Oncology Drugs and Pathways Flashcards
What are the four types of anti cancer drug therapies?
chemotherapy, endocrine therapy, molecularly targeted therapy, immunotherapy
What are the types of molecularly targeted therapies?
monoclonal antibodies, small molecule inhibitors, antibody drug conjugates
What is EGFR?
a tyrosine kinase receptor (ERBB-1) that has gain of function in many cancers
What monoclonal antibodies target EGFR?
cetuximab and panitumumab
What cancers are monoclonal antibodies targeting EGFR used in/
RAS wild type colorectal cancer and head and neck SCC
What are the side effects of monoclonal antibodies targeting EGFR?
aceniform rash, diarrhoea, stomatitis, hypomagnesaemia
Which tyrosine kinase inhibitors are used against EGFR?
erlotinib, gefitinib, afatinib
Which cancer is EGFR TKIs used for?
NSCLC with EGFR mutation
What are the side effets of EGFR TKIs?
acneiform rash, diarrhoea, fatigue, ocular changes, alopecia, nail changes, pulmonary toxicity, elevations in ALT/AST
What is the mechanism of acquired resistance to EGFR TKIs?
T790M mutation
What is osimertinib?
a 3rd generation EGFR TKI which is effective against T790M mutation
What is HER-2?
A TKR
What cancers is HER-2 overexpressed in?
breast cancer and gastric/GOJ cancers
What are the monoclonal antibodies against HER-2?
trastuzumab and pertuzumab
What is the TKI against HER-2?
lapatinib