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Addressing Side Effects

Novartis, the global leader in KIT+ GIST therapy, has been working with health care professionals and patients worldwide to help improve the treatment of KIT+ GIST. Although the tolerability and safety of the new oral tyrosine kinase inhibitor class of agents in general is much improved over past treatments and traditional chemotherapy for GIST, these agents can still be associated with adverse reactions.

In fact, the majority of patients taking these agents will experience side effects at some time. In clinical trials, most patients continued treatment despite side effects. And even though the majority of these side effects are mild to moderate in severity, they still may require supportive care.

Addressing some common adverse reactions with supportive care whenever possible
  • Some adverse reactions may resolve with supportive care, while others may require discontinuation or dosage adjustment1,2
  • Whenever possible, continue daily dosing to help maintain ongoing suppression of the tyrosine kinase receptor KIT

Supportive Care for Some Common Adverse Reactions Associated with Targeted Therapies*
Event Examples of supportive care
Anorexia Appetite stimulants, corticosteroids3
Diarrhea Antidiarrheal medication
Dyspepsia Avoidance of reflux-inducing foods and of meals before bedtime; treatment with antacid, histamine H2 antagonist, or proton pump inhibitor3
Edema Decrease salt intake; diuretic; decongestant or topical corticosteroid (for periorbital edema)2
Fatigue Rest; adequate diet; adequate fluid intake
Hand/foot skin
reaction
Avoidance of hot water and skin irritants; use of keratolytics; corticosteroid ointment, topical analgesics; dose reductions and/or dose interruptions when neccesary4
Hypothyroidism Synthetic thyroid hormone3
Muscle cramps Mineral supplements; increase fluid intake; non-steroidal anti-inflammatory drug (NSAID)
Musculoskeletal
pain
Nonsteroidal anti-inflammatory drug (NSAID)*
Nausea/ Vomiting Take medication with a meal and a large glass of water (at least 2 hours before bedtime); antiemetic medications; dose adjustments1
Rash Topical or systemic antihistamine; topical or systemic corticosteroid
*If administered NSAIDs, ensure the patient is not experiencing gastric problems or has an adequate platelet count
 
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