Side Effects of larotrectinib: A Synthesis of Findings from 12 Studies
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This analysis is based on research papers included in PubMed, but medical research is constantly evolving and may not fully reflect the latest findings. There may also be biases towards certain research areas.
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Major findings
Larotrectinib has been shown to be an effective targeted therapy for patients with NTRK gene fusion-positive solid tumors, resulting in tumor shrinkage and remission. 11 , 7 , 6 , 8 , 10 , 4 In a notable case study, larotrectinib successfully treated an infant diagnosed with angiosarcoma harboring a KHDRBS1-NTRK3 fusion gene. 11 The patient achieved complete and sustained remission with minimal side effects.
Reasons for side effects
Larotrectinib inhibits tropomyosin receptor kinase (TRK), a protein activated by NTRK gene fusion. 6 , 8 TRK is involved in the development and maintenance of the nervous system, so administration of larotrectinib may cause side effects related to the nervous system. 8
Common side effects
Dizziness
Dizziness may occur with the administration of larotrectinib. 6 , 8
Weight gain
Weight gain may occur with the administration of larotrectinib. 6 , 8
Numbness
Numbness may occur with the administration of larotrectinib. 8
Side effect countermeasures
Countermeasures for dizziness
If you experience dizziness with the administration of larotrectinib, consult your doctor. 6 , 8
Countermeasures for weight gain
If you experience weight gain with the administration of larotrectinib, consult your doctor. 6 , 8 You may be able to control weight gain by reviewing your diet and exercise habits.
Countermeasures for numbness
If you experience numbness with the administration of larotrectinib, consult your doctor. 8
Comparison between studies
Common points of research
Multiple studies have shown that larotrectinib is effective for patients with NTRK gene fusion-positive solid tumors. 11 , 7 , 6 , 8 , 10 , 4 Also, larotrectinib has been reported to generally have a good safety profile. 8 , 12
Differences in research
There are differences in the frequency and types of side effects reported in studies of larotrectinib. 8 , 6 The efficacy of larotrectinib may also vary depending on the patient's age and type of tumor. 11 , 5
Precautions for application in real life
Larotrectinib is being developed as a treatment for patients with NTRK gene fusion-positive solid tumors. 7 NTRK gene fusions can occur in a variety of solid tumors. 7 , 12 It is important to consult your doctor and undergo NTRK gene fusion testing before taking larotrectinib. 7
Current research limitations
The long-term side effects and efficacy of larotrectinib are not yet fully understood. 6 , 8 Further research is needed to verify the efficacy and safety of larotrectinib. 6 , 8
Future research directions
Research is needed to investigate the long-term side effects and efficacy of larotrectinib and its effects on a variety of tumors. 6 , 8 Research on methods to enhance the efficacy of larotrectinib and to reduce side effects is also needed. 6 , 8
Conclusion
Larotrectinib is an effective treatment for patients with NTRK gene fusion-positive solid tumors, potentially resulting in tumor shrinkage and remission. 11 , 7 , 6 , 8 , 10 , 4 However, larotrectinib may cause side effects such as dizziness, weight gain, and numbness. 6 , 8 It is important to consult your doctor and understand the side effects before taking larotrectinib. 6 , 8
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