[Not Available]

Charles Khouri1, Elodie Jean Bart2, Sophie Logerot1

  • 1Centre régional de pharmacovigilance, CHU de Grenoble, Grenoble, France.

Therapie
|July 10, 2016
PubMed

Insights

Tyrosine-kinase inhibitors can cause thyroid dysfunction. A patient developed hypothyroidism after treatment with sunitinib and then axitinib, suggesting a cumulative class effect.

Area of Science:

  • Oncology
  • Endocrinology
  • Pharmacology

Context:

  • Tyrosine-kinase inhibitors (TKIs) are a significant class of drugs used in treating various cancers.
  • Thyroid dysfunction, or dysthyroidism, has emerged as a potential class effect associated with TKI therapy.
  • The cumulative impact of different TKIs on thyroid function requires further investigation.

Purpose:

  • To report a case of sequential thyroid dysfunction in a patient treated with two different tyrosine-kinase inhibitors.
  • To highlight the potential for cumulative and permanent thyroid damage from these cancer therapies.

Summary:

  • A male patient developed dysthyroidism during sunitinib treatment for a neoplastic disease.
  • Following the introduction of axitinib, the patient experienced severe and persistent hypothyroidism.
  • This case illustrates a potential class-related, cumulative endocrine side effect of tyrosine-kinase inhibitors.

Impact:

  • This case underscores the importance of monitoring thyroid function in patients receiving TKI therapy.
  • It suggests that sequential use of different TKIs may increase the risk of severe and lasting hypothyroidism.
  • Further research into the mechanisms and clinical management of TKI-induced thyroid dysfunction is warranted.