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Strategies for mitigating adverse events related to selective RET inhibitors in patients with RET-altered cancers.


ABSTRACT: The US Food and Drug Administration (FDA) approval of the selective RET inhibitors selpercatinib and pralsetinib has led to a paradigm change in the treatment of RET-altered lung and thyroid cancers through a higher response rate and a more tolerable safety and toxicity profile than multi-kinase inhibitors. Recently, selpercatinib has received a tissue-agnostic FDA approval for all RET-fusion-positive cancers, and pralsetinib has shown pan-cancer activity as well. Given the anticipated increase in the use of both drugs across multiple tumor types, it is crucial to recognize the possible side effects and approaches for their optimal management in order to maximize the clinical benefit for treated patients. In this review, we underscore potential toxicities associated with selective RET inhibitors and discuss strategies to mitigate them.

SUBMITTER: Nardo M 

PROVIDER: S-EPMC10772460 | biostudies-literature | 2023 Dec

REPOSITORIES: biostudies-literature

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Strategies for mitigating adverse events related to selective RET inhibitors in patients with RET-altered cancers.

Nardo Mirella M   Gouda Mohamed A MA   Nelson Blessie E BE   Barreto Carmelia M N CMN   Slade J Hoyt JH   Poullard Anna A   Zafereo Mark M   Hu Mimi I MI   Cabanillas Maria E ME   Subbiah Vivek V  

Cell reports. Medicine 20231201 12


The US Food and Drug Administration (FDA) approval of the selective RET inhibitors selpercatinib and pralsetinib has led to a paradigm change in the treatment of RET-altered lung and thyroid cancers through a higher response rate and a more tolerable safety and toxicity profile than multi-kinase inhibitors. Recently, selpercatinib has received a tissue-agnostic FDA approval for all RET-fusion-positive cancers, and pralsetinib has shown pan-cancer activity as well. Given the anticipated increase  ...[more]

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