Eltrombopag olamine for refractory immune-related thrombocytopenia induced by pembrolizumab in a non-small cell lung cancer patient

被引:7
|
作者
Ito, Munehiro [1 ]
Kanda, Shintaro [1 ]
Yoshida, Tatsuya [1 ]
Okuma, Yusuke [1 ]
Jo, Hitomi [1 ]
Fukuhara, Suguru [2 ]
Maeshima, Akiko Miyagi [3 ]
Ohe, Yuichiro [1 ]
机构
[1] Natl Canc Ctr, Dept Thorac Oncol, Chuo Ku, Tsukiji 5-1-1, Tokyo 1040045, Japan
[2] Natl Canc Ctr, Dept Hematol, Chuo Ku, Tsukiji 5-1-1, Tokyo 1040045, Japan
[3] Natl Canc Ctr, Dept Diagnost Pathol, Chuo Ku, Tsukiji 5-1-1, Tokyo 1040045, Japan
关键词
immune-related thrombocytopenia; pembrolizumab; eltrombopag olamine; rituximab; non-small cell lung cancer; PURPURA;
D O I
10.1016/j.lungcan.2020.05.015
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Objectives: Immune checkpoint inhibitors (ICIs) have shown antitumor activity against a wide variety of malignancies. ICI-induced immune-related thrombocytopenia is a rare immune-related adverse event (irAE). Little is known about the treatment of refractory immune-related thrombocytopenia in non-small cell lung cancer (NSCLC) patients treated with pembrolizumab. Results: We report the case of a patient with advanced NSCLC complicated by pembrolizumab-induced refractory immune-related thrombocytopenia who showed remarkable improvement in the thrombocytopenia in response to eltrombopag olamine treatment. Conclusion: Eltrombopag olamine can be a viable treatment option for refractory pembrolizumab-induced immune-related thrombocytopenia in an NSCLC patient.
引用
收藏
页码:362 / 365
页数:4
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