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. 2024 Apr 29;196(16):E558–E561. doi: 10.1503/cmaj.231562

Table 2:

Adverse effects related to targeted therapy classes, grouped by their target gene*

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.