解开不可预见的:由alectinib诱导的性急性损伤
Viet Nghi Tran1, Yusuf Hussein Kebato1, Chau Doan Nguyen2
1Department of Internal Medicine, Weiss Memorial Hospital, Chicago, IL, USA.
Hospital practice (1995)
|February 20, 2025
概括
阿莱克提尼布是NSCLC的ALK抑制剂,很少会导致严重的急性损伤 (AKI). 及时干预和监测是关键,而布里加替尼是潜在的替代方案.
科学领域:
- 在瘤学瘤学.
- 腎臟病學 (nephrology) 是一種醫學.
- 药理学 药理学是指药理学的学科.
背景情况:
- 阿列克提尼布是ALK阳性非小细胞肺癌 (NSCLC) 的关键治疗方法.
- 虽然alectinib有效,但存在罕见但严重的毒性风险,包括急性损伤 (AKI).
研究的目的:
- 报告在接受阿莱克提尼布治疗NSCLC的患者中发生严重的AKI病例.
- 强调在治疗alectinib期间对功能监测的重要性.
主要方法:
- 一个71岁的女性患有ALK阳性NSCLC的病例报告.
- 开始治疗alectinib,随后对功能进行监测.
- 干预包括停止服用alectinib和进行血液透析.
主要成果:
- 患者患有严重的AKI,肌素从1.0增加到3.64 mg/dL.
- 停止服用alectinib和一次血液透析会导致功能迅速恢复.
- 转换为布里加替尼导致治疗耐受性良好,功能稳定.
结论:
- 阿列克提尼布治疗可能导致严重的AKI,需要警的脏监测.
- 早期检测和干预对于管理alectinib诱导的毒性至关重要.
- 布里加替尼布 (Brigatinib) 是对alectinib不耐受患者的可行的替代品.
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