Impact of pharmacist’s intervention on decreasing erlotinib interactions in the treatment of lung cancer patients in low resource settings

Abstract

Background This study aimed to demonstrate that having clinical pharmacist as a member of oncology team in low and middle income countries might lead to significant reduction in the number of erlotinib interactions in the treatment of non-small cell lung cancer patients. Methods A group of 44 patients was labeled as intervention group and they were analyzed prospectively in the period from 1 January 2017 to 1 May 2018 during clinical pharmacist’s participation in regular weekly multidisciplinary oncology team meetings. The control group consisted of 44 out of 110 patients treated with erlotinib before the involvement of a clinical pharmacist in oncology team, match paired with 44 patients in intervention group. Results Clinically significant interactions were identified in two-thirds of studied patients (57 out of 88). Most drug interactions, 38%, potentially result in decrease of serum concentration of erlotinib. Clinical pharmacist provided therapy modification suggestions for 32 out of 44 (72.72%) patients in the intervention group, most of which were accepted by doctors. In the intervention group, there were significantly less clinically significant interactions compared to the control group (10 versus 24, p = 0.002). Progression-free survival was significantly longer in the pharmacist’s intervention group (p = 0.001). Conclusions Clinical pharmacist’s intervention led to significant decrease in erlotinib interactions which may result in treatment optimization of lung cancer patients.

International Society of Oncology Pharmacy Practitioners (ISOPP) position statement: Role of the oncology pharmacy team in cancer care

“…61–63 Pharmacists are responsible for the management of drug therapy, which includes an ongoing review and management of food and drug interactions as part of the pharmaceutical care provided to patients and have been shown to prevent potential drug interactions among cancer patients, thus improving medication safety. 64–69 Multiple possible points of intervention exist, including during collaborative rounds, chart reviews, and direct patient medication reconciliation or verification of anticancer therapy prescriptions/orders.…”

Liposomal Dry Powder Inhaler: Novel Pulmonary Targeted Drug Delivery System for the Treatment of Lung Cancer

“…Lung cancer is the commonest malignancy worldwide [1] and also a devil for a society that killed more than billions of humans, and 135,720 more are estimated deaths by 2020 in the U. S [2,3]. Human lung cancer is categorized into two significant types, small cell lung cancer (SCLC) and non-small cell lung carcinoma (NSCLC), the last comprising many types [4].…”

“…This system generates aerosols using high-frequency ultrasound waves [1][2][3]. These devices produce vibrations y using piezoelectric crystals and form a fountain of fluid in the nebulization cavity.…”