AI Article Synopsis

  • - A safety analysis was conducted on dacomitinib, a drug used for patients with advanced non-small-cell lung cancer, focusing on the incidence of adverse drug reactions (ADRs) in 255 mutation-positive patients.
  • - An overwhelming 98% of patients experienced ADRs, with diarrhea, rash, stomatitis, nail disorder, and dry skin being the most common; dose interruptions and reductions occurred in 47% and 52% of patients, respectively.
  • - Overall, dacomitinib was found to be generally tolerable, with serious ADRs reduced after dose adjustments; most ADRs were manageable and consistent with known effects of EGFR tyrosine kinase inhibitors.

Article Abstract

This pooled safety analysis was conducted to analyze incidence and management of key dacomitinib-associated adverse drug reactions (ADRs). Patients with mutation-positive advanced non-small-cell lung cancer who received first-line dacomitinib at the 45 mg/day recommended starting dose were included. ADRs were identified based on reasonable association with EGFR tyrosine kinase inhibitors. Overall, 251/255 patients (98%) experienced ADRs. The most common were diarrhea, rash, stomatitis, nail disorder and dry skin. Dose interruptions and dose reductions were reported in 47 and 52% of patients, respectively. Fewer grade 3 key ADRs were observed following dose reductions. Dacomitinib was generally tolerable. Most reported ADRs were known to be associated with EGFR tyrosine kinase inhibitors and were managed with standard medical management and dose modifications.

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http://dx.doi.org/10.2217/fon-2018-0944DOI Listing

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