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.

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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