Successful treatment with nilotinib after bosutinib-induced pulmonary arterial hypertension recurrence following dasatinib in chronic myeloid leukemia in chronic phase

A 52-year-old man was diagnosed with chronic myeloid leukemia in the chronic phase (CML-CP). He experienced bosutinib-induced pulmonary arterial hypertension (PAH) recurrence following dasatinib use. Symptoms and examination findings associated with PAH improved after bosutinib cessation. Although n...

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Main Authors: Ibuki Takatsuka, Hiroya Hirata, Takumi Takahashi, Satoshi Dohtan, Shinichiro Oka, Nami Sakamoto, Masamitsu Takaba, Miwa Adachi, Tomonari Takemura, Yasuyuki Nagata, Takaaki Ono
Format: Article
Language:English
Published: Elsevier 2022-01-01
Series:Leukemia Research Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2213048922000243
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author Ibuki Takatsuka
Hiroya Hirata
Takumi Takahashi
Satoshi Dohtan
Shinichiro Oka
Nami Sakamoto
Masamitsu Takaba
Miwa Adachi
Tomonari Takemura
Yasuyuki Nagata
Takaaki Ono
author_facet Ibuki Takatsuka
Hiroya Hirata
Takumi Takahashi
Satoshi Dohtan
Shinichiro Oka
Nami Sakamoto
Masamitsu Takaba
Miwa Adachi
Tomonari Takemura
Yasuyuki Nagata
Takaaki Ono
author_sort Ibuki Takatsuka
collection DOAJ
description A 52-year-old man was diagnosed with chronic myeloid leukemia in the chronic phase (CML-CP). He experienced bosutinib-induced pulmonary arterial hypertension (PAH) recurrence following dasatinib use. Symptoms and examination findings associated with PAH improved after bosutinib cessation. Although nilotinib was started because of the loss of response after bosutinib cessation, a deep molecular response without PAH recurrence was achieved 3 months after the initiation of nilotinib therapy. PAH recurrence after switching to bosutinib due to dasatinib-induced PAH should be closely monitored. In addition, nilotinib therapy might be an effective approach in PAH cases related to dasatinib and/or bosutinib in patients with CML-CP.
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spelling doaj.art-7dd83824e9494a509194654d4ebfeee92022-12-22T00:54:43ZengElsevierLeukemia Research Reports2213-04892022-01-0117100312Successful treatment with nilotinib after bosutinib-induced pulmonary arterial hypertension recurrence following dasatinib in chronic myeloid leukemia in chronic phaseIbuki Takatsuka0Hiroya Hirata1Takumi Takahashi2Satoshi Dohtan3Shinichiro Oka4Nami Sakamoto5Masamitsu Takaba6Miwa Adachi7Tomonari Takemura8Yasuyuki Nagata9Takaaki Ono10Division of Hematology, Hamamatsu University School of Medicine, 1-20-1, Handayama, Higashi-ku, Hamamatsu, Shizuoka, JapanDivision of Hematology, Hamamatsu University School of Medicine, 1-20-1, Handayama, Higashi-ku, Hamamatsu, Shizuoka, JapanDivision of Hematology, Hamamatsu University School of Medicine, 1-20-1, Handayama, Higashi-ku, Hamamatsu, Shizuoka, JapanDivision of Hematology, Hamamatsu University School of Medicine, 1-20-1, Handayama, Higashi-ku, Hamamatsu, Shizuoka, JapanDivision of Hematology, Hamamatsu University School of Medicine, 1-20-1, Handayama, Higashi-ku, Hamamatsu, Shizuoka, JapanDivision of Hematology, Hamamatsu University School of Medicine, 1-20-1, Handayama, Higashi-ku, Hamamatsu, Shizuoka, JapanDivision of Hematology, Hamamatsu University School of Medicine, 1-20-1, Handayama, Higashi-ku, Hamamatsu, Shizuoka, JapanDivision of Hematology, Hamamatsu University School of Medicine, 1-20-1, Handayama, Higashi-ku, Hamamatsu, Shizuoka, JapanDivision of Hematology, Hamamatsu University School of Medicine, 1-20-1, Handayama, Higashi-ku, Hamamatsu, Shizuoka, JapanDivision of Hematology, Hamamatsu University School of Medicine, 1-20-1, Handayama, Higashi-ku, Hamamatsu, Shizuoka, JapanCorresponding author at: Division of Hematology, Hamamatsu University School of Medicine, 1-20-1, Handayama, Higashi-ku, Hamamatsu, Shizuoka, Japan; Division of Hematology, Hamamatsu University School of Medicine, 1-20-1, Handayama, Higashi-ku, Hamamatsu, Shizuoka, JapanA 52-year-old man was diagnosed with chronic myeloid leukemia in the chronic phase (CML-CP). He experienced bosutinib-induced pulmonary arterial hypertension (PAH) recurrence following dasatinib use. Symptoms and examination findings associated with PAH improved after bosutinib cessation. Although nilotinib was started because of the loss of response after bosutinib cessation, a deep molecular response without PAH recurrence was achieved 3 months after the initiation of nilotinib therapy. PAH recurrence after switching to bosutinib due to dasatinib-induced PAH should be closely monitored. In addition, nilotinib therapy might be an effective approach in PAH cases related to dasatinib and/or bosutinib in patients with CML-CP.http://www.sciencedirect.com/science/article/pii/S2213048922000243Pulmonary arterial hypertensionDasatinibBosutinibNilotinibChronic myeloid leukemia in chronic phase
spellingShingle Ibuki Takatsuka
Hiroya Hirata
Takumi Takahashi
Satoshi Dohtan
Shinichiro Oka
Nami Sakamoto
Masamitsu Takaba
Miwa Adachi
Tomonari Takemura
Yasuyuki Nagata
Takaaki Ono
Successful treatment with nilotinib after bosutinib-induced pulmonary arterial hypertension recurrence following dasatinib in chronic myeloid leukemia in chronic phase
Leukemia Research Reports
Pulmonary arterial hypertension
Dasatinib
Bosutinib
Nilotinib
Chronic myeloid leukemia in chronic phase
title Successful treatment with nilotinib after bosutinib-induced pulmonary arterial hypertension recurrence following dasatinib in chronic myeloid leukemia in chronic phase
title_full Successful treatment with nilotinib after bosutinib-induced pulmonary arterial hypertension recurrence following dasatinib in chronic myeloid leukemia in chronic phase
title_fullStr Successful treatment with nilotinib after bosutinib-induced pulmonary arterial hypertension recurrence following dasatinib in chronic myeloid leukemia in chronic phase
title_full_unstemmed Successful treatment with nilotinib after bosutinib-induced pulmonary arterial hypertension recurrence following dasatinib in chronic myeloid leukemia in chronic phase
title_short Successful treatment with nilotinib after bosutinib-induced pulmonary arterial hypertension recurrence following dasatinib in chronic myeloid leukemia in chronic phase
title_sort successful treatment with nilotinib after bosutinib induced pulmonary arterial hypertension recurrence following dasatinib in chronic myeloid leukemia in chronic phase
topic Pulmonary arterial hypertension
Dasatinib
Bosutinib
Nilotinib
Chronic myeloid leukemia in chronic phase
url http://www.sciencedirect.com/science/article/pii/S2213048922000243
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