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).