatinib dasatinib nilotinib gefitinib erlotinib sorafenib sunitinib lapatinib
Alkylating MOA
electrophiles-form covalent linkages with DNA
cross-linkng (prevents tumor from unwiding DNA for mRNA prod)
miscoding tru abn base pairing with T or excision of G (strand breakage)
CCNS
Alkylating SE
acute-N/V 30-60 min of IV, tissue damage at injection site
delayed-BM dep (leukopenia, thrombocytopen)
nephrotoxicity
alopecia
mucosal ulceration
intestinal denudation
Inc risk of 2 malig (AML)
Alkylating SE (cyclophosphamide)
hemorrhagic cystitis-accumulation acreolin
IV mesna to prevent
Alkylating SE (cisplatin)
renal tubular damage-hydration
ototoxicity-worse in kids, UL BL
NV
Alkylating SE (busulfan)
hyperpigmentation, pulmonary fibrosis, adrenal insuff
Antimetabolites MOA (foli acid analogs)
inhib dihydrofolate reductase, blocks conversion of folic acid to tetrahydrofolic acid
CCS (s-phase)
can give leucovorin to allow thymidine synthesis to proceed (sparing severe GI, BM tox)
Antimetabolites SE (folic acid)
mucositis, diarrhea, myelosuppresso with neutropenia/thrombocytopenia, N/V immunosuppression, hepatotox, fatigue
Antimetab MOA (pyrimidine, Fluorouracil)
prodrug, FdUMP covalently binds thymidylate synthetase blocks synth of thymidylate
interferes with DNA synth/fx, RNA processing, mRNA translation
CCS (s-phase)
Antimetab SE/USE (pyrimidine, 5-FU)
mostly used in colorectal cancer
anorexia, N/D, stomatitis