Targeted Therapy Flashcards

1
Q

Does Crizotinib need adjustment for renal dysfunction, hepatic dysfunction, both, or neither?

A

both

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2
Q

Does alectinib need adjustment for renal dysfunction, hepatic dysfunction, both, or neither?

A

hepatic

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3
Q

Does brigatinib need adjustment for renal dysfunction, hepatic dysfunction, both, or neither?

A

both

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4
Q

Does lorlatinib need adjustment for renal dysfunction, hepatic dysfunction, both, or neither?

A

None

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5
Q

ALK inhibitor that has highest incidence of pneumonitis

A

brigatinib

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6
Q

ALK inhibitor with highest incidence of visual disturbance

A

crizotinib

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7
Q

Drug class that has bradycardia, pneumonitis, N/V, visual disturbance, diarrhea

A

ALK inhibitors

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8
Q

Black box warnings for IV VEGF mAbs (3)

A

Bleeding
Wound healing complications
GI perf

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9
Q

Sorafenib need adjustment for renal dysfunction, hepatic dysfunction, both, or neither?

A

Renal

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10
Q

Does axitinib need adjustment for renal dysfunction, hepatic dysfunction, both, or neither?

A

hepatic

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11
Q

Does cabozantinib need adjustment for renal dysfunction, hepatic dysfunction, both, or neither?

A

hepatic

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12
Q

What drug class has these SEs? Bleeding, impaired wound healing, Nephrotic syndrome, PRES, GI perforation, Thyroiditis, Arthralgias, hand-foot, hepatotoxicity

A

VEGF TKIs

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13
Q

What two VEGF TKIs have hair color changing

A

pazopanib
Cabozantinib

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14
Q

Which VEGF TKI increases INR

A

regorafenib

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15
Q

Does cetuximab need adjustment for renal dysfunction, hepatic dysfunction, both, or neither?

A

none

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16
Q

Does osimertinib need adjustment for renal dysfunction, hepatic dysfunction, both, or neither?

A

none

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17
Q

Which class has these AEs? Diarrhea, paronychia, rash, xeroderma, LFTs, pneumonitis

18
Q

What are three class effects of EGFR TKIs?

A

Diarrhea
Paronychia
Rash

19
Q

Does trastuzumab need adjustment for renal dysfunction, hepatic dysfunction, both, or neither?

20
Q

Does pertuzumab need adjustment for renal dysfunction, hepatic dysfunction, both, or neither?

21
Q

Does enhertu need adjustment for renal dysfunction, hepatic dysfunction, both, or neither?

22
Q

Does TDM1 need adjustment for renal dysfunction, hepatic dysfunction, both, or neither?

23
Q

Class effect of anti-HER2 (2)

A

Cardiomyopathy
Diarrhea

24
Q

Which drug class has these effects? Fatigue, CPK increase, dysgeusia, muscle spasm, arthralgia

A

Hedgehog inhibitors

25
Does everolimus need adjustment for renal dysfunction, hepatic dysfunction, both, or neither?
Hepatic
26
Monitoring needed while on everolimus (3)
Urinary protein A1c FLP
27
Which class has this AE profile? Edema, dyslipidemia, hyperglycemia, stomatitis, LFTs
mTOR inhibitors
28
Does olaparib need adjustment for renal dysfunction, hepatic dysfunction, both, or neither?
Renal
29
Which class has this AE profile? N/V, anemia, neutropenia, thrombpcytopenia, fatigue, MDS/AML warning
PAPR inhibitors
30
Which class has this AE profile? Hyperphos, onycholysis, xerodermia, Retinal pigment epithelium detachment.
FGFR inhibitors
31
Which class has this AE profile? CNS toxicity, LFTs, edema, fatigue, arthralgia, bone fracture
NTRK inhibitors
32
Which class has this AE profile? Pyrexia, arthralgia, QT prolongation, LFTs, cardiomyopathy
BRAK/MEK inhihitors
33
Do the CDK4/6 inhibitors need adjustment for renal dysfunction, hepatic dysfunction, both, or neither?
Hepatic Ribo needs dose reduction for renal dysfunction
34
MoA avapritinib
PDGFR inhibitor
35
MoA ripretinib
PDGFR inhibitors
36
What class has these AEs? Peripheral edema, dyspnea, increased Cr, L:FTs, pyrexia, lymphocytopenia, hyponia
MET inhibitors
37
MoA Selpercatinib
RET inhibitor
38
MoA Pralsetinib
RET inhibitor
39
What class has this AE profile? Diarrhea, LFTs, MSK pain, cardiotoxic, edema, pneumonitis
KRAS inhibitors
40
MoA Enfortumab vedotin
Anti-Nectin 4 ADC
41
When to hold HER2 directed therapy for LVEF?
16% or more drop in EF from baseline OR if EF 10% decrease
42