期刊
INTERNAL MEDICINE
卷 59, 期 21, 页码 2745-2749出版社
JAPAN SOC INTERNAL MEDICINE
DOI: 10.2169/internalmedicine.4871-20
关键词
dasatinib; bosutinib; hemodialysis; liver cirrhosis; plasma concentrations
We recently treated a chronic myeloid leukemia (CML) patient with liver and renal dysfunction, who was undergoing hemodialysis (HD). He was treated with 50 mg dasatinib (DAS) once daily just before HD. The maximum plasma concentration of DAS was 227 ng/mL on a non-HD day and 46.9 ng/mL on a HD day. He was subsequently treated with 200 mg bosutinib (BOS) once daily. The plasma concentration of BOS changed from 74.5 ng/mL before HD to 58.8 ng/mL after HD. Our results indicate that close monitoring of the plasma tyrosine kinase inhibitor concentrations should be considered in CML patients with organ impairment.
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