Table 2:
Target gene | Common adverse effects | Serious adverse effects |
---|---|---|
KRAS (G12C) | Fatigue, nausea, diarrhea, elevated liver enzymes, arthralgias | Pneumonitis |
EGFR | Rash, nail changes, diarrhea | Pneumonitis, cardiomyopathy |
ALK | Laboratory abnormalities (elevation in cholesterol or triglycerides, creatine kinase, and glucose), peripheral edema, diarrhea, cognitive changes‡ | Bradycardia, pneumonitis |
BRAF | Pyrexia, nausea, diarrhea, hypertension | Cardiomyopathy |
MET | Peripheral edema, nausea, dyspnea, elevated creatinine, elevated amylase without pancreatitis§ | Pneumonitis, pleural effusions |
ROS1 † | Diarrhea, nausea, visual changes, elevated liver enzymes, hypophosphatemia | – |
RET | Diarrhea, dry mouth, hypertension, nausea, peripheral edema, hyponatremia | – |
NTRK | Fatigue, constipation, dysgeusia, dizziness, dysesthesia, mood changes, peripheral edema | Mood disorder, increased risk of fractures (falls) |
List of adverse effects is not exhaustive; adverse effects may vary depending on the exact drug used.
In some instances, neurotrophic tyrosine receptor kinase inhibitors (e.g., entrectinib) are also used for patients with mutations in ROS1 fusion genes; shared adverse effects are listed under NTRK.
Adverse effects vary substantially from drug to drug.
Peripheral edema may be substantial.