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Published on: May 16, 2020
Reversible Cabozantinib-Induced Cardiomyopathy
Muhammad Alhussein1, Sebastien J Hotte2, Darryl P Leong3
1The Division of Cardiology, Department of Medicine, McMaster University and Hamilton Health Sciences, Hamilton, Ontario, Canada.
Abstract:
Cabozantinib is a multitargeted tyrosine kinase inhibitor, with activity against vascular endothelial growth factor receptor, as well as MET, RET, and AXL. It is currently approved for treating advanced thyroid and kidney cancers, and is being investigated in other cancers. We present a case of reversible heart failure due to cabozantinib use in a 70-year-old man with metastatic renal cell carcinoma. This is, to our knowledge, one of the first reported cases of cardiomyopathy associated with cabozantinib use.
Insights
Cabozantinib, a cancer drug, can cause reversible heart failure. This case report highlights a potential cardiac side effect of this tyrosine kinase inhibitor in patients with kidney cancer.
Area of Science:
- Oncology
- Cardiology
- Pharmacology
Background:
- Cabozantinib is a tyrosine kinase inhibitor targeting VEGFR, MET, RET, and AXL.
- It is approved for advanced thyroid and kidney cancers and under investigation for other malignancies.
- Cardiac toxicities are a known concern with some tyrosine kinase inhibitors.
Observation:
- A 70-year-old man with metastatic renal cell carcinoma developed heart failure.
- The patient was receiving treatment with cabozantinib.
- Cardiac function improved after discontinuation of the drug.
Findings:
- This case presents reversible cardiomyopathy associated with cabozantinib therapy.
- It is one of the first reported instances of cabozantinib-induced cardiomyopathy.
- The findings suggest a potential cardiotoxic mechanism of cabozantinib.
Implications:
- Clinicians should monitor for cardiac function in patients treated with cabozantinib.
- Early recognition and management of cabozantinib-induced heart failure may improve patient outcomes.
- Further research is warranted to elucidate the mechanisms of cabozantinib cardiotoxicity.
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