Trastuzumab induces gastrointestinal side effects in HER2-overexpressing breast cancer patients

被引:20
作者
Al-Dasooqi, Noor [1 ,2 ]
Bowen, Joanne M. [1 ,3 ]
Gibson, Rachel J. [1 ,4 ]
Sullivan, Thomas [5 ]
Lees, Jude [6 ]
Keefe, Dorothy M. [1 ,3 ,7 ]
机构
[1] Royal Adelaide Hosp, Dept Med Oncol, Adelaide, SA 5000, Australia
[2] Univ Adelaide, Dept Physiol, Adelaide, SA, Australia
[3] Univ Adelaide, Dept Med, Adelaide, SA 5001, Australia
[4] Univ Adelaide, Discipline Anat Sci, Adelaide, SA, Australia
[5] Univ Adelaide, Discipline Publ Hlth, Adelaide, SA, Australia
[6] Royal Adelaide Hosp, RAH Canc Ctr, Adelaide, SA 5000, Australia
[7] Canc Council S Australia, Eastwood, SA, Australia
关键词
HER2-overexpressing breast cancer; Targeted therapy; Trastuzumab; Gastrointestinal tract; Toxicity; ADJUVANT CHEMOTHERAPY; MONOCLONAL-ANTIBODY; MUCOSAL INJURY; EXPRESSION; ERBB2; THERAPY; COMPLEX; EMESIS; LIGAND;
D O I
10.1007/s10637-008-9152-1
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Purpose: To characterise the gastrointestinal toxicities associated with Trastuzumab administration in HER2-overexpressing breast cancer patients. Methods: All patients (n = 46) who received Trastuzumab as a single agent or in conjunction with conventional anti-cancer treatment within the Royal Adelaide Hospital Cancer Centre from 2002-2007 were included in this study. A retrospective analysis of case-notes was conducted to investigate the toxicities associated with Trastuzumab. Results: Trastuzumab as a single agent induced toxicities following 22% of administrations. Gastrointestinal toxicities were observed following 12% of administrations and included nausea and vomiting, diarrhoea, abdominal pain and bloating. However, other prominent toxicities that were not related to the gastrointestinal tract were also observed including fatigue and lung symptoms (10.4%). Elderly patients (a parts per thousand yen60 years) and those with metastatic disease experienced the highest frequency of toxicity. Conclusion: Trastuzumab induces a range of gastrointestinal toxicities in HER2-overexpressing breast cancer patients. These toxicities are separate to those caused by concurrent chemotherapy and/or radiotherapy.
引用
收藏
页码:173 / 178
页数:6
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