Adverse Effects
MOA
Target
Name that Drug
Mutations
100

This cytotoxic antibiotic is classically associated with pulmonary toxicity and fibrosis

What is Bleomycin

100

Cancer cells treated with this chemotherapy agent show increased tubulin polymerization due to microtubule stabilization

What is Paclitaxel

100

This protein is impacted by a drug that may cause acneiform rash (a marker of effectiveness)

What is Epidermal Growth Factor (Osimertinib)

100

This promiscuous third generation BCR-ABL inhibitor has warnings for cardiac toxicity

What is Ponatinib

100

This residue is often found in kinase ATP binding domains and commonly mutates in cancer cells

What is Threonine 

200

Dose-limiting nephrotoxicity and ototoxicity are classic adverse effects of this chemotherapy agent

What is Cisplatin

200

This chemotherapy drug inhibits topoisomerase I, leading to DNA strand breaks.

What is Irinotecan

200

This fusion event leads to a constitutively active kinase and has a targeted therapy

What is BCR-ABL (Imatinib)

200

This drug is given after a high dose of antifolate drug to rescue normal bone marrow from damage

What is leucovorin

200

Mutations in this oncogene predict resistance to EGFR inhibitors like cetuximab

What is KRAS

300

This cytotoxic drug is associated with cardiotoxicity due to free radical formation 

What is Doxorubicin

300

By forming a covalent complex with thymidylate synthase and folate cofactors, this drug prevents dTMP synthesis

What is 5-fluorouracil

300

Methotrexate treats cancer and autoimmune disease by inhibiting this folate-cycle enzyme, reducing thymidine and purine synthesis.

 What is dihydrofolate reductase

300

This drug is considered the best in mutant EGFR treatment

Osimertinib

300

When there is a mutation of residue 315 from threonine to isoleucine this drug is indicated

What is Ponatinib

400

This chemotherapy drug is associated with emergent hemorrhagic cystitis due to the toxic metabolite acrolein

What is Cyclophosphamide

400

This monoclonal antibody targets the extracellular domain of HER2, a receptor overexpressed in some breast and gastric cancers.

What is Herceptin (Trastuzumab)

400

Etoposide inhibits this target causing double-strand DNA breaks and apoptosis.

What is topoisomerase II

400

Unlike other antimetabolites, this drug alters the deoxyribose sugar of DNA, causing chain termination

What is Gemcitabine

400

While Erlotinib is the typical treatment for EGFR mutated cancers if the T790M mutation is present this drug is indicated 

What is Osimertinib

500

This antimetabolite chemotherapy may cause cerebellar ataxia

What is Cytosine Arabinoside

500

Cetuximab inhibits EGF signaling through this mechanism.

What is binding the extracellular domain

500

Sotorasib was the first FDA-approved drug to target this previously “undruggable” oncogene in cancer.

What is KRAS

500

This selective estrogen receptor modulator (SERM) binds estrogen receptors, blocking estrogen-driven proliferation in ER-positive breast cancer.

What is Tamoxifen

500

This drug is only effective with a wild type KRAS in colorectal cancer

What is cetuximab