Pharm cancer IV Flashcards
imatinib class
tyrosine kinase inhibitor (CML)
imatinib mechanism
inhibits abl kinase by binding where ATP should go; also inhibits PDGFR and c-kit; metabolized by cytochrome P450
imatinib side effects
nausea, vomiting, fluid retention, muscle cramps, arthralgia
rituximab mechanism
CD20 B-cell antibody that can directly activate apoptosis, complement, or cell-mediated cytotoxicity (non-hodgkin’s lymphomas)
rituximab side effects
infusion reactions, tumor lysis syndrome, severe mucocutaneous reactions, progressive multifocal leukoencephalopathy
trastuzumab mechanism
HER2/neu receptor antibody mechanism
trastuzumab side effects
hypersensitivity reaction; ventricular dysfunction
ado-trastuzumab emtansine (kadcyla) class
antibody-drug conjugate
ado-trastuzumab emtansine (kadcyla) mechanism
conjugate undergoes receptor-dependent internalization and drug is released inside the cell
ado-trastuzumab emtansine (kadcyla) side effects
fatigue, nausea, musculoskeletal pain, thrombocytopenia, headache, hypokalemia, peripheral neuropathy, ventricular dysfunction, interstitial lung disease
nivolumab mechanism
antibody that prevent T cell from turning off by inhibiting programmed cell death protein 1
nivolumab side effects
rash, itching, couch, upper resp tract infections, edema, fatigue, SOB, musculoskeletal pain, decreased appetite, nausea, consitpation
vemurafenib class
serine/threonine kinase inhibitor
vemurafenib mechanism
inhibits oncogenic BRAF kinase`
vemurafenib side effects
arthralgia, fatigue, photosensitivity, nausea, alopecia, diarrhea, QT prolongation