학술논문

Prospective, observational practice survey of applied skin care and management of cetuximab-related skin reactions: PROSKIN study.
Document Type
Journal Article
Source
Cancer Chemotherapy & Pharmacology. Oct2019, Vol. 84 Issue 4, p881-889. 9p.
Subject
*SKIN care
*SKIN care products
*SQUAMOUS cell carcinoma
*HEAD & neck cancer
*COLON cancer
Language
ISSN
0344-5704
Abstract
Purpose: The study aimed to investigate strategies to prevent and treat cetuximab-induced skin reactions and their perceived effectiveness in patients with metastatic colorectal cancer (mCRC) and recurrent/metastatic squamous cell cancer of the head and neck (SCCHN).Methods: This open-label, prospective observational study was conducted in Switzerland.Results: A total of 125 patients were included (n = 91 mCRC, n = 34 SCCHN; mean age 63.3 years; 73.6% males). The frequency of acneiform rash grade ≥ 2 increased from 12.6% at week 2 to 21.7% at week 16. The proportion of patients who reported no skin reaction decreased from 75.6% at week 2 to 43.3% at week 16. The most frequently used skin products at any time of observation were moisturizing (77.6%), lipid-regenerating (56.8%) or urea-containing products (52%), systemic antibiotics (49.6%), and vitamin K1 cream (43.2%). There was no clear effectiveness pattern for all product classes: in given patients, either the product showed no effect at all or a moderate/strong effect, consistently over time.Conclusions: A great variety of low-cost general skin care products were commonly used. According to physician's preference, systemic antibiotics and vitamin K1 cream are an appropriate approach to prevent or treat cetuximab-related skin toxicity. [ABSTRACT FROM AUTHOR]