Chemo monoclonals Flashcards
Rituximab
-lymphoma (Hodgkins too)
Trastuzumab (Herceptin)
inhibitor oncogenic receptor HER2 human epidermal growth factor receptor 2)
-Breast cancer
——
-cardiotoxicity (reversible)
Bevacizumab
/
neutralizes VEGF (over expressed in cancer) preventing BV formation
——
-colorectal cancer
Catumaxomab
binds EpCAM (overexpressed by cancer) and flags cell for immune system
monoclonal side effects
hypotension
chills and fever
hypersensitivity
Imatinib (Gleevec)
Kinase inhibitor
inhibits mutant BCR-ABL gene and PDGFR (platelet growth factor) not good
Erlotinib
kinase inhibitor
inhibits EGFR (epidermal growth factor receptor)
——
-lung cancer
-pancreatic cancer
Sorafenib
kinase inhibitor
targets many VEGFR, PDGFR, Raf family
EGFR inhibitors
Erlotinib (lung)
Gefitinib (lung)
Afatinib (lung)
Osimertinib (lung)
Cetuximab (Colon)
Panitumumab (Colon
kinase inhibitor side effects
GI upset
Fatigue
Headaches
cardio toxicity
monoclonal vs small molecule
monoclonal and kinase inhibitors are more selective for cancer