Afatinib (Gilotrif)
Indications
- Breast Cancer (see Breast Cancer, [[Breast Cancer]]): investigational
- Non-Small Cell Lung Cancer (see Lung Cancer, [[Lung Cancer]]): FDA-approved
Pharmacology
- Irreversible Covalent Inhibitor of Receptor Tyrosine Kinases
- Epidermal Growth Factor Receptor (EGFR)
- erbB-2 (HER2)
Administration
Dose Adjustment
Adverse Effects
Dermatologic Adverse Effects
- Dry Skin: >10% of cases
- Hand Foot Syndrome (Chemotherapy-Induced Acral Erythema): 1-10% of cases
- Pruritus (see Pruritus, [[Pruritus]]): >10% of cases
- Rash/Dermatitis: >10% of cases
Gastrointestinal Adverse Effects
- Anorexia (see Anorexia, [[Anorexia]]): >10% of cases
- Cheilitis: 1-10% of cases
- Diarrhea (see Diarrhea, [[Diarrhea]]): >10% of cases
- Stomatitis: >10% of cases
- Taste Changes: 1-10% of cases
- Transaminitis: 1-10% of cases
Ophthalmologic Adverse Effects
- Conjunctivitis: 1-10% of cases
- Dry Eyes: 1-10% of cases
- Keratitis: 0.1-1% of cases
Otolaryngologic Adverse Effects
- Epistaxis (see Epistaxis, [[Epistaxis]]): >10% of cases
- Rhinorrhea/Nasal Congestion (see Rhinorrhea, [[Rhinorrhea]]): 1-10% of cases
Pulmonary Adverse Effects
Renal Adverse Effects
- Acute Kidney Injury (AKI) (see Acute Kidney Injury, [[Acute Kidney Injury]]): 1-10% of cases
- Hypokalemia (see Hypokalemia, [[Hypokalemia]]): 1-10% of cases
Other Adverse Effects
- Cystitis: 1-10% of cases
- Dehydration: 1-10% of cases
- Fever (see Fever, [[Fever]]): 1-10% of cases
- Muscle Spasms: 1-10% of cases
- Paronychia: >10% of cases
References