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RETINAL TOXICITY ASSOCIATED WITH NAB-PACLITAXEL AND GEMCITABINE WITH SBP-101.

Ashley Z Zhou1, Jin Kyun Oh2, Stephen H Tsang2

  • 1Columbia University Vagelos College of Physicians and Surgeons, New York, New York.

Retinal Cases & Brief Reports
|April 23, 2025
PubMed
Summary

This case report identifies retinal toxicity in patients receiving nab-paclitaxel and gemcitabine with SBP-101 for pancreatic cancer. The study observed pigmentary changes and RPE mottling, emphasizing the need for ophthalmology monitoring.

Keywords:
SBP-101gemcitabinenab-paclitaxelretinal toxicity

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Area of Science:

  • Ophthalmology
  • Oncology
  • Pharmacology

Background:

  • Metastatic pancreatic adenocarcinoma treatment often involves combination chemotherapy.
  • Nab-paclitaxel and gemcitabine are standard chemotherapeutic agents.
  • SBP-101 is an investigational polyamine inhibitor used in combination therapy.

Purpose of the Study:

  • To document and characterize retinal toxicity associated with nab-paclitaxel and gemcitabine in combination with SBP-101.
  • To investigate the ocular side effects of this specific chemotherapeutic regimen.

Main Methods:

  • Observational case report design.
  • Detailed ophthalmological examinations including spectral domain optical coherence tomography (OCT).
  • Monitoring of visual acuity and retinal findings over time.

Main Results:

  • Two patients with metastatic pancreatic ductal adenocarcinoma exhibited retinal pigmentary changes and retinal pigment epithelium (RPE) mottling.
  • OCT revealed RPE and outer retinal speckled reflectivity in the macula.
  • Retinal findings progressed despite drug discontinuation, with stable or slightly worsened visual acuity.

Conclusions:

  • Nab-paclitaxel and gemcitabine with SBP-101 demonstrated retinal toxicity in these cases.
  • Regular ophthalmology examinations are crucial for patients undergoing this treatment.
  • Further research is warranted to understand the mechanism and long-term implications of this ocular toxicity.