Effets indésirables des nouvelles approches thérapeutiques en oncologie thoracique [Adverse effects of new therapeutic approaches in thoracic oncology]

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Názov: Effets indésirables des nouvelles approches thérapeutiques en oncologie thoracique [Adverse effects of new therapeutic approaches in thoracic oncology]
Autori: Sammya, A., Normand, C., Desbaillets, N., Coskun, M., Goudemant, C., Mosimann, V., Ferahta, N., Christofis, M., Serena, A., Nikolopoulou, A., Abdelhamid, K., Stamatiou, A., Nguyen-Ngoc, T., Bouchaab, H., Fleury, M., Obeid, M., Peters, S., Mederos, N.
Zdroj: Revue medicale suisse, vol. 21, no. 918, pp. 1023-1030
Informácie o vydavateľovi: 2025.
Rok vydania: 2025
Predmety: Humans, Immune Checkpoint Inhibitors/adverse effects, Immune Checkpoint Inhibitors/administration & dosage, Lung Neoplasms/drug therapy, Lung Neoplasms/therapy, Immunoconjugates/adverse effects, Immunoconjugates/administration & dosage, Molecular Targeted Therapy/adverse effects, Molecular Targeted Therapy/methods, Antineoplastic Agents/adverse effects
Popis: The rapid evolution of oncological treatments in patients with lung cancer has led to the emergence of targeted therapies (TT), immune checkpoint inhibitors (ICI), and antibody-drug conjugates (ADC), which are significantly transforming the management of cancer. However, these advances are associated with complex adverse effects that affect multiple organ systems. This review explores the etiopathogenic mechanisms underlying therapy-related toxicity and describes the major adverse effects: immune-related toxicity of ICIs, "on-target" and "off-target" effects of TTs, and systemic toxicity of ADCs. Systemic toxicities are discussed, with a focus on monitoring strategies and management approaches. A multidisciplinary approach is critical to optimize therapeutic efficacy while minimizing toxicity.
Druh dokumentu: Review
Popis súboru: application/pdf
Jazyk: French
Prístupová URL adresa: http://nbn-resolving.org/urn/resolver.pl?urn=urn:nbn:ch:serval-BIB_CCB0F1473EB76
https://serval.unil.ch/resource/serval:BIB_CCB0F1473EB7.P001/REF.pdf
https://serval.unil.ch/notice/serval:BIB_CCB0F1473EB7
Rights: CC BY NC ND
Prístupové číslo: edsair.od......1900..436a427cf253f5280c84af33ef93d801
Databáza: OpenAIRE
Popis
Abstrakt:The rapid evolution of oncological treatments in patients with lung cancer has led to the emergence of targeted therapies (TT), immune checkpoint inhibitors (ICI), and antibody-drug conjugates (ADC), which are significantly transforming the management of cancer. However, these advances are associated with complex adverse effects that affect multiple organ systems. This review explores the etiopathogenic mechanisms underlying therapy-related toxicity and describes the major adverse effects: immune-related toxicity of ICIs, "on-target" and "off-target" effects of TTs, and systemic toxicity of ADCs. Systemic toxicities are discussed, with a focus on monitoring strategies and management approaches. A multidisciplinary approach is critical to optimize therapeutic efficacy while minimizing toxicity.