Cytokines and Cellular Therapies in Oncology
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Questions and Answers

What is the primary effect of filgrastim on neutrophils in patients undergoing chemotherapy for AML?

  • It inhibits the division of immature neutrophils.
  • It binds to and activates mature neutrophils. (correct)
  • It stimulates the production of platelets.
  • It enhances the function of T cells.
  • Which drug is specifically associated with a risk of splenic enlargement or rupture?

  • Sargramostim
  • Filgrastim (correct)
  • Blinatumomab
  • Tisagenlecleucel
  • What symptom should patients receiving sargramostim immediately report to their healthcare provider?

  • Dyspnea or palpitations (correct)
  • Increased appetite
  • Mild headache
  • Dizziness upon standing
  • Which of the following cytokines targets the CD19 protein on T cells and malignant cells in ALL treatment?

    <p>Tisagenlecleucel</p> Signup and view all the answers

    During which type of drug infusion is it essential to monitor for symptoms of cytokine release syndrome?

    <p>Blinatumomab or Tisagenlecleucel</p> Signup and view all the answers

    What is a significant concern for patients undergoing treatment with blinatumomab?

    <p>Neurologic toxicity</p> Signup and view all the answers

    Which of the following monitoring assessments is NOT mentioned for patients receiving filgrastim?

    <p>Monitor for respiratory distress</p> Signup and view all the answers

    Which drug stimulates the production, division, and differentiation of granulocytes?

    <p>Filgrastim</p> Signup and view all the answers

    What symptoms should be monitored for in patients receiving blinatumomab to detect tumor lysis syndrome?

    <p>Abdominal pain and distention</p> Signup and view all the answers

    Which of the following is a symptom of pancreatitis that patients receiving blinatumomab or interferons should be monitored for?

    <p>Severe, persistent stomach pain</p> Signup and view all the answers

    What condition's symptoms should be monitored for in patients receiving interferons?

    <p>Neuropsychiatric disorders</p> Signup and view all the answers

    What is a primary effect of drug antibody conjugates like inotuzumab and gemtuzumab?

    <p>Cause cell death in tumor cells</p> Signup and view all the answers

    Which of the following should be monitored as a potential side effect of FLT3 inhibitors like gitertinib?

    <p>Pulmonary toxicity</p> Signup and view all the answers

    Which monoclonal antibody binds to the CD52 antigen on B and T cells?

    <p>Alemtuzumab</p> Signup and view all the answers

    What should patients using rituximab immediately report to their healthcare provider?

    <p>Neutropenia and PML symptoms</p> Signup and view all the answers

    What is a symptom of immune thrombocytopenia that should be monitored in patients receiving alemtuzumab?

    <p>Easy bruising and petechiae</p> Signup and view all the answers

    What symptom should patients receiving obinutuzumab be instructed to notify their healthcare provider about?

    <p>Symptoms of infection</p> Signup and view all the answers

    What symptom is associated with potential hepatotoxicity that patients receiving drug antibody conjugates need to monitor?

    <p>Rapid weight gain and abdominal swelling</p> Signup and view all the answers

    What is an important cardiovascular symptom to monitor in patients receiving interferons?

    <p>Chest pain</p> Signup and view all the answers

    Which of the following symptoms indicate the need for intervention in patients receiving tisagenlecleucel?

    <p>New or worsening anxiety</p> Signup and view all the answers

    What condition should be monitored for symptoms in patients taking interferons for their treatment?

    <p>Colitis</p> Signup and view all the answers

    Study Notes

    Colony-Stimulating Factors

    • Filgrastim (Granix, Neupogen) stimulates immature neutrophils to divide and differentiate.
    • Sargramostim (Leukine) stimulates the production, division, differentiation, and activation of granulocytes.

    Cytokines

    • Blinatumomab (Blincyto) is a monoclonal antibody that targets the CD19 protein on malignant cells.
    • Interferons target the IFNAR1/2 pathway in patients with hairy cell leukemia and Philadelphia chromosome–positive CML.
    • Tisagenlecleucel (Kymirah) targets malignant T cells expressing the CD19 protein in patients with ALL.

    Drug Antibody Conjugates

    • Inotuzumab (Besponsa) attaches to the CD22 antigen on the surface of tumor cells in ALL.
    • Gemtuzumab (Mylotarg) attaches to the CD33 antigen to cause cell death in AML.

    FLT3 Inhibitors

    • Gitertib (Xospata) and Midostaurin (Rydapt) inhibit FLT3 receptor signaling and cell proliferation.

    Monoclonal Antibodies

    • Alemtuzumab (Campath, Lemtrada) binds to the CD52 antigen on the surface of B and T cells in CLL.
    • Obinutuzumab (Gazyva) targets an antigen on the surface of premature and mature B cells in CLL.
    • Ofatumumab (Arzerra) also binds to CD20 to cause cell death in CLL.
    • Rituximab (Rituxan, Ruxience, Truxima) binds to the CD20 antigen on the surface of lymphoma cells, preventing cell cycle activation and causing cell death in CLL.

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    Description

    This quiz covers key concepts related to colony-stimulating factors, cytokines, drug-antibody conjugates, FLT3 inhibitors, and monoclonal antibodies used in cancer treatment. Test your understanding of these critical therapeutic agents in oncology and their mechanisms of action.

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