Rapid protocol for irinotecan desensitization: a case report and literature review

G. Andriollo,S. Urbani,A. Buonomo,A. Aruanno,E. Nucera

Published 2020 in Allergo Journal International

ABSTRACT

Irinotecan—an antineoplastic drug that inhibits topoisomerase I—is widely used to treat gastrointestinal malignancies. IgE-mediated hypersensitivity reactions (HSRs) to irinotecan are rarely described to date and successfully treated by a rapid drug desensitization (RDD) protocol. Chemotherapy desensitization is reported as a safe and effective way to reintroduce a culprit drug that often represents the firstline drug therapy. RDD should always be considered, particularly when there are no other valid therapeutic approaches in terms of life expectancy and quality of life. The RDD induces a temporary tolerance to drug allergens by gradually reintroducing a small amount

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