Allergy Asthma Respir Dis.  2015 Jul;3(4):294-296. 10.4168/aard.2015.3.4.294.

Successful rapid desensitization for cetuximab-induced anaphylaxis

Affiliations
  • 1Department of Internal Medicine, Seoul National University Medical Research Center, Seoul National University College of Medicine, Seoul, Korea. helenmed@snu.ac.kr
  • 2Institute of Allergy and Clinical Immunology, Seoul National University Medical Research Center, Seoul National University College of Medicine, Seoul, Korea.
  • 3Department of Internal Medicine, Kyungpook National University College of Medicine, Daegu, Korea.
  • 4Regional Pharmacovigilance Center, Seoul National University Hospital, Seoul, Korea.

Abstract

Cetuximab, a chimeric mouse-human immunoglobulin, is an antiepidermal growth factor receptor monoclonal antibody. It has been approved by the U.S. Food and Drug Administration for the treatment of metastatic colorectal and head/neck cancer, but can cause fatal hypersensitivity reactions in some patients. A 66-year-old male with metastatic sigmoid cancer had cetuximab-induced anaphylaxis when the first dose of cetuximab was administered. Cetuximab was safely readministered for another 15 cycles based on the rapid desensitization protocol. We experienced a case of cetuximab-induced anaphylaxis on the first exposure which was successfully managed by rapid desensitization.

Keyword

Cetuximab; Hypersensitivity; Immunologic desensitization

MeSH Terms

Aged
Anaphylaxis*
Desensitization, Immunologic
Humans
Hypersensitivity
Immunoglobulins
Male
Sigmoid Neoplasms
United States Food and Drug Administration
Cetuximab
Immunoglobulins

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