Evaluation of the plasma concentration of ponatinib in a chronic myeloid leukaemia patient with ponatinib intolerance

被引:3
作者
Abumiya, Maiko [1 ]
Takahashi, Naoto [2 ]
Yoshioka, Tomoko [2 ]
Kameoka, Yoshihiro [2 ,3 ]
Miura, Masatomo [1 ]
机构
[1] Akita Univ Hosp, Dept Pharm, Akita, Japan
[2] Akita Univ, Grad Sch Med, Dept Hematol Nephrol & Rheumatol, 1-1-1 Hondo, Akita, Akita 0108543, Japan
[3] Akita Univ Hosp, Clin Res Promot & Support Ctr, Akita, Japan
关键词
bioavailability; chronic myeloid leukaemia; intolerance; plasma concentrations; ponatinib; METABOLISM;
D O I
10.1111/jcpt.13257
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
What is known and objective Some patients with chronic myeloid leukaemia (CML) cannot continue tyrosine kinase inhibitor (TKI) treatment due to intolerance associated with higher plasma concentration. Case summary A 76-year-old woman with chronic-phase CML who showed resistance/intolerance to pre-TKIs has been treated with ponatinib. A high ponatinib bioavailability was noted; therefore, we administered ponatinib 15 mg/3 d to avoid adverse events due to high exposure. Eventually, the patient achieved a major molecular response. What is new and conclusion Monitoring of the ponatinib plasma concentration led to safe and effective CML management in a patient with higher drug bioavailability.
引用
收藏
页码:219 / 222
页数:4
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