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. 2015 Jul;75(7):675–682. doi: 10.1055/s-0035-1557748

Table 4 Prevalence of side effects associated with targeted and osteo-oncologic therapy for breast cancer 1, 2.

Targeted therapy (trastuzumab [Herceptin®], lapatinib [Tyverb®], pertuzumab [Perjeta®], trastuzumab emtansin [T-DM1, Kadcyla®], bevacizumab [Avastin®])
  • Common:

16–67 % Gastrointestinal complaints
27 % Muscle and joint pain
23–24 % Skin rash/erythema
21 % Headache
12–15 % Fever/chills
10–14 % Flu-like symptoms
11 % Dizziness
> 10 % Blood count changes (anemia, thrombopenia, leukopenia)
1–10 % Fluctuations in blood pressure
> 10 % Cardiac arrhythmia
1–10 % Cardiac insufficiency
  • Rare:

< 0.1 % Pericardial effusion/pleural effusion
Osteo-oncologic treatment (zoledronic acid [Zometa®, Aclasta®], denosumab [Xgeva®, Prolia®], ibandronate [Bondronat®], alendronate [Fosamax®], risedronate [Actonel®])
  • Common:

> 10 % Hypocalcemia and hypophosphatemia
> 10 % Flu-like symptoms
9 % Headache
3–7 % Fever/chills
3 % Bone and joint pain
1–10 % Gastrointestinal complaints
1–10 % Renal function disorders
1–10 % Anemia
1–10 % Skin rash
  • Rare:

< 0.1 % Jaw osteonecrosis
< 0.1 % Cardiac arrhythmia