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Everolimus induced Pneumonitis
Q Badar1, N Masood2, A N Abbasi1
1Dept of Radiation Oncology, Aga Khan University and Hospital, Karachi, Pakistan.
Abstract:
Everolimus (RAD 001) is an orally administered inhibitor of mTOR (mammalian target of rapamycin), a central regulator of intracellular signaling pathways involved in cell growth and proliferation, cellular metabolism and angiogenesis. Drug is currently in use to prevent allograft rejection after solid organ transplantation and in treatment of advanced renal cell carcinoma (RCC). Noninfectious pneumonitis is rare adverse reaction associated with rapamycin and rapamycin analogues. Awareness of this toxicity and appropriate management is important to optimize patient safety. Here we report a case of everolimus induced pneumonitis in a 72 years old male with metastatic renal cell carcinoma (mRCC) after 4 months of commencement of everolimus. Drug was discontinued and patient was treated accordingly and discharged after 10 days of hospital admission.
Insights
Everolimus, an mTOR inhibitor, can cause rare pneumonitis in patients with metastatic renal cell carcinoma. Early recognition and drug discontinuation are key for patient safety and recovery.
Area of Science:
- Oncology
- Pharmacology
- Pulmonology
Background:
- Everolimus (RAD 001) is an oral mTOR inhibitor used in organ transplantation and advanced renal cell carcinoma (RCC).
- Noninfectious pneumonitis is a rare adverse reaction associated with mTOR inhibitors like everolimus.
- Prompt identification and management of this toxicity are crucial for patient safety.
Purpose of the Study:
- To report a case of everolimus-induced pneumonitis in a patient with metastatic renal cell carcinoma (mRCC).
- To highlight the importance of recognizing and managing this rare adverse event.
Main Methods:
- Case report of a 72-year-old male patient with mRCC.
- Observation of adverse events following 4 months of everolimus treatment.
Main Results:
- The patient developed pneumonitis after 4 months of everolimus therapy.
- Everolimus was discontinued, and the patient received appropriate treatment.
- The patient was discharged after 10 days of hospitalization, indicating successful management.
Conclusions:
- Everolimus-induced pneumonitis is a rare but significant toxicity.
- Vigilance and prompt intervention are essential for managing this adverse reaction in mRCC patients.
- Effective management can lead to patient recovery.
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