Lenvatinib is the main treatment for advanced thyroid cancer that's resistant to radioactive iodine, but it can cause serious side effects that often lead to dose changes or interruptions.
Recent studies suggest that taking breaks ("planned drug holidays") from the medication could help manage these side effects while maintaining treatment effectiveness.
In a study involving 262 patients, those who took planned drug holidays showed significantly better clinical outcomes, including longer overall survival and progression-free survival rates compared to those who continued without breaks.
Antiangiogenic chemotherapy is crucial in cancer treatment, but no reliable way exists to predict its effects and side effects in patients.
A study used a nonmydriatic retinal camera to measure retinal blood vessel sizes in 10 colorectal cancer patients before and after they received specific chemotherapy drugs.
Results showed that patients who responded to treatment had a significant decrease in retinal microvessel diameters, suggesting that this measurement could serve as a useful biomarker for evaluating tumor response to antiangiogenic therapy.
A 57-year-old woman with HER2-positive recurrent gastric cancer developed severe thrombocytopenia (low platelet count) after starting treatment with S-1, oxaliplatin, and trastuzumab.
After ruling out oxaliplatin, her condition was linked to trastuzumab, confirmed by findings of abnormal megakaryocytes in her bone marrow and high levels of platelet-associated IgG.
Treatment with oral prednisolone quickly improved her platelet count, and she tolerated S-1 and oxaliplatin in later cycles without recurrence of severe thrombocytopenia.
Vitiligo is a skin condition that can occur as an immune response during treatment for melanoma with immune checkpoint inhibitors, like nivolumab.
Patients with vitiligo often show a better therapeutic response to melanoma treatments, but it's unclear if this applies to amelanotic melanoma, which has little pigmentation.
A case study of a patient with amelanotic melanoma of the esophagus treated with nivolumab showed a positive tumor response and subsequent development of vitiligo, suggesting a potential link between vitiligo and treatment effectiveness in this specific subtype.