Chemotherapy Drugs in Oncology
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Questions and Answers

What factors influence dose modification of cytotoxic drugs?

  • Weight and age of the patient
  • Hematological toxicity and renal impairment (correct)
  • Patient's diet and lifestyle
  • Type of cancer and stage of disease
  • Which of the following is NOT a complication of immunotherapy?

  • Skin toxicity
  • Acute renal failure (correct)
  • Thyroid dysfunction
  • Colitis
  • How is the dose of a cytotoxic drug adjusted in the case of renal impairment?

  • Based on bilirubin levels
  • Based on white blood cell count
  • Based on patient age
  • Based on creatinine clearance (correct)
  • What type of toxicity can be associated with immunotherapy that affects the skin?

    <p>Skin toxicity (D)</p> Signup and view all the answers

    Which of the following adverse effects requires consideration when modifying doses for cytotoxic drugs?

    <p>History of adverse effects to the cytotoxic drug itself (D)</p> Signup and view all the answers

    What can reduce the duration and severity of neutropenia in selected patients?

    <p>Administration of recombinant human granulocyte-colony stimulating factors (C)</p> Signup and view all the answers

    Why is it important to accurately dose anticancer agents?

    <p>Because small dosing variations can lead to severe toxicity or under-dosing (D)</p> Signup and view all the answers

    Which of the following methods is NOT used for determining doses of cytotoxic drugs?

    <p>Body weight alone without patient height (A)</p> Signup and view all the answers

    For which type of drug is area under the curve-based dosing particularly applicable?

    <p>Drugs cleared through glomerular filtration, like carboplatin (A)</p> Signup and view all the answers

    What is a common feature of anticancer agents in relation to dose response?

    <p>Small variations in dose can greatly impact outcomes (D)</p> Signup and view all the answers

    What characterizes antimetabolites in their action against cancer cells?

    <p>They mimic normal substances found within the cell. (B)</p> Signup and view all the answers

    Which of the following is classified as a folic acid antagonist?

    <p>Pemetrexed (B)</p> Signup and view all the answers

    Which agent is an example of a purine antagonist?

    <p>6-thioguanine (C)</p> Signup and view all the answers

    What is the function of ribonucleotide reductase inhibitors in cancer therapy?

    <p>They inhibit the synthesis of DNA. (B)</p> Signup and view all the answers

    Which of the following best describes the mechanism of targeted therapy?

    <p>It attacks specific genes, proteins, or the tissue environment contributing to cancer. (A)</p> Signup and view all the answers

    Which drug is known as an antimicrotubule agent?

    <p>Estramustine (C)</p> Signup and view all the answers

    Which of the following is a common property of all antimetabolites?

    <p>They affect specific phases of the cell cycle. (D)</p> Signup and view all the answers

    Fludarabine is classified as which type of agent?

    <p>Adenosine deaminase inhibitor (B)</p> Signup and view all the answers

    Which class of chemotherapy drugs is specifically active during various phases of cell division?

    <p>Plant derivatives (D)</p> Signup and view all the answers

    Which of the following is an example of a platinum compound used in chemotherapy?

    <p>Cisplatin (A)</p> Signup and view all the answers

    What characteristic distinguishes topoisomerase inhibitors from other drug classes?

    <p>They inhibit topoisomerase enzymes. (D)</p> Signup and view all the answers

    Which type of alkylating agent is NOT classified under nitrosoureas?

    <p>Ifosfamide (D)</p> Signup and view all the answers

    Which of the following is recognized as an anthracycline antitumor antibiotic?

    <p>Doxorubicin (B)</p> Signup and view all the answers

    Which chemotherapy drug is most commonly used as a platinum-based treatment?

    <p>Carboplatin (B)</p> Signup and view all the answers

    What distinguishes plant derivatives from other classes of chemotherapy agents?

    <p>They are cell-cycle phase specific. (B)</p> Signup and view all the answers

    Which drug type includes Vincristine and Vinblastine?

