Celecoxib desensitization: continued temozolomide/celecoxib chemotherapy after a celecoxib-induced hypersensitivity reaction

Anticancer Drugs. 2012 Nov;23(10):1118-20. doi: 10.1097/CAD.0b013e32835824fa.

Abstract

Cox-2 inhibitors have been identified as promising candidates for cancer therapy. Several studies have recently proposed the use of celecoxib in long-term low-intensity chemotherapy protocols for recurrent tumors. However, drug-induced hypersensitivity reactions may force discontinuation of the medication and, thus, significantly complicate successful care. Here, we report on celecoxib desensitization after a celecoxib-induced skin reaction, thereby allowing the continuation of temozolomide/celecoxib chemotherapy in a young patient with recurrent astrocytoma.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Antineoplastic Agents, Alkylating / adverse effects
  • Antineoplastic Agents, Alkylating / immunology
  • Antineoplastic Agents, Alkylating / therapeutic use*
  • Astrocytoma / drug therapy
  • Celecoxib
  • Cyclooxygenase 2 Inhibitors / adverse effects*
  • Cyclooxygenase 2 Inhibitors / immunology
  • Cyclooxygenase 2 Inhibitors / therapeutic use*
  • Dacarbazine / analogs & derivatives*
  • Dacarbazine / therapeutic use
  • Desensitization, Immunologic / methods*
  • Drug Hypersensitivity / etiology
  • Drug Hypersensitivity / immunology
  • Drug Hypersensitivity / therapy*
  • Humans
  • Male
  • Pyrazoles / adverse effects*
  • Pyrazoles / immunology
  • Pyrazoles / therapeutic use*
  • Sulfonamides / adverse effects*
  • Sulfonamides / immunology
  • Sulfonamides / therapeutic use*
  • Temozolomide
  • Young Adult

Substances

  • Antineoplastic Agents, Alkylating
  • Cyclooxygenase 2 Inhibitors
  • Pyrazoles
  • Sulfonamides
  • Dacarbazine
  • Celecoxib
  • Temozolomide