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. 2018 Dec;10(Suppl 35):S4335–S4343. doi: 10.21037/jtd.2018.10.107

Table 1. Chemotherapeutic agents associated with CIHF and their molecular targets, modified from (3).

Class Agent Molecular mechanism Incidence of CIHF in %
TKIs based on monoclonal antibodies Bevacizumab VEGF-A inhibition 2–4
Trastuzumab Inhibition of HER2/HER2 dimerization by binding of extracellular subdomain IV Up to 27 when combined with anthracyclines
Ado-trastuzumab emtansine Trastuzumab conjugated to cytotoxic tubulin inhibitor emtansine 1.8
Pertuzumab Inhibition of HER2/HER3 dimerization by binding of extracellular subdomain II 4.5–14.5
Small molecule TKIs Sunitinib Several VEGFR, PDGF-R, GCSF-R, c-KIT, RET, FLT3, AMPK 1–27
Sorafenib VEGFR-2 and -3, PDGF-R, c-Kit, Raf kinase family 1.9–11
Lapatinib HER2 and HER1/EGFR 0.9–4.9
Dasatinib Bcr-abl, c-KIT, Src, ephrins 8–9
Dabrafenib B-Raf Up to 10
Imatinib Bcr-abl, PDGF-R, M-CSF-R <1
Nilotinib Bcr-abl, c-KIT <1
Ponatinib BCR-abl, FGF-R, VEGFR-2, PDGF-R, FLT3 3–15
Trametinib MEK1 and MEK2 Up to 10
Proteasome inhibitors Bortezomib Reversible inhibition of the 20S proteasome 2–5
Carfilzomib Irreversible inhibition of the 20S proteasome 7

PDGF-R, platelet-derived growth factor receptor; GCSF-R, granulocyte colony-stimulating factor receptor; c-KIT, mast/stem cell growth factor receptor; FGF-R, fibroblast growth factor receptor; FLT3, Fms like tyrosine kinase 3; AMPK, adenosine monophosphate-activated protein kinase; Src, proto-oncogene tyrosine-protein kinase; Ephrins, Eph family receptor ligands; Bcr-abl, kinase product of the Philadelphia translocation; MEK, mitogen-activated protein kinase; M-CSF-R, macrophage colony-stimulating factor receptor.