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

Kathleen Clifford, RN, MSN, FNP-BC, AOCNP®; Amanda Copeland, RN, MSN, CNS; Gregory Knutzen, RN, MSN, FNP-BC, AOCNP®; Ellen Samuelson, RN, MS; Laurie Grove, PA-C; Karen Schiavo, RN, MS, ARNP, AOCNP®
CJON
10.1188/18.CJON.E103-E114

Description

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.

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