PMID- 23237922 OWN - NLM STAT- MEDLINE DCOM- 20130722 LR - 20221207 IS - 1473-5741 (Electronic) IS - 0959-4973 (Linking) VI - 24 IP - 3 DP - 2013 Mar TI - Risk factors for sorafenib-induced high-grade skin rash in Japanese patients with advanced renal cell carcinoma. PG - 310-4 LID - 10.1097/CAD.0b013e32835c401c [doi] AB - The aim of this study was to evaluate the clinical factors, drug-related genetic polymorphisms, and human leukocyte antigen (HLA) types to determine the association with sorafenib-induced high-grade skin rash (HGSR) in Japanese patients with advanced renal cell carcinoma (RCC). A total of 55 patients with advanced RCC treated with sorafenib were analyzed retrospectively. Of these, 33 patients were subjected to HLA typing and polymorphism analyses of CYP3A5, ABCB1, ABCC2, and UGT1A1, which are involved in the metabolism and membrane transport of sorafenib. Grade 3 or higher SR developed in 12 (22%), and a higher incidence was observed in female patients than in male patients (40 vs. 15%, P=0.046). The initial dose, initial dose per body weight, and initial dose per body surface area in patients with HGSR were significantly higher than those in patients without HGSR. Patients with the ABCC2 -24CC genotype were at a significantly higher risk of SR than those with the CT genotype (35 vs. 0%, P=0.032). HLA-A*24 was significantly associated with the occurrence of HGSR (P=0.049). Our finding suggested that women, higher initial dose per body weight or body surface area, the ABCC2 -24CC genotype, and HLA-A*24 are associated with the risk of sorafenib-induced HGSR in Japanese RCC patients. FAU - Tsuchiya, Norihiko AU - Tsuchiya N AD - Departments of Urology, Akita University Graduatae School of Medicine, Akita 010-8543, Japan. FAU - Narita, Shintaro AU - Narita S FAU - Inoue, Takamitsu AU - Inoue T FAU - Hasunuma, Naoko AU - Hasunuma N FAU - Numakura, Kazuyuki AU - Numakura K FAU - Horikawa, Yohei AU - Horikawa Y FAU - Satoh, Shigeru AU - Satoh S FAU - Notoya, Takeshi AU - Notoya T FAU - Fujishima, Naohito AU - Fujishima N FAU - Hatakeyama, Shingo AU - Hatakeyama S FAU - Ohyama, Chikara AU - Ohyama C FAU - Habuchi, Tomonori AU - Habuchi T LA - eng PT - Clinical Trial PT - Journal Article PL - England TA - Anticancer Drugs JT - Anti-cancer drugs JID - 9100823 RN - 0 (ABCB1 protein, human) RN - 0 (ABCC2 protein, human) RN - 0 (ATP Binding Cassette Transporter, Subfamily B) RN - 0 (ATP Binding Cassette Transporter, Subfamily B, Member 1) RN - 0 (Antineoplastic Agents) RN - 0 (HLA-A24 Antigen) RN - 0 (Multidrug Resistance-Associated Protein 2) RN - 0 (Multidrug Resistance-Associated Proteins) RN - 0 (Phenylurea Compounds) RN - 25X51I8RD4 (Niacinamide) RN - 9ZOQ3TZI87 (Sorafenib) RN - EC 1.14.14.1 (CYP3A5 protein, human) RN - EC 1.14.14.1 (Cytochrome P-450 CYP3A) RN - EC 2.4.1.- (UGT1A1 enzyme) RN - EC 2.4.1.17 (Glucuronosyltransferase) SB - IM MH - ATP Binding Cassette Transporter, Subfamily B MH - ATP Binding Cassette Transporter, Subfamily B, Member 1/genetics MH - Aged MH - Antineoplastic Agents/*adverse effects/therapeutic use MH - Asian People MH - Carcinoma, Renal Cell/*drug therapy/genetics/pathology MH - Cytochrome P-450 CYP3A/genetics MH - Dose-Response Relationship, Drug MH - Exanthema/*chemically induced MH - Female MH - Glucuronosyltransferase/genetics MH - HLA-A24 Antigen/*genetics MH - Humans MH - Kidney Neoplasms/*drug therapy/genetics/pathology MH - Male MH - Middle Aged MH - Multidrug Resistance-Associated Protein 2 MH - Multidrug Resistance-Associated Proteins/*genetics MH - Niacinamide/administration & dosage/adverse effects/*analogs & derivatives/therapeutic use MH - Phenylurea Compounds/administration & dosage/*adverse effects/therapeutic use MH - Retrospective Studies MH - Sorafenib EDAT- 2012/12/15 06:00 MHDA- 2013/07/23 06:00 CRDT- 2012/12/15 06:00 PHST- 2012/12/15 06:00 [entrez] PHST- 2012/12/15 06:00 [pubmed] PHST- 2013/07/23 06:00 [medline] AID - 10.1097/CAD.0b013e32835c401c [doi] PST - ppublish SO - Anticancer Drugs. 2013 Mar;24(3):310-4. doi: 10.1097/CAD.0b013e32835c401c.