PMID- 24576655 OWN - NLM STAT- MEDLINE DCOM- 20140421 LR - 20181202 IS - 1532-8708 (Electronic) IS - 0093-7754 (Linking) VI - 41 Suppl 2 DP - 2014 Feb TI - Management of common adverse events in patients treated with sorafenib: nurse and pharmacist perspective. PG - S17-28 LID - S0093-7754(14)00003-7 [pii] LID - 10.1053/j.seminoncol.2014.01.002 [doi] AB - Sorafenib, a tyrosine kinase inhibitor, is indicated for the treatment of patients with unresectable hepatocellular carcinoma (HCC) and advanced renal cell carcinoma (RCC). Sorafenib is currently being evaluated in phase II and III trials in various malignancies as a single agent (locally advanced/metastatic radioactive iodine-refractory differentiated thyroid cancer [DTC]), as part of multimodality care (HCC), and in combination with chemotherapies (metastatic breast cancer). Grade 1 and 2 adverse events (AEs) that commonly occur during treatment (ie, dermatologic manifestations, diarrhea, fatigue, and hypertension) should be proactively managed. The goal is to allow patients to remain on their full dose of sorafenib for as long as their treatment is indicated. A combination of early recognition of and intervention for AEs, patient education, and an open dialogue between patients and their multidisciplinary healthcare team, with timely reporting of AEs, will allow for effective management of AEs and minimize the need for sorafenib dose reduction or discontinuation. CI - Copyright (c) 2014 Elsevier Inc. All rights reserved. FAU - Walko, Christine M AU - Walko CM AD - Applied Clinical Scientist, Moffitt Cancer Center, Tampa, FL. FAU - Grande, Carolyn AU - Grande C AD - Nurse Practitioner, Hospital of the University of Pennsylvania, Department of Otorhinolaryngology, Philadelphia, PA. Electronic address: Carolyn.Grande@uphs.upenn.edu. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20140109 PL - United States TA - Semin Oncol JT - Seminars in oncology JID - 0420432 RN - 0 (Antineoplastic Agents) RN - 0 (Phenylurea Compounds) RN - 25X51I8RD4 (Niacinamide) RN - 9ZOQ3TZI87 (Sorafenib) SB - IM MH - Antineoplastic Agents/*adverse effects/therapeutic use MH - Carcinoma, Hepatocellular/drug therapy MH - Carcinoma, Renal Cell/drug therapy MH - Disease Management MH - Fatigue/chemically induced/therapy MH - Gastrointestinal Diseases/chemically induced/therapy MH - Hand-Foot Syndrome/*etiology/therapy MH - Humans MH - Hypertension/*chemically induced/therapy MH - Kidney Neoplasms/drug therapy MH - Liver Neoplasms/drug therapy MH - Niacinamide/adverse effects/*analogs & derivatives/therapeutic use MH - Nurses MH - Patient Education as Topic MH - Pharmacists MH - Phenylurea Compounds/*adverse effects/therapeutic use MH - Randomized Controlled Trials as Topic MH - Sorafenib EDAT- 2014/03/01 06:00 MHDA- 2014/04/22 06:00 CRDT- 2014/03/01 06:00 PHST- 2014/03/01 06:00 [entrez] PHST- 2014/03/01 06:00 [pubmed] PHST- 2014/04/22 06:00 [medline] AID - S0093-7754(14)00003-7 [pii] AID - 10.1053/j.seminoncol.2014.01.002 [doi] PST - ppublish SO - Semin Oncol. 2014 Feb;41 Suppl 2:S17-28. doi: 10.1053/j.seminoncol.2014.01.002. Epub 2014 Jan 9.