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. 2016 Jan 29;46(4):291–298. doi: 10.1093/jjco/hyv207

Table 3.

Randomized trial for EGFR-TKI-associated skin rash

Author EGFR-TKIs Intervention Study drug Observation Patients (n) Primary endpoints Secondary endpoints Results References
Arrieta et al. Afatinib Preventive Tetracycline 250 mg twice a day 4 weeks 90 Incidence of toxicity Dose reduction rate
Anti-tumour efficacy
Skin rash (all grades)
75.5% (control) 55.5% (preemptive)
(P = 0.046)
Skin rash (grade ≥2)
35.6% (control) 15.6% (preemptive)
(P = 0.030)
(63)
Melosky et al. Erlotinib Preventive Minocycline 100 mg twice a day Until PD 150 Time to occurrence and incidence of rash Survival Rash (grade 3)
12%* (prophylactic) 8%** (reactive)
28% (control)
Mean (days) to any rash onset
17.4 days*** (prophylactic)
13.3 days (reactive) 12.0 days (control)
(64)

EGFR-TKI, epidermal growth factor receptor-tyrosine kinase inhibitor; PD, progressive disease.

*P = 0.0455 (prophylactic vs. control).

**P = 0.0092 (reactive vs. control).

***P = 0.0147 (prophylactic vs. combined reactive and control).