Multi tyrosine kinase inhibitor dasatinib as novel cause of severe pre-capillary pulmonary hypertension?
2011

Dasatinib and Severe Pulmonary Hypertension

Sample size: 1 publication Evidence: low

Author Information

Author(s): Hennigs Jan K, Keller Gunhild, Baumann Hans Jörg, Honecker Friedemann, Kluge Stefan, Bokemeyer Carsten, Brümmendorf Tim H, Klose Hans

Primary Institution: University Medical Centre Hamburg - Eppendorf

Hypothesis

Does dasatinib itself trigger pre-capillary pulmonary hypertension?

Conclusion

Dasatinib may trigger drug-associated pre-capillary pulmonary hypertension, and systematic screening of patients on this medication is recommended.

Supporting Evidence

  • The patient developed severe pre-capillary pulmonary hypertension after 32 months of dasatinib therapy.
  • Echocardiography showed a right ventricular systolic pressure of 73 mm Hg.
  • After stopping dasatinib and starting sildenafil, the patient's symptoms improved significantly.

Takeaway

A patient developed serious lung problems after taking a cancer drug called dasatinib for a long time, suggesting the drug might cause these issues.

Methodology

Case report of a patient with chronic myeloid leukemia who developed pulmonary hypertension while on dasatinib therapy.

Limitations

The true incidence of dasatinib-associated pulmonary hypertension is unclear due to a lack of systematic data.

Participant Demographics

One 70-year-old male patient with chronic phase CML.

Digital Object Identifier (DOI)

10.1186/1471-2466-11-30

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