Severe toxic rhabdomyolysis under combined palbociclib and simvastatin treatment: A case report

We report the fourth described case of severe toxic rhabdomyolysis occurring in an 81-year-old woman caused by the concomitant administration of palbociclib taken at the usual dosage (125 mg per day) and simvastatin. To the best of our knowledge, this is the first reported case successfully treated...

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Main Authors: François Poumeaud, Anna Fontanier, Jérémie Dion, Quentin Mathevet, Olivier Cointault, Emmanuelle Uro-Coste, Céline Marty, Florence Dalenc, Pierre Girardie, Anaïs Rataboul
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-12-01
Series:Frontiers in Oncology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2022.1026434/full
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author François Poumeaud
Anna Fontanier
Jérémie Dion
Quentin Mathevet
Olivier Cointault
Emmanuelle Uro-Coste
Céline Marty
Florence Dalenc
Pierre Girardie
Anaïs Rataboul
author_facet François Poumeaud
Anna Fontanier
Jérémie Dion
Quentin Mathevet
Olivier Cointault
Emmanuelle Uro-Coste
Céline Marty
Florence Dalenc
Pierre Girardie
Anaïs Rataboul
author_sort François Poumeaud
collection DOAJ
description We report the fourth described case of severe toxic rhabdomyolysis occurring in an 81-year-old woman caused by the concomitant administration of palbociclib taken at the usual dosage (125 mg per day) and simvastatin. To the best of our knowledge, this is the first reported case successfully treated by plasma exchanges, with complete functional recovery within two months. The severity of this case justifies further consideration of pharmacokinetic interactions between palbociclib or other CDK-4-6 inhibitors and statins, which potentially increase the risk of an adverse event.
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spelling doaj.art-851e524cbd1f4b2685d5a5f1fcd518542023-02-06T09:18:06ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2022-12-011210.3389/fonc.2022.10264341026434Severe toxic rhabdomyolysis under combined palbociclib and simvastatin treatment: A case reportFrançois Poumeaud0Anna Fontanier1Jérémie Dion2Quentin Mathevet3Olivier Cointault4Emmanuelle Uro-Coste5Céline Marty6Florence Dalenc7Pierre Girardie8Anaïs Rataboul9Department of Medical Oncology, Institut Claudius Regaud - Institut Universitaire du Cancer de Toulouse - Oncopole, Toulouse, FranceDepartment of Clinical Pharmacy, Institut Claudius Regaud - Institut Universitaire du Cancer de Toulouse - Oncopole, Toulouse, FranceDepartment of Internal Medicine and Clinical Immunology, Centre Hospitalier Universitaire Toulouse, Toulouse, FranceDepartment of Clinical Pharmacy, Institut Claudius Regaud - Institut Universitaire du Cancer de Toulouse - Oncopole, Toulouse, FranceDepartment of Nephrology, Centre Hospitalier Universitaire Toulouse, Toulouse, FranceDepartment of Anatomo-pathology, Institut Universitaire du Cancer de Toulouse – Oncopole, Toulouse, FranceDepartment of Clinical Pharmacy, Institut Claudius Regaud - Institut Universitaire du Cancer de Toulouse - Oncopole, Toulouse, FranceDepartment of Medical Oncology, Institut Claudius Regaud - Institut Universitaire du Cancer de Toulouse - Oncopole, Toulouse, FranceDepartment of Neurology, Centre Hospitalier Universitai Toulouse – Purpan, Toulouse, FranceDepartment of Medical Oncology, Institut Claudius Regaud - Institut Universitaire du Cancer de Toulouse - Oncopole, Toulouse, FranceWe report the fourth described case of severe toxic rhabdomyolysis occurring in an 81-year-old woman caused by the concomitant administration of palbociclib taken at the usual dosage (125 mg per day) and simvastatin. To the best of our knowledge, this is the first reported case successfully treated by plasma exchanges, with complete functional recovery within two months. The severity of this case justifies further consideration of pharmacokinetic interactions between palbociclib or other CDK-4-6 inhibitors and statins, which potentially increase the risk of an adverse event.https://www.frontiersin.org/articles/10.3389/fonc.2022.1026434/fullrhabdomyolysispalbociclibsimvastatininteractionmyositisplasmatic exchange
spellingShingle François Poumeaud
Anna Fontanier
Jérémie Dion
Quentin Mathevet
Olivier Cointault
Emmanuelle Uro-Coste
Céline Marty
Florence Dalenc
Pierre Girardie
Anaïs Rataboul
Severe toxic rhabdomyolysis under combined palbociclib and simvastatin treatment: A case report
Frontiers in Oncology
rhabdomyolysis
palbociclib
simvastatin
interaction
myositis
plasmatic exchange
title Severe toxic rhabdomyolysis under combined palbociclib and simvastatin treatment: A case report
title_full Severe toxic rhabdomyolysis under combined palbociclib and simvastatin treatment: A case report
title_fullStr Severe toxic rhabdomyolysis under combined palbociclib and simvastatin treatment: A case report
title_full_unstemmed Severe toxic rhabdomyolysis under combined palbociclib and simvastatin treatment: A case report
title_short Severe toxic rhabdomyolysis under combined palbociclib and simvastatin treatment: A case report
title_sort severe toxic rhabdomyolysis under combined palbociclib and simvastatin treatment a case report
topic rhabdomyolysis
palbociclib
simvastatin
interaction
myositis
plasmatic exchange
url https://www.frontiersin.org/articles/10.3389/fonc.2022.1026434/full
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