A new rapid desensitization protocol for chemotherapy agents

Background: Desensitization has been used for some decades to treat patients with the allergenic drug when an alternative drug with similar effi cacy and safety is not available. We present the results from a series of oncology patients desensitized at our hospital during the last 2 years. Object...

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Main Authors: Gastaminza, G. (Gabriel), Borbolla, J.M. (J.M.) de la, Goikoetxea-Lapresa, M.J. (María José), Escudero, R. (R.), Anton, J. (J.), Espinos, J. (Jaime), Lacasa, C. (Carlos), Fernandez-Benitez, M. (M.), Sanz, M.L. (María Luisa), Ferrer-Cardona, M. (Marta)
Format: info:eu-repo/semantics/article
Language:eng
Published: ESMON Publicidad 2012
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Online Access:https://hdl.handle.net/10171/22471
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author Gastaminza, G. (Gabriel)
Borbolla, J.M. (J.M.) de la
Goikoetxea-Lapresa, M.J. (María José)
Escudero, R. (R.)
Anton, J. (J.)
Espinos, J. (Jaime)
Lacasa, C. (Carlos)
Fernandez-Benitez, M. (M.)
Sanz, M.L. (María Luisa)
Ferrer-Cardona, M. (Marta)
author_facet Gastaminza, G. (Gabriel)
Borbolla, J.M. (J.M.) de la
Goikoetxea-Lapresa, M.J. (María José)
Escudero, R. (R.)
Anton, J. (J.)
Espinos, J. (Jaime)
Lacasa, C. (Carlos)
Fernandez-Benitez, M. (M.)
Sanz, M.L. (María Luisa)
Ferrer-Cardona, M. (Marta)
author_sort Gastaminza, G. (Gabriel)
collection DSpace
description Background: Desensitization has been used for some decades to treat patients with the allergenic drug when an alternative drug with similar effi cacy and safety is not available. We present the results from a series of oncology patients desensitized at our hospital during the last 2 years. Objective: To assess the effi cacy of a new desensitization protocol in patients allergic to chemotherapy drugs. Methods: We performed an observational retrospective study of 11 women (6 breast cancer and 5 ovarian cancer) who underwent our desensitization protocol. Four patients had immediate reactions to carboplatin, 3 to docetaxel, 3 to paclitaxel, and 1 to both docetaxel and paclitaxel. Premedication was administered in all cases. A 5-step protocol based on 5 different dilutions of the drugs was used. Results: We performed 39 desensitization procedures: 14 to carboplatin, 3 to oxaliplatin, 16 to docetaxel, and 6 to paclitaxel. Eight patients tolerated the full dose in 36 procedures. One patient suffered an anaphylactic reaction to carboplatin that reverted with treatment. One patient had dyspnea after a paclitaxel cycle. One patient experienced dyspnea due to chronic pulmonary thromboembolism related to her disease. Conclusion: Desensitization is a useful procedure in patients who are allergic to their chemotherapy agents.
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spelling oai:dadun.unav.edu:10171-224712024-02-07T11:35:22Z A new rapid desensitization protocol for chemotherapy agents Gastaminza, G. (Gabriel) Borbolla, J.M. (J.M.) de la Goikoetxea-Lapresa, M.J. (María José) Escudero, R. (R.) Anton, J. (J.) Espinos, J. (Jaime) Lacasa, C. (Carlos) Fernandez-Benitez, M. (M.) Sanz, M.L. (María Luisa) Ferrer-Cardona, M. (Marta) Carboplatin Chemotherapy agents Desensitization Background: Desensitization has been used for some decades to treat patients with the allergenic drug when an alternative drug with similar effi cacy and safety is not available. We present the results from a series of oncology patients desensitized at our hospital during the last 2 years. Objective: To assess the effi cacy of a new desensitization protocol in patients allergic to chemotherapy drugs. Methods: We performed an observational retrospective study of 11 women (6 breast cancer and 5 ovarian cancer) who underwent our desensitization protocol. Four patients had immediate reactions to carboplatin, 3 to docetaxel, 3 to paclitaxel, and 1 to both docetaxel and paclitaxel. Premedication was administered in all cases. A 5-step protocol based on 5 different dilutions of the drugs was used. Results: We performed 39 desensitization procedures: 14 to carboplatin, 3 to oxaliplatin, 16 to docetaxel, and 6 to paclitaxel. Eight patients tolerated the full dose in 36 procedures. One patient suffered an anaphylactic reaction to carboplatin that reverted with treatment. One patient had dyspnea after a paclitaxel cycle. One patient experienced dyspnea due to chronic pulmonary thromboembolism related to her disease. Conclusion: Desensitization is a useful procedure in patients who are allergic to their chemotherapy agents. 2012-06-05T10:30:36Z 2012-06-05T10:30:36Z 2011 info:eu-repo/semantics/article https://hdl.handle.net/10171/22471 eng http://www.jiaci.org/issues/vol21issue2/4.pdf info:eu-repo/semantics/openAccess application/pdf ESMON Publicidad
spellingShingle Carboplatin
Chemotherapy agents
Desensitization
Gastaminza, G. (Gabriel)
Borbolla, J.M. (J.M.) de la
Goikoetxea-Lapresa, M.J. (María José)
Escudero, R. (R.)
Anton, J. (J.)
Espinos, J. (Jaime)
Lacasa, C. (Carlos)
Fernandez-Benitez, M. (M.)
Sanz, M.L. (María Luisa)
Ferrer-Cardona, M. (Marta)
A new rapid desensitization protocol for chemotherapy agents
title A new rapid desensitization protocol for chemotherapy agents
title_full A new rapid desensitization protocol for chemotherapy agents
title_fullStr A new rapid desensitization protocol for chemotherapy agents
title_full_unstemmed A new rapid desensitization protocol for chemotherapy agents
title_short A new rapid desensitization protocol for chemotherapy agents
title_sort new rapid desensitization protocol for chemotherapy agents
topic Carboplatin
Chemotherapy agents
Desensitization
url https://hdl.handle.net/10171/22471
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