Hypersensitivity reactions to carboplatin in children

J Neurooncol. 2002 May;58(1):33-7. doi: 10.1023/a:1015853200090.

Abstract

Hypersensitivity reactions to carboplatin are rare but sometimes life-threatening events may occur requiring discontinuation of treatment. In our study, we describe clinical features and diagnostic procedures of carboplatin-associated reactions in children affected by low-grade astrocytoma and treated with multiple courses of carboplatin. In 6 out of 29 children, we reported allergic events. We also report a desensitization protocol for carboplatin administration, which allowed the patients to receive effective treatment without adverse reactions.

MeSH terms

  • Anti-Allergic Agents / therapeutic use
  • Anti-Inflammatory Agents / therapeutic use
  • Antineoplastic Agents / administration & dosage
  • Antineoplastic Agents / adverse effects*
  • Antineoplastic Agents / therapeutic use
  • Astrocytoma / diagnosis
  • Astrocytoma / drug therapy*
  • Brain Neoplasms / diagnosis
  • Brain Neoplasms / drug therapy*
  • Carboplatin / administration & dosage
  • Carboplatin / adverse effects*
  • Carboplatin / therapeutic use
  • Child, Preschool
  • Chlorpheniramine / therapeutic use
  • Dose-Response Relationship, Drug
  • Drug Hypersensitivity / drug therapy
  • Drug Hypersensitivity / etiology*
  • Epinephrine / therapeutic use
  • Female
  • Humans
  • Hydrocortisone / therapeutic use
  • Infant
  • Magnetic Resonance Imaging
  • Male
  • Treatment Outcome

Substances

  • Anti-Allergic Agents
  • Anti-Inflammatory Agents
  • Antineoplastic Agents
  • Chlorpheniramine
  • Carboplatin
  • Hydrocortisone
  • Epinephrine