Agent

Type

Indication

Most  common skin toxicities

Cetuximab (Erbitux)

Chimeric (mouse/human) monoclonal antibody

Metastatic colorectal cancer and head and neck cancer

Rash (Monomorphous erythematous maculopapular, follicular, or pustolar lesions which may be associated with pruritus/tenderness)

Paronychia and fissuring (Painful periungual granulation-type or friable pyogenic granuloma-like changes, associated with erythema, swelling, and fissuring of lateral nailfolds and/or distal finger tufts)

Hair changes (Alopecia and curlier, finer and more brittle hair on scalp and extremities; trychomegalia and curling of eyebrows and hypertrichosis of the face)

Dry skin (Diffuse fine scaling)

Mucositis (Mucositis, stomatitis, and aphthous ulcers

Panitumumab (Vectibix)

Fully human monoclonal antibody

Metastatic colorectal cancer with disease progression despite prior treatment in patients with non-mutated (wild-type) KRAS

Nimotuzumab (CIMAher)

Humanized monoclonal antibody

High grade glioma, esophagus and head and neck tumor patients

Erlotinib (Tarceva)

Selective oral inhibitor of EGFR tyrosine kinase

Locally  advanced  or metastatic  non-small  cell  lung  cancer after  the  failure  of  prior chemotherapy and  in combination with gemcitabine  for  locally advanced, unresectable or metastatic  pancreatic  cancer

Gefitinib (Iressa)

Selective oral inhibitor of EGFR tyrosine kinase

Locally  advanced  or metastatic  non-small  cell  lung  cancer

 

EGF vaccine (CIMAvax)

Human recombinant Epidermal Growth Factor (EGF) chemically conjugated to a carrier protein from Neisseria meningitides

Advance patients with non-small cell lung cancer

Her-1 Vaccine

Extracellular domain of human EGFR/VSSP

Hormone refractory prostatic cancer patients

Table 1: Characteristics and dermatologic reactions associated with anti-epidermal growth factor/epidermal growth factor receptor therapeutic anti-cancer drugs.