PMID- 23506519 OWN - NLM STAT- MEDLINE DCOM- 20140127 LR - 20181203 IS - 1744-8328 (Electronic) IS - 1473-7140 (Linking) VI - 13 IP - 6 DP - 2013 Jun TI - Dermatologic adverse events associated with afatinib: an oral ErbB family blocker. PG - 721-8 LID - 10.1586/era.13.30 [doi] AB - Dermatologic adverse events (AEs) are frequently observed in patients receiving EGF receptor (EGFR; also known as ErbB1) tyrosine kinase inhibitor therapy. The impact of these AEs goes beyond cosmesis to the discomfort from itching, pain and secondary infections, all of which may significantly impact on patient well-being, adherence and clinical outcomes. Afatinib is a potent, irreversible, oral, ErbB family blocker, inhibiting EGFR (ErbB1), HER2 (ErbB2) and ErbB4 receptor kinases. It also inhibits transphosphorylation of ErbB3. Similar to EGFR inhibitors, dermatologic AEs have been frequently observed in patients treated with afatinib. Papulopustular (acneiform) rash, pruritus, xerosis, paronychia and alopecia will require patient education and proactive treatment interventions. This article summarizes current data on the dermatologic AEs associated with afatinib treatment across the clinical trial program, and provides strategies for their effective management. FAU - Lacouture, Mario E AU - Lacouture ME AD - Memorial Sloan-Kettering Cancer Center, New York, NY, USA. lacoutum@mskcc.org FAU - Schadendorf, Dirk AU - Schadendorf D FAU - Chu, Chia-Yu AU - Chu CY FAU - Uttenreuther-Fischer, Martina AU - Uttenreuther-Fischer M FAU - Stammberger, Uz AU - Stammberger U FAU - O'Brien, Dennis AU - O'Brien D FAU - Hauschild, Axel AU - Hauschild A LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20130318 PL - England TA - Expert Rev Anticancer Ther JT - Expert review of anticancer therapy JID - 101123358 RN - 0 (Protein Kinase Inhibitors) RN - 0 (Quinazolines) RN - 41UD74L59M (Afatinib) RN - EC 2.7.10.1 (ERBB2 protein, human) RN - EC 2.7.10.1 (ErbB Receptors) RN - EC 2.7.10.1 (Receptor, ErbB-2) SB - IM MH - Administration, Oral MH - Afatinib MH - Alopecia/chemically induced MH - Clinical Trials, Phase II as Topic MH - Clinical Trials, Phase III as Topic MH - ErbB Receptors/antagonists & inhibitors MH - Exanthema/chemically induced MH - Humans MH - Paronychia/chemically induced MH - Protein Kinase Inhibitors/adverse effects MH - Pruritus/chemically induced MH - Quinazolines/*administration & dosage/*adverse effects MH - Receptor, ErbB-2/antagonists & inhibitors EDAT- 2013/03/20 06:00 MHDA- 2014/01/28 06:00 CRDT- 2013/03/20 06:00 PHST- 2013/03/20 06:00 [entrez] PHST- 2013/03/20 06:00 [pubmed] PHST- 2014/01/28 06:00 [medline] AID - 10.1586/era.13.30 [doi] PST - ppublish SO - Expert Rev Anticancer Ther. 2013 Jun;13(6):721-8. doi: 10.1586/era.13.30. Epub 2013 Mar 18.