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Is there a role for dacomitinib, a second-generation irreversible inhibitor of the epidermal-growth factor receptor tyrosine kinase, in advanced non-small cell lung cancer?
Published in Expert Opinion on Pharmacotherapy, 2020
Cecilia Bergonzini, Alessandro Leonetti, Marcello Tiseo, Elisa Giovannetti, Godefridus J. Peters
Indeed, in the phase I trial NCT00225121, grade 1 to 3 AEs were observed, including diarrhea (66.7%), rash (45%), fatigue (38%) and nausea (36%). In the ARCHER 1042 [29] phase II trial, the effect on dermatologic and gastrointestinal AE in NSCLC patients was investigated, by treating them with doxycycline against placebo in one cohort and with a probiotic plus topical aclometasone against placebo in the other. The results showed that doxycycline treatment significantly reduced the select dermatologic adverse events of interest (SDAEI) of grade ≥ 2 by 50% (P = 0.016) compared to the placebo. However, doxycycline was not able to reduce SDAEI of all grade in a statistically significant way. Aclometasone reduced SDAEI of all grades but not with statistical significance. Finally, the probiotic was ineffective in reducing gastrointestinal AEs.