Serum creatine kinase elevation following tyrosine kinase inhibitor treatment in cancer patients: Symptoms, mechanism, and clinical management DOI Creative Commons
Hang Zhang, Kenneth K.W. To

Clinical and Translational Science, Год журнала: 2024, Номер 17(11)

Опубликована: Окт. 29, 2024

Abstract Molecular targeted tyrosine kinase inhibitors (TKIs) have produced unprecedented treatment response in cancer therapy for patients harboring specific oncogenic mutations. While the TKIs are mostly well tolerated, they were reported to increase serum levels of creatine (CK) and cause muscle metabolism‐related toxicity. CK is an essential enzyme involved cellular energy metabolism function. Elevated can arise from both physiological pathological factors, as triggered by drug classes. The incidence elevation induced a few approved (brigatinib, binimetinib, cobimetinib‐vemurafenib combination [Food Drug Administration, United States]; aumolertinib, sunvozertinib [only National Medical Products China]) over 35%. elevation‐related symptoms include myopathy, myositis, inclusion body myositis (IBM), cardiotoxicity, rhabdomyolysis, rash, acneiform dermatitis. High‐level or severe symptomatic may necessitate dose reduction indirectly dampen TKI efficacy. This review presents updated summary about prevalence rate recent research mechanisms leading TKI‐induced patients. utility monitoring predicting adverse effects their management will also be discussed.

Язык: Английский

Matters of the Heart: Cardiotoxicity Related to Target Therapy in Oncogene-Addicted Non-Small Cell Lung Cancer DOI Open Access
Sara Torresan,

Martina Bortolot,

Elisa De Carlo

и другие.

International Journal of Molecular Sciences, Год журнала: 2025, Номер 26(2), С. 554 - 554

Опубликована: Янв. 10, 2025

The treatment of Non Small Cell Lung Cancer (NSCLC) has been revolutionised by the introduction targeted therapies. With improvement response and frequently overall survival, however, a whole new set adverse events emerged. In fact, due to peculiar mechanism action each one tyrosine kinase inhibitors other therapies, every drug its own specific safety profile. addition, this profile could not fully emerge from clinical trials data, as patients in practice usually have more comorbidities frailties. Cardiotoxicity is well-known established event anti-cancer However, only recently it become central topic for therapies NSCLC, unknown real range frequency. Management toxicity begins with prevention, must balance need continuing an effective anticancer versus low risk even fatal preservation long-term quality life. aim review summarise current knowledge focusing on currently used NSCLC.

Язык: Английский

Процитировано

1

Tyrosine kinase inhibitors induce cardiotoxicity by causing Ca2+ overload through the inhibition of phosphoinositide 3-kinase activity DOI
Meiling Gao, Zhengwei Cheng, Wei Yan

и другие.

Biochemical and Biophysical Research Communications, Год журнала: 2025, Номер 771, С. 152027 - 152027

Опубликована: Май 15, 2025

Язык: Английский

Процитировано

0

Serum creatine kinase elevation following tyrosine kinase inhibitor treatment in cancer patients: Symptoms, mechanism, and clinical management DOI Creative Commons
Hang Zhang, Kenneth K.W. To

Clinical and Translational Science, Год журнала: 2024, Номер 17(11)

Опубликована: Окт. 29, 2024

Abstract Molecular targeted tyrosine kinase inhibitors (TKIs) have produced unprecedented treatment response in cancer therapy for patients harboring specific oncogenic mutations. While the TKIs are mostly well tolerated, they were reported to increase serum levels of creatine (CK) and cause muscle metabolism‐related toxicity. CK is an essential enzyme involved cellular energy metabolism function. Elevated can arise from both physiological pathological factors, as triggered by drug classes. The incidence elevation induced a few approved (brigatinib, binimetinib, cobimetinib‐vemurafenib combination [Food Drug Administration, United States]; aumolertinib, sunvozertinib [only National Medical Products China]) over 35%. elevation‐related symptoms include myopathy, myositis, inclusion body myositis (IBM), cardiotoxicity, rhabdomyolysis, rash, acneiform dermatitis. High‐level or severe symptomatic may necessitate dose reduction indirectly dampen TKI efficacy. This review presents updated summary about prevalence rate recent research mechanisms leading TKI‐induced patients. utility monitoring predicting adverse effects their management will also be discussed.

Язык: Английский

Процитировано

1