Pre-emptive skin treatments to prevent skin toxicity caused by anti-EGFR antibody: the real-world evidence in Japan

Future Oncol. 2018 Dec;14(30):3163-3174. doi: 10.2217/fon-2018-0379. Epub 2018 Sep 14.

Abstract

Aim: Clinically managing skin toxicity associated with anti-EGFR antibody usage to treat colorectal cancer improves quality of life for colorectal cancer patients. This study assesses trends of pre-emptive skin treatments and their impact on subsequent dermatologist visits in Japanese colorectal cancer patients.

Patients & methods: Pre-emptive treatment status and dermatologist visit data were investigated for 9461 colorectal cancer patients who experienced anti-EGFR antibody treatment. Data were collected from an electronic hospital-based claims database.

Results: Pre-emptive treatments increased around 2013. Furthermore, subsequent dermatologist visits decreased significantly among the pre-emptive treatment group (p < 0.05).

Conclusion: Pre-emptive skin treatments seem to be related to reducing subsequent dermatologist visits by severe skin toxicity prevention and gained popularity in Japan.

Keywords: EGFR; Japanese; cetuximab; colorectal cancer; dermatologist visit; panitumumab; pre-emptive; real-world data; skin toxicity.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Antineoplastic Agents, Immunological / adverse effects*
  • Antineoplastic Agents, Immunological / therapeutic use
  • Antineoplastic Combined Chemotherapy Protocols / adverse effects
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use
  • Databases, Factual
  • ErbB Receptors / antagonists & inhibitors
  • Female
  • Humans
  • Japan
  • Male
  • Middle Aged
  • Neoplasms / complications*
  • Neoplasms / drug therapy
  • Post-Exposure Prophylaxis
  • Retrospective Studies
  • Skin Diseases / etiology*
  • Skin Diseases / prevention & control*
  • Steroids / administration & dosage
  • Steroids / therapeutic use
  • Time-to-Treatment

Substances

  • Antineoplastic Agents, Immunological
  • Steroids
  • EGFR protein, human
  • ErbB Receptors