    <p>Vinca Alkaloids (A)</p> Signup and view all the answers

    Which of the following drugs is classified as a topoisomerase 2 inhibitor?

    <p>Etoposide (D)</p> Signup and view all the answers

    What is the main action of alkylating agents in the chemotherapy context?

    <p>Damage DNA (D)</p> Signup and view all the answers

    Which class of therapy would likely include drugs that induce apoptosis in cancer cells?

    <p>Apoptosis-inducing drugs (B)</p> Signup and view all the answers

    What is a common side effect associated with targeted therapy?

    <p>Skin problems (C)</p> Signup and view all the answers

    Among the listed drugs, which one is classified as an mTOR inhibitor?

    <p>Everolimus (D)</p> Signup and view all the answers

    Which group of hormone therapy drugs includes antiandrogens?

    <p>Hormonal Agents (C)</p> Signup and view all the answers

    What is the primary action of aromatase inhibitors in cancer treatment?

    <p>Inhibit estrogen production (D)</p> Signup and view all the answers

    Which drug is classified as an angiogenesis inhibitor?

    <p>Sunitinib (B)</p> Signup and view all the answers

    Which type of adverse effect is NOT commonly associated with cytotoxic drugs?

    <p>Hypertension (B)</p> Signup and view all the answers

    What is a characteristic of hormone therapy in cancer treatment?

    <p>They target specific hormones related to cancer growth (D)</p> Signup and view all the answers

    What defines cytotoxic drugs?

    <p>They can have delayed adverse effects (D)</p> Signup and view all the answers

    Which hormone therapy drug acts as an antiestrogen?

    <p>Tamoxifen (C)</p> Signup and view all the answers

    Flashcards

    Alkylating Agent action

    They are most effective when cancer cells are in the resting phase, before they start dividing.

    What are alkylating agents?

    Alkylating agents are drugs that can directly damage the DNA of cancer cells and stop them from multiplying.

    Alkylating Agents and cell cycle

    The action of these agents is not limited to a specific stage of the cell cycle; they can damage DNA regardless of where the cell is in its lifecycle.

    What are Plant Derivatives in Cancer treatment?

    Plant-sourced chemicals that interfere with cancer cell division by disrupting the creation of microtubules, essential for cell structure and division.

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    How do Plant Derivatives combat cancer?

    Plant Derivatives often target cancer cells during specific phases of their division, making them more effective against actively dividing cancer cells.

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    What are Topoisomerase Inhibitors?

    Topoisomerase inhibitors block enzymes that are essential for DNA replication in cancer cells, halting their growth and spread.

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    How do Topoisomerase Inhibitors work?

    Topoisomerase inhibitors bind to the enzyme, topoisomerase, and interfere with its ability to regulate the unwinding and rewinding of DNA strands during replication, ultimately disrupting the cell's ability to duplicate properly.

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    Types of Topoisomerase Inhibitors

    Topoisomerase inhibitors are divided into two categories, depending on which specific type of topoisomerase enzyme they target.

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    What are Antitumor Antibiotics?

    These antibiotics come from a special type of soil fungus and are used to treat cancer by interfering with the cell cycle at different stages.

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    How do Antitumor Antibiotics work?

    Antitumor antibiotics often target actively dividing cancer cells, interfering with their ability to replicate. They have the potential to damage normal cells, but they are carefully designed to minimize side effects.

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    What are antimetabolites?

    Antimetabolites are cancer drugs that resemble normal substances inside cells. They disrupt the normal functions of these substances, ultimately stopping cancer cell growth.

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    What is cell-cycle specificity?

    Cell-cycle specific agents attack cancer cells during specific phases of their life cycle.

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    What do folic acid antagonist drugs do?

    Folic acid antagonists block the use of folic acid, a vitamin important for DNA synthesis. This blocks the production of new cells, including cancer cells.

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    How do pyrimidine antagonists work?

