Brentuximab Vedotin: A Nursing Perspective on Best Practices and Management of Associated Adverse Events

Clin J Oncol Nurs. 2018 Aug 1;22(4):E103-E114. doi: 10.1188/18.CJON.E103-E114.

Abstract

Background: Brentuximab vedotin (BV) is an antibody-drug conjugate that targets CD30-expressing cells.

Objectives: This article assesses the occurrence and management of the most frequent and clinically relevant BV-associated adverse events (AEs), with a focus on Hodgkin lymphoma and systemic anaplastic large cell lymphoma trials, and shares practical tips that may help decrease occurrence and severity.

Methods: Peer-reviewed literature was surveyed to collect safety data from sponsored clinical trials of BV and to compile associated management guidelines.

Findings: Peripheral neuropathy was the most common BV-associated AE across clinical trials. Other clinically relevant AEs included neutropenia, infection, and infusion-related reactions. Awareness of and preparedness for these common BV-associated AEs and other less common but significant AEs will help nurse clinicians and patients maximize the clinical benefit for patients receiving BV.

Keywords: adverse events; brentuximab vedotin; management; peripheral neuropathy.

Publication types

  • Review

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Antineoplastic Agents / adverse effects*
  • Antineoplastic Agents / therapeutic use*
  • Female
  • Hodgkin Disease / drug therapy*
  • Humans
  • Immunoconjugates / adverse effects*
  • Lymphoma, Large-Cell, Anaplastic / drug therapy*
  • Male
  • Middle Aged
  • Peripheral Nervous System Diseases / chemically induced*
  • Peripheral Nervous System Diseases / nursing*

Substances

  • Antineoplastic Agents
  • Immunoconjugates