Akiyama Shoko
Tohoku University Hospital Cancer Center.
Nihon Rinsho. 2012 Dec;70(12):2199-204.
Monoclonal antibodies play important roles in medical oncology. The antibodies were designed as specific molecular targeting drugs and supposed to have less toxicity to normal cells compared to classical cytotoxic agents. Indeed, they do not have severe bone marrow suppression, nausea, or vomiting unlike cytotoxic drugs. On the other hand, clinicians often undergo characteristic adverse events we have never experienced before the appearance of the molecular targeting drugs. To fully utilize these powerful yet particular medicines, we have to be well aware of their severe or fatal adverse events and comprehend how to manage those toxic events. In this manuscript, important adverse events including infusion reaction, gastrointestinal perforation, cardiotoxicity, venous thromboembolism, and interstitial lung disease are subjects for discussion.
单克隆抗体在医学肿瘤学中发挥着重要作用。这些抗体被设计为特异性分子靶向药物,与传统细胞毒性药物相比,对正常细胞的毒性较小。事实上,与细胞毒性药物不同,它们不会引起严重的骨髓抑制、恶心或呕吐。另一方面,临床医生经常会遇到一些在分子靶向药物出现之前从未经历过的特殊不良事件。为了充分利用这些强大而特殊的药物,我们必须充分了解它们的严重或致命不良事件,并掌握如何处理这些毒性事件。在本手稿中,将讨论包括输液反应、胃肠道穿孔、心脏毒性、静脉血栓栓塞和间质性肺病在内的重要不良事件。