    Pyrimidine antagonists interfere with the use of pyrimidines, building blocks for DNA and RNA. This disrupts the genetic machinery of the cell.

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    What is the mechanism of action for purine antagonists?

    Purine antagonists prevent the use of purines, another important component of DNA and RNA. This interferes with cancer cell growth.

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    What are adenosine deaminase inhibitors?

    Adenosine deaminase inhibitors disrupt the action of an enzyme crucial for immune cells. This leads to a build-up of a molecule that can suppress the immune system.

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    What is targeted therapy?

    Targeted therapy attacks specific genes, proteins, or tissue environments that contribute to cancer growth and survival. It is specific to cancer cells and spares normal cells.

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    Why is targeted therapy generally milder than conventional chemotherapy?

    Targeted therapy is generally milder than conventional chemotherapy because it focuses on cancer-specific targets and avoids damaging normal cells.

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    Dose-response relationship

    The relationship between the dose of a drug and its effect on the body. A steep dose-response relationship means small changes in dose can lead to large differences in effect.

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    Therapeutic Index

    The range of doses that are effective without causing unacceptable side effects.

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    BSA-based Dosing

    A method of calculating drug dosage based on the patient's body surface area (BSA).

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    AUC-based Dosing

    A method of calculating drug dosage based on the amount of drug that remains in the body over time.

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    Targeted Therapies

    A type of drug that targets specific molecules or pathways involved in cancer growth.

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    What are monoclonal antibodies in cancer treatment?

    Monoclonal antibodies target specific proteins on cancer cells, interfering with their growth or signaling pathways. Examples include Trastuzumab, Bevacizumab, Cetuximab, and Rituximab.

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    What do tyrosine kinase inhibitors do?

    Tyrosine kinase inhibitors block the activity of tyrosine kinases, enzymes that control cell growth and division. Imatinib is a notable example.

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    How do apoptosis-inducing drugs work?

    Apoptosis-inducing drugs promote the programmed death of cancer cells. Bortezomib is an example.

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    What is the goal of angiogenesis inhibitors?

    Angiogenesis inhibitors block the formation of new blood vessels that tumors need to grow. Bevacizumab, Sunitinib, and Thalidomide are examples.

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    What do mTOR inhibitors do?

    mTOR inhibitors target the mTOR pathway, a critical signaling pathway involved in cell growth and proliferation. Everolimus is a common example.

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    What is the general principle behind hormone therapy?

    Hormone therapy aims to manipulate hormone levels or block their action in cancer cells, effectively hindering tumor growth. This approach is tailored to specific cancer types.

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    How do adrenal steroid inhibitors work?

    Adrenal steroid inhibitors like Aminoglutethimide and Mitotane block the production of cortisol, potentially impacting certain cancers.

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    What is the role of antiandrogens?

    Antiandrogens like Bicalutamide, Flutamide, and Nilutamide block the action of androgens, commonly used in prostate cancer treatment.

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    How do aromatase inhibitors function?

    Aromatase inhibitors such as Anastrozole, Exemestane, and Letrozole block the enzyme aromatase, which converts androgens into estrogens.

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    What are the main features of cytotoxic drugs?

    Cytotoxic drugs, also known as chemotherapy drugs, directly damage cancer cells or inhibit their growth. Common side effects include nausea, vomiting, hair loss, and bone marrow suppression.

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    Dose Modification

    Adjusting the dosage of a drug based on factors like blood cell counts, kidney function, liver function, and past adverse effects.

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    Hematological Toxicity

    A type of side effect from cancer drugs that affects blood cells, particularly white blood cells, neutrophils, and platelets.

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    Creatinine Clearance

    A factor that affects dose modification of drugs, particularly in patients with impaired kidney function. It reflects how well the kidneys are filtering waste products.

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    Skin Toxicity

    A side effect of immunotherapy that affects the skin, causing inflammation and irritation.

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    Pneumonitis

    A side effect of immunotherapy that affects the lungs, causing inflammation and difficulty breathing.

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    Study Notes

    Chemotherapy Drugs in Oncology

    • Chemotherapy comprises various drug classes, each targeting specific phases of cell division

    • Alkylating agents: These drugs are non-specific, working during the resting phase of the cell cycle, damaging DNA. Key examples include Cyclophosphamide, Chlorambucil, Melphalan, Ifosfamide, Carmustine, Lomustine, Streptozocin, Carboblatin, Cisplatin, Oxaliplatin.

    • Plant derivatives: Derived from plants, some are synthetic and are often cell-cycle specific. Examples include Vinca Alkaloids (Vincristine, Vinblastine, Vinorelbine, Paclitaxel, Docetaxel), Taxanes, Podophyllotoxins, Camptothecin analogues.

    • Topoisomerase inhibitors: These inhibit enzymes involved in DNA replication and repair. They fall into categories of Topoisomerase 1 (Irinotecan, Topotecan) and Topoisomerase 2 inhibitors (Amsacrine, Etoposide, Teniposide).

    Antitumor Antibiotics

    • These are derived from natural microbial sources, often cell-cycle specific. Examples include Doxorubicin, Idarubicin, Daunorubicin, Dactinomycin, Plicamycin, Mitomycin, and Bleomycin.

    Antimetabolites

    • These mimic normal substances, cell cycle specific. Examples include Methotrexate, Pemetrexed, 5-Fluorouracil, Floxuridine, Cytarabine, Capecitabine, Gemcitabine, 6-mercaptopurine, 6-thioguanine, Cladribine, Fludarabine, and Pentostatin.

    Miscellaneous Antineoplastics

    • Miscellaneous agents, including those not fitting other classes. Examples include Ribonucleotide reductase inhibitors, Adrenocortical steroid inhibitors, Antimicrotubule agents, Retinoids, Hydroxyurea, Mitotane, Asparaginase, Pegaspargase, Estramustine, Bexarotene, Isotretinoin, and Tretinoin.

    Targeted Therapy

    • These target specific genes, proteins, or tissue environments, avoiding damage to healthy cells. Examples include Monoclonal antibodies (Trastuzumab, Bevacizumab, Cetuximab, Rituximab), Tyrosine kinase inhibitors (Imatinib, Bortezomib), Apoptosis-inducing drugs, and Angiogenesis inhibitors (Bevacizumab, Sunitinib, Thalidomide, Everolimus), along with mTOR inhibitors.

    Hormone Therapy

    • Hormone Therapy drugs block the production of hormones essential for cancer, or replace harmful hormones with harmless ones. Adrenal Steroid Inhibitors (Aminoglutethimide, Mitotane), Androgens (Fluoxymesterone, Testosterone, Testolactone), Antiandrogens (Bicalutamide, Flutamide, Nilutamide), Antiestrogens (Tamoxifen, Toremifene), Aromatase Inhibitors (Anastrozole, Exemestane, Letrozole), Estrogens (DES, Estradiol, Premarin). Also includes Luteinizing hormone-releasing hormone (LHRL) agonists, Medroxyprogesterone, acetate, and Raloxifene.

    Cytotoxic Drug Dosing

    • Administering the right dosage of cytotoxic drugs is crucial due to a narrow therapeutic index. Methods for determining dosages include body surface area calculations (using formulas like Dubois and Dubois, Mosteller), and fixed dosing, depending on patient and drug. Dosing adjustments are also made based on renal and hepatic function, hematological parameters, and other toxicities.

    Complications of Immunotherapy

    • Immunotherapy can lead to a range of side effects, including skin toxicity, colitis, hepatitis, endocrinopathies (thyroid, diabetes, hypophysitis), pneumonitis, nephritis, neurological complications, cardiac/musculoskeletal issues.

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    Description

    This quiz covers various classes of chemotherapy drugs used in oncology. You will explore alkylating agents, plant derivatives, and topoisomerase inhibitors, as well as their mechanisms and examples. Test your knowledge of these essential cancer treatments!

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