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Table 2 EGFR and FGFR inhibitors and the incidence of corneal subepithelial changes

From: Markedly increased ocular side effect causing severe vision deterioration after chemotherapy using new or investigational epidermal or fibroblast growth factor receptor inhibitors

 

Classification

Drug

Description

Total prescribed patients

patients referred to OPH (%)

Patients With corneal epithelial changes

EGFR inhibitor

1st Generation

Erlotinib

EGFR TKI which binds in a reversible fashion to the ATP binding site of the receptor

2296

314 (13.68)

0

Gefitinib

EGFR TKI which binds to ATP binding site of the receptor

2772

453 (16.34)

0

2nd Generation

Afatinib

selectively and irreversibly binds to and inhibits the EGFR 1, 2, and 4, and certain EGFR mutants, including those caused by EGFR exon 19 deletion mutations or exon 21 (L858R) mutations.

302

26 (8.61)

0

3rd Generation

Osimertinib

a third generation EGFR inhibitor which shows 200-fold selectivity for T790 M/L858R protein over wild-type EGFR

202

158 (78.22)

1 (0.50%)

Olmutinib

EGFR mutation-specific tyrosine kinase inhibitor

79

28 (35.44)

0

YH25448

a Highly Selective third Generation EGFR TKI

10

10 (100.00)

0

Naquotinib

binds to and inhibits the activity of mutant forms of EGFR, including the T790 M EGFR mutant

11

11 (100.00)

0

Rociletinib

inhibits T790 M, a secondary acquired resistance mutation, as well as other mutant EGFRs

11

4 (36.36)

0

BBB penetrating

AZD3759

a novel EGFR tyrosine kinase inhibitor with high capability to penetrate the BBB

12

12 (100.00)

0

EGFR mAb

Cetuximab

a chimeric monoclonal antibody which binds to and inhibits EGFR

974

89 (9.14)

0

JNJ-61186372

bispecific antibody that targets EGFR and cMet

9

5 (55.56)

0

Ab-ADC

ABT-414

an investigational compound targeting a tumor-selective EGFR epitope

5

5 (100.00)

5 (100.0%)

multi TKI

Vandetanib

a selective inhibitor of EGFR and vascular endothelial growth factor receptor 2 (VEGFR2) tyrosine kinase

19

10 (52.63)

3 (15.79%)

FGFR inhibitor

 

ASP5878

a novel drug which inhibits all FGFRs targeting FGF19-expressing HCC

2

2 (100.00)

1 (50.0%)

FGFR mAb

FPA144

an enhanced Monoclonal Antibody against FGFR2b

11

11 (100.00)

2 (18.18%)

multi TKI

Pazopanib

a potent and selective multi-targeted receptor tyrosine kinase inhibitor that blocks tumour growth and inhibits angiogenesis (inhibits VEGFR-1, VEGFR-2, VEGFR-3, PDGFR-alpha, beta receptors, cytokine receptor)

2

1 (50.00)

0

Regorafenib

Multikinase inhibitor (VEGFR 1–3, PDGFR-alpha, PDGFR-beta, etc)

154

22 (14.29)

0

  1. EGFR epidermal growth factor receptor, ATP adenosine triphosphate, FGFR fibroblast growth factor receptor, OPH ophthalmology department, BBB blood-brain barrier, mAb monoclonal antibody, cMet tyrosine-protein kinase Met, Ab-ADC antibody-drug conjugate, TKI tyrosine kinase inhibitor, VEGFR Vascular Endothelial Growth Factors, PDGFR Platelet-derived growth factor receptor