Lung Systemic Treatment
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June 2019 Missouri Cancer Registry and Research Center Ed 19:02 Lung Show-Me-Tips Coding...Abstracting...Education… Coding Systemic Therapy Lung Cancer Systemic Therapy Non-Small Cell Lung Cancer Chemotherapy Subcategory Abraxane (Protein-bound Paclitaxel) Taxane Afinitor (Everolimus) Cytostatic agent--antiangiogenesis agent and mTOR inhibitor Alectinib (Alecensa) ALK Inhibitor Brigatinib (Alunbrig) Anaplastic lymphoma kinase Carboplatin (Paraplatin) Alkylating agent , Platinum analog Ceritinib (Zykadia) ALK tyrosine kinase inhibitor Crizotinib (Xalkori) Kinase inhibitor, Target- ed therapy anaplastic lymphoma kinase Erlotinib (Tarceva, Erlotinib Hydrochloride) Cytostatic agent--tyrosine kinase inhibitor, EGF inhibitor Docetaxel (Taxotere) Taxane Gefitinib (Iressa) Cytostatic agent--tyrosine kinase inhibitor Gilotrif (Afatinib) Tyrosine kinase inhibitor Gemcitabine (Gemzar) Antimetabolite Irinotecan (Camptosar) Topoisomerase inhibitor Mechlorethamine (Mustargen, Nitrogen Mustard) Alkylating agent Methotrexate (Folex, Mexate) Antimetabolite Paclitaxel (Taxol) Mitotic inhibitor, plant alkaloid, Taxane Pemetrexed (Alimta) Antimetabolite Tagrisso (Osimertinib) EGFR-TKI inhibitor Vinorelbine (Navelbine) Plant alkyloid Adapted from the presentation “Coding Systemic Treatment” and used with permission of Mary B. Davidson, RN, BSN, MN, CTR Source: “Coding Systemic Treatment” presented at the 2018 NCRA conference by Mary B. Davidson, RN, BSN, MN, CTR This project was supported in part by a cooperative agreement between the Centers for Disease Control and Prevention (CDC) and the Missouri Department of Health and Senior Services (DHSS) (NU58DP006299-02) and a Surveillance Contract between DHSS and the University of Missouri. 1 June 2019 Missouri Cancer Registry and Research Center Ed 19:02 Lung Show-Me-Tips Coding...Abstracting...Education… Coding Systemic Therapy Lung Cancer Systemic Therapy Small Cell Lung Cancer Chemotherapy Only Subcategory Afinitor (Everolimus) Cytostatic agent--antiangiogenesis agent and mTOR inhibitor Doxorubicin (Adriamycin) Antitumor antibiotic Etoposide (Eposine, Etopophos) Epipodophyllotoxin, topoisomerase II inhibitor, Plant alkaloid Irinotecan (Camptosar) + Cisplatin or Carboplatin Topoisomerase inhibitor Mechlorethamine (Mustargen, Nitrogen Mustard) Alkylating agent Methotrexate (Folex, Mexate) Antimetabolite Topotecan (Hycamtin) Topoisomerase inhibitor Biological Response Modifiers Subcategory Atezolizumab* (Tecentriq, MPDL3208A) Monoclonal antibody Bevacizumab (Avastin) Cytostatic agent--antiangiogenesis agent, Recombinant human anti-VEGF, Vascular endothelial growth factor receptor inhibitor Cyramza (Ramucirumab) Antiangiogenesis, Monoclonal antibody Durvalumab* (Imfinzi) FDA approved 2/18 None Keytruda (Pembrolizumab) approved 10/18 Monoclonal antibody Necitumumab (Portrazza) Anti-EFRG monoclonal antibody Nivolumab* (Opdivo) braf inhibitor * PD-L1 inhibitors: interacts with the Common drug combinations PD-1 protein on T cells Carboplatin & Taxol Gemzar & Cisplatin Adapted from the presentation “Coding Systemic Treatment” and used with permission of Mary B. Davidson, RN, BSN, MN, CTR Source: “Coding Systemic Treatment” presented at the 2018 NCRA conference by Mary B. Davidson, RN, BSN, MN, CTR This project was supported in part by a cooperative agreement between the Centers for Disease Control and Prevention (CDC) and the Missouri Department of Health and Senior Services (DHSS) (NU58DP006299-02) and a Surveillance Contract between DHSS and the University of Missouri. 2 .