Refractory pancytopenia upon initiation of asciminib in tyrosine kinase inhibitor-resistant chronic myeloid leukemia.

Q3 Medicine
Steven Tessier, Mina Aiad, Santo Longo, Melissa Wilson, Yacoub Faroun
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引用次数: 0

Abstract

Asciminib, a "Specifically Targeting the ABL Myristoyl Pocket" inhibitor, is a new drug in the treatment of tyrosine kinase inhibitor (TKI)-resistant chronic myeloid leukemia (CML). Hemocytopenias associated with asciminib are common adverse events documented by clinical trials. We report a case of precipitous-onset pancytopenia with the initiation of asciminib treatment in a patient with TKI-resistant CML. This case had a confounding array of laboratory findings that evidenced a drug-induced hemophagocytic component. We hope that our case stimulates further reporting of similar cases to enhance the understanding of the pathophysiology underlying asciminib-induced hemocytopenias.

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酪氨酸激酶抑制剂耐药的慢性粒细胞白血病中ascimib引发的难治性全血细胞减少症。
Asciminib是一种“特异性靶向ABL Myristoyl口袋”抑制剂,是一种治疗酪氨酸激酶抑制剂(TKI)耐药性慢性粒细胞白血病(CML)的新药。与腹水相关的血细胞减少症是临床试验记录的常见不良事件。我们报告了一例TKI耐药CML患者在开始腹水治疗后突然出现的全血细胞减少症。该病例有一系列令人困惑的实验室发现,证明了药物诱导的噬血细胞成分。我们希望我们的病例能刺激类似病例的进一步报道,以增强对腹水诱导的血细胞减少症的病理生理学的理解。
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来源期刊
CiteScore
1.40
自引率
0.00%
发文量
37
期刊介绍: IJCIIS encourages research, education and dissemination of knowledge in the field of Critical Illness and Injury Science across the world thus promoting translational research by striking a synergy between basic science, clinical medicine and public health. The Journal intends to bring together scientists and academicians in the emergency intensive care and promote translational synergy between Laboratory Science, Clinical Medicine and Public Health. The Journal invites Original Articles, Clinical Investigations, Epidemiological Analysis, Data Protocols, Case Reports, Clinical Photographs, review articles and special commentaries. Students, Residents, Academicians, Public Health experts and scientists are all encouraged to be a part of this initiative by contributing, reviewing and promoting scientific works and science.
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