Journal
CANCER CHEMOTHERAPY AND PHARMACOLOGY
Volume 87, Issue 2, Pages 289-294Publisher
SPRINGER
DOI: 10.1007/s00280-020-04203-z
Keywords
Doxorubicin; Sarcoma; Renal toxicity
Categories
Funding
- James Dinerstein family
- Kevin Franklin family
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Pegylated liposomal doxorubicin (PLD) is a unique formulation of doxorubicin with lower toxicity profile than free doxorubicin, mainly causing hand-foot syndrome without alopecia, nausea, myelosuppression, or cardiotoxicity. This case highlights a lesser known toxicity of PLD and raises concerns about potential long-term toxicities with other liposomal drugs.
Doxorubicin is one of the most active drugs for sarcoma. Pegylated liposomal doxorubicin (PLD) is a unique formulation of doxorubicin, which carries a more favorable toxicity profile in comparison with free doxorubicin. The main toxicity of PLD is hand-foot syndrome. Unlike free doxorubicin, PLD is unlikely to cause alopecia, nausea, myelosuppression, or cardiotoxicity. Additionally, no premedications are required. We describe the case of a 50-year-old man with advanced retroperitoneal liposarcoma who developed irreversible PLD-associated progressive renal failure requiring chronic hemodialysis due to a thrombotic microangiopathy. No cardiotoxicity was noted 84 months after he initiated PLD. This case describes a lesser known toxicity of PLD and may be a toxicity of long-term treatment with other liposomal drugs.
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