| Mild |
Steroids |
Steroids |
Equivalent to prednisolone < PSL 20 mg/d or < 2 weeks |
|
|
Immune checkpoint inhibitors |
CTLA-4 inhibitors |
Ipilimumab |
|
|
|
PD-1 inhibitors |
Nivolumab, pembrolizumab |
|
|
|
PD-L1 inhibitors |
Avelumab, atezolizumab, durvalumab |
|
|
Tyrosine kinase inhibitors |
ALK inhibitors |
Crizotinib, ceritinib, alectinib, brigatinib |
|
|
|
BCR-Abl inhibitors |
Imatinib, nilotinib, dasatinib, bosutinib |
|
|
|
EGFR inhibitors |
Cetuximab, panitumumab, vandetanib, lapatinib, gefitinib, erlotinib, lenvatinib, afatinib, osimertinib |
|
|
|
HER2 inhibitors |
Trastuzumab, pertuzumab |
|
|
|
PDGFR α/β inhibitors |
Gefitinib, imatinib, lenvatinib, nintedanib, pazopanib, regorafenib, sorafenib, sunitinib |
|
|
|
VEGFR inhibitors |
Ramucirumab, bevacizumab, lenvatinib, nintedanib, regorafenib, pazopanib, sorafenib, sunitinib |
|
|
Serine/threonine kinase |
BRAF inhibitors |
Vemurafenib, dabrafenib |
|
|
inhibitors |
|
|
|
|
|
CDK 4/6 inhibitors |
Palbociclib, sorafenib, ribociclib |
|
|
Hormonal therapies |
Hormonal therapies |
Tamoxifen |
|
|
Cytotoxic drugs |
DNA synthesis inhibitors |
Methotrexate(< 20 mg/week) |
|
|
|
Folic acid synthesis inhibitors |
Azathioprine(< 3 mg/kg/day), mercaptopurine(< 1.5 mg/kg/day), |
|
|
Interleukin inhibitors |
IL-4/13 inhibitors |
Dupilumab |
|
|
|
IL-12/23 inhibitors |
Ustekinumab |
|
|
|
IL-17 inhibitors |
Ixekizumab, secukinumab |
|
|
DMARDs |
DMARDs |
Hydroxychloroquine, salazosulfapyridine, igratimod, bucillamine, leflunomid |
|
|
Gut-specific integrins |
Anti-α4β7integrin |
Vedolizumab, natalizumab |
|
|
Others |
Drugs associated with multiple sclerosis |
Dimetyl fumarate, fingolimod, glateramer acetate, interferon-β 1a |
| Moderate |
Steroids |
Steroids |
Equivalent to prednisolone ≥ PSL 20 mg/d and ≥ 2 weeks |
|
|
DMARDs |
DNA synthesis inhibitors |
Mercaptopurine(≥ 1.5 mg/kg/day), azathioprine(≥ 3 mg/kg/day), mycophenolate mofetil, mizoribine |
|
|
Cytotoxic drugs |
Alkylating drugs |
Temozolomide, ranimustine, melphalan, ifosphamide, cyclophosphamide |
|
|
|
Antibiotics |
Doxorubicin, epirubicin, idarubicin, aclarubicin, amrubicin, daunorubicin, bleomycin, mitomycin C, actinomycin D, |
|
|
|
Antimetabolites |
Fluorouracil/tegafur, gemcitabine, capecitabine, cytarabine |
|
|
|
Calcineurin inhibitors |
Tacrolimus, cyclosporin A |
|
|
|
Folic acid synthesis inhibitors |
Methotrexate(≥ 20 mg/week) |
|
|
|
Microtubule inhibitors |
Paclitaxel, docetaxel |
|
|
|
Platinum-based drugs |
Cisplatin, carboplatin, nedaplatin |
|
|
|
Proteasome inhibitors |
Bortezomib |
|
|
|
Topoisomerase inhibitors |
Irinotecan, nogitecan |
|
|
Immunomodulators |
CTLA-4 |
Abatacept |
|
|
|
IL-2 inhibitors |
Basiliximab |
|
|
|
IL-6 inhibitors |
Tocilizumab, sarilumab |
|
|
Tyrosine kinase inhibitors |
JAK inhibitors |
Baricitinib, peficitinib, tofacitinib, ruxolitinib |
|
|
Molecular-targeted drugs |
mTOR inhibitors |
Everolimus, sirolimus, rapalimus |
|
|
|
TNF-α inhibitors |
Etanercept, certolizumab, golimumab, adalimumab, infliximab |
| Severe |
B-cell depleting therapies |
Anti-CD19 inhibitors |
Inebilizumab |
|
|
|
Anti-CD20 inhibitors |
Rituximab, obinutuzumab, ofatumumab |
|
|
|
Anti-CD38 inhibitors |
Daratumumab |
|
|
|
Anti-CD52 inhibitors |
Alemtuzumab |
|
|
Tyrosine kinase inhibitors |
Bruton kinase inhibitors |
Iburutinib, acalabrutinib, tirabrutinib |