Review Article

Hypersensitivity Reactions Associated with Platinum Antineoplastic Agents: A Systematic Review

Table 1

Incidence and severity of hypersensitivity to platinum agents.

DrugOverall incidence %Characteristics/Severity

Cisplatin5–20(i) Occurs within minutes of infusion start
(ii) Mostly between 4th–8th course
(iii) Increases with concomitant radiation

Carboplatin1–44(i) Occurs within minutes or days from infusion
(ii) less than 1% during cycles 1–5
(iii) 6.5% in cycle 6
(iv) 27% in cycle 7 or more
(v) 44% in 3rd-line retreatment
Half of all reactions observed are moderate to severe

Oxaliplatin10–18.9(i) Occurs within minutes/hours from infusion
(ii) Mostly after 6th course
(iii) Grade 3-4 in only 1.6%
(iv) Severe anaphylaxis mostly in case